Annales françaises d'anesthèsie et de rèanimation
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Data synthesis on physiopathology and treatment of hepatorenal syndrome (HRS). ⋯ Prognosis of patients with HRS remains poor but the pharmacologic treatment by terlipressine has improved the prognosis particularly in order to wait liver transplantation.
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Ann Fr Anesth Reanim · Jan 2003
Case Reports[Allergy investigations after two cases of adverse reactions to a neuromuscular blocking agent and management for subsequent general anaesthesia].
We report two cases of severe anaphylactic reactions to rocuronium. Diagnosis was confirmed by skin tests and specific IgE assay. ⋯ Intradermal tests and leukocyte histamine release were negative for cisatracurium. The two patients had undergone a subsequent general anaesthesia using cisatracurium and did not present any adverse reaction.
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Ann Fr Anesth Reanim · Jan 2003
[The impact of a French guideline on the clinical management of severe head injury (SHI) published in 1999].
To evaluate the impact of a French guideline on the clinical management of severe head injury (SHI) published in 1999. ⋯ The French guidelines had a significant impact and seem to have provided a useful aid to clinical management of SHI patients. ICP monitoring and the shortage in post-ICU facilities are remaining issues.
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Ann Fr Anesth Reanim · Jan 2003
Case Reports[Pneumomediastinum and bilateral tension pneumothorax as a complication of oxygen therapy using a nasal cannula].
We report the case of a patient who developed a subcutaneous and submucosal emphysema in association with a pneumomediastinum, a bilateral pneumothorax and a pneumoperitoneum. This complication was secondary to oxygen supply via a nasal cannula, which allowed a wrong submucosal pathway previously, created by the traumatic placement of a nasogastric tube. The evolution was uneventful. We comment the pathophysiological mechanism of such a complication and propose simple actions to prevent the reproduction.
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Ann Fr Anesth Reanim · Jan 2003
[Intensive care management of 28 patients with severe eclampsia in a tropical African setting].
To study the specific management problems of severe eclampsia under tropical latitudes. ⋯ Eclampsia is a major cause of both maternal and infantile mortality in developing countries. The authors insist that prevention and management require speedy transfers to adapted specialized obstetrical intensive care structures.