Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Dec 2002
Clinical Trial[Postoperative comfort in pediatric outpatient tonsillectomy].
Evaluate the comfort in children after ambulatory tonsillectomy, disregarding the surgical technique and with a systematic prescription of paracetamol and codeine. The study lasted 4 days including the day of surgery. ⋯ The use of paracetamol-codeine after tonsillectomy offers a reliable analgesia with very satisfactory scores of comfort. Such prescription is effective in ambulatory tonsillectomy if a rigorous selection of patients is made.
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Ann Fr Anesth Reanim · Dec 2002
Case Reports[Discitis after spinal anesthesia for transurethral resection of the prostate].
We described a case of discitis and meningitis following spinal anaesthesia for transurethral resection of the prostate. The patient received antibiotics for a month before surgery, because of Klebsiella prostatitis. Spinal anaesthesia was performed in L3-L4 interspace by using 22G Quincke needle. ⋯ CSF examination confirmed meningitis but no bacteria was found. Antibiotics were administered over a 6 weeks period, and then patient discharged from hospital without neurological sequellae. Infectious discitis related to disk puncture during spinal anaesthesia and postoperative bacteriaemia was likely in our patient.
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Ann Fr Anesth Reanim · Dec 2002
Case Reports[Unusual complication after hip surgery under spinal anesthesia].
The development of an acute respiratory distress syndrome following hip surgery in elderly patients is suggestive of thromboembolism in most instances. However, we must keep in mind the possibility of rarer complications, which can remain undiagnosed because they are hidden by prominent abnormal behaviours, which can develop following any type of anaesthesia. ⋯ Because this patient was old and had previously developed chronic lung disorders, we selected a spinal anaesthesia for performing the surgery; these underlying respiratory disorders worsened the clinical consequences of the inhalation. The dental crown was removed under general anaesthesia with spontaneous ventilation using a bronchoscope after an unsuccessful attempt with a fibrescope due to the size of the foreign body.
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Evaluate the problem of violence in French EMS system and characterize assaults. ⋯ Formal training in the management of violent encounters and prevention of post-traumatic stress should be developed.