Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jan 2002
Letter Case Reports[Risk associated with thrombophilia and pregnancy].
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Ann Fr Anesth Reanim · Dec 2001
Review[Malignant hyperthermia: new developments in diagnosis and clinical management].
To analyse the current knowledge concerning anaesthetic malignant hyperthermia. ⋯ Knowledge to possess, about the diagnosis and treatment of the acute hyperthermia crises and about "safe-anaesthesia" for malignant hyperthermia susceptible patients, are explained. The pathophysiology chapter give information about the calcium's transport and the defect existing in MH. Molecular genetics of MH find linkage to the region encoding the RyR1. The profile of hyperthermia episodes has changed over time due to the endtidal carbon dioxide-monitoring. Clinical aspects of MH are exposed. The treatment of the acute hyperthermia crises consist mainly to stop all triggering agents instantly and infuse dantrolene sodium. The gold standard for the diagnosis of malignant hyperthermia susceptibility relies on the in vitro contracture test (halothane and caffeine). Associated to genetic studies, it could lead to an non-invasive screening of the MH susceptibility. A protocol for "safe-anaesthesia" is proposed. Some syndromes with features similar to those of MH should be known (central core disease and exertionnal rhabdomyolysis).
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Ann Fr Anesth Reanim · Dec 2001
[Factors associated with refusal of organ donation in France from 1996 to 1999].
The demand for organ transplantation exceeds organ donation in France and refusal to organ donation remains close to 30%. This study analysed risk factors associated with refusal of organ donation. ⋯ The risk factors described should be taking into account when family's members are approached for donation. They represent the interactions between the history of the donors, harvesting organisation, and sociocultural factors.
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Ann Fr Anesth Reanim · Dec 2001
Case Reports[Acute pulmonary edema from inhalation of the bite-block after anesthesia with a laryngeal mask].
We report a case of acute pulmonary oedema, consecutive to upper airway obstruction due to the inhalation of the laryngeal mask airway (LMA) bite block during recovery. The LMA was used for general anaesthesia with the bite-block provided in France. No trouble occurred during LMA insertion and anaesthesia. Symptomatic treatment provided complete resolution within a few days.
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Ann Fr Anesth Reanim · Dec 2001
Case Reports[Severe metabolic alkalosis following hypokalemia from a paraneoplastic Cushing syndrome].
Metabolic alkalosis is frequently observed in critically ill patients. Etiologies are numerous but endocrinal causes are rare. ⋯ Further explorations revealed an ectopic Adrenocorticotropine Hormone syndrome. The initial tumor was probably a small cell lung carcinoma.