Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Sep 2012
Randomized Controlled TrialEfficacy of preoxygenation with non-invasive low positive pressure ventilation in obese patients: crossover physiological study.
The impact of non-invasive positive pressure ventilation (NIPPV), which is a combination of inspiratory positive airway pressure (IPAP) and positive end expiratory pressure (PEEP), on the effectiveness of preoxygenation in obese patients was evaluated. ⋯ This study suggests that providing a positive pressure of 4 cmH(2)O throughout inspiration and expiration during preoxygenation in obese patients provided benefits with regard to the FeO(2).
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Ann Fr Anesth Reanim · Jun 2012
Randomized Controlled Trial Comparative Study[Internal jugular venous cannulation: what is the best approach?].
The aim of this study was to compare two approaches used for internal jugular venous cannulation: the anterior way, described by English et al. and the posterior way, described by Jernigan et al. The primary endpoint was the rate of success. The secondary endpoints were the related adverse events and the difficulty factors. ⋯ This study shows that the posterior approach in internal jugular venous cannulation is more efficient than and as safe as the anterior approach.
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Ann Fr Anesth Reanim · Jun 2012
Randomized Controlled Trial[Preloading with HES 130/0.4 versus normal saline solution to prevent hypotension during spinal anaesthesia for elective caesarean section].
To evaluate the efficacy of HES 130/0.4 preload compared to normal saline solution for prevention of hypotension during spinal anaesthesia for elective caesarean section. ⋯ HES 130/0.4 preload reduced the incidence of hypotension, the duration of longest hypotension, and the need for ephedrine during spinal anaesthesia for elective caesarean section. However, the efficacy of HES 130/0.4 alone in prevention of maternal hypotension during spinal anaesthesia for caesarean section is still insufficient.
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Ann Fr Anesth Reanim · May 2012
Randomized Controlled Trial Comparative Study[Prospective trial comparing Airtraq and Glidescope techniques for intubation of obese patients].
Videolaryngoscope techniques are more and more in use and tend to modify our approach for patients difficult to intubate. We compared two techniques, Airtraq and Glidescope with direct laryngoscopy, with special emphasis on ease of access to airway (Intubation Difficulty Score - IDS score, duration and success of intubation) and the impact on hemodynamic variables among patients with a BMI of more than 30. ⋯ In obese patients, Glidescope allows intubation relatively easily without rescue techniques.
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Ann Fr Anesth Reanim · Jan 2011
Randomized Controlled TrialThe effect of adding intrathecal magnesium sulphate to morphine-fentanyl spinal analgesia after thoracic surgery. A prospective, double-blind, placebo-controlled research study.
We investigated whether intrathecally magnesium sulphate added to morphine and fentanyl reduces patients' postoperative analgesia requirements and prolongs spinal opioid analgesia after thoracotomy. ⋯ We found that in patients undergoing pulmonary resection with elective posterolateral thoracotomy, magnesium sulphate (50mg), when added to spinal morphine analgesia reduces postoperative morphine requirements, the number of patients requiring morphine titration without increasing opioid side effects.