Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jan 2001
Case Reports[Epidural anesthesia for Cesarean section in a patient with von Hippel-Lindau syndrome].
Von Hippel-Lindau (VHL) disease is an autosomal dominant disorder with variable penetrance. It is mainly characterized by haemangioblastomas of the retina and central nervous system. ⋯ We report the case of a 28-year-old woman with an history of VHL disease who had an epidural anaesthesia for labour and for Caesarean section performed because of failure to progress and of fetal distress. The overall maternal and neonatal outcomes were excellent.
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Ann Fr Anesth Reanim · Jan 2001
Case Reports[Acute hemolysis following perioperative blood salvage in chldren operated for the surgical correction of craniosynostosis].
We report the case of a 6-month-old child, who suffered from acute haemolysis following transfusion of salvaged blood. This complication, of favourable outcome, was related to the accidental aspiration of benzalkonium chloride into the cell saver. This case emphasizes that any adjunction of antiseptic solution is contraindicated during blood saving. The use of a cell saver must be associated with written protocols, describing clearly the contraindications, precautions of use, and the different steps of use of this method of autologous blood transfusion.
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Ann Fr Anesth Reanim · Jan 2001
[Measurement of carbon monoxide in expired breath in prehospital management of carbon monoxide intoxication].
Carbon monoxide detectors are currently used by the French prehospital medical teams. These detectors can also be used to measure expired breath carbon monoxide concentration. The interest of this measurement has never been studied. ⋯ Measurement of expired carbon monoxide concentration, easy and quick to perform is correlated with clinical severity in carbon monoxide poisoning.
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Ann Fr Anesth Reanim · Jan 2001
[Blood transfusion in adults: description of a quality assurance program].
In 1995, a fatal transfusion complication led to the development of a quality-assurance programme (QAP). Initial analysis showed important deficiencies in practice patterns for both nurses and physicians. No written guidelines had been previously produced. ⋯ The success of a change of practice patterns relies on hospital administration positive role, education and feedback, written and immediately available guidelines, employment of specially trained personnel, long-standing actions. Future accreditation of hospitals based on well-defined and well-implemented procedures will also be a major help to increase the quality of the transfusion process.