Annales françaises d'anesthèsie et de rèanimation
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To evaluate the success rate of intubation through the intubating laryngeal mask airway (LMA-Fastrach) in patients with predictive signs of difficult airway or after intubation failure. ⋯ The results of this study confirm that tracheal intubation through the intubating LMA can be recommended in patients with a difficult airway, whether foreseen or not.
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Ann Fr Anesth Reanim · Dec 1999
Multicenter Study Clinical Trial[Pharmacodynamics and safety of mivacurium in infants and children under halothane-nitrous oxide anesthesia].
To determine pharmacodynamic effects and safety of mivacurium in paediatric patients. ⋯ Following 0.2 mg.kg-1 of mivacurium in patients aged between three months to eight years, a complete blockade occurs with a rapid onset time and a short duration of action, without significant cardiovascular effect.
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Ann Fr Anesth Reanim · Nov 1999
Letter Case Reports[Peridural analgesia in a woman with multiple sclerosis in labor].
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Ann Fr Anesth Reanim · Nov 1999
Review[Anesthetic equipment: fresh gas delivery systems. II. Electronic systems].
To analyse the design, functioning, benefits and drawbacks of electronic fresh gas delivery units (FGDUs) included in anaesthetic machines marketed in France in 1999. ⋯ Four anaesthetic machines out of 11 are equipped with electronic FGDUs. In comparison to mechanical units, they include the following benefits: wide range of accurate gas flow, especially in the low flow range, with analog and digital display; intermittent delivery of each gas, which is essential for automated gas delivery and quantitative anaesthesia or target controlled (FET vapor) inhalational anaesthesia; facilitated oxygen ratio control; possibility to print the gas and vapor flows on the automated anaesthetic record; interruption of gas flow when the main switch of the machine is set to off; and absence of risk for retropollution. Three FGDUs out of four are adapted for gas delivery to an accessory (ancillary) anaesthetic circuit. However, only one of them delivers a gas flow up to 30 L.min-1. The specificity of the ADU AS/3 (Datex-Ohmeda) is the bypass vaporizer included in the FGDU with an exchangeable vaporizing chamber (cassette). The specificity of the Julian (Dräger) is the delivery of fresh gas limited to the expiratory phase during mechanical ventilation. The specificity of the the FGDU from Kion (Siemens) is the possibility to act as an open circuit ventilator, similar to a Servoventilator. The specificity of the PhysioFlex is an FGDU included in the circle circuit, each gas and liquid anaesthetic being directly injected into the circuit. Data from the French medical device surveillance commission indicate that the main failures occur in the power supply device and the microprocessor.
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Ann Fr Anesth Reanim · Nov 1999
[Dural taps in peridural analgesia for labor: management by French anesthesiologists in 1997].
To assess prophylactic and curative managements of dural taps occurring during the setting of epidural analgesia (EA) for labour. ⋯ Management of dural taps occurring after EA for pain relief in labour differs widely from one French obstetrical unit to another.