Annales françaises d'anesthèsie et de rèanimation
-
Ann Fr Anesth Reanim · Oct 1999
Case Reports[Severe anaphylactic reactions after administration of rocuronium].
The authors report four cases of severe anaphylactic reactions (grade III or IV) to rocuronium bromide. In three of them, it was the first contact with a muscle relaxant. In three patients the reaction was mediated by IgE anti-bodies. A cross-reactivity with other muscle relaxants was existing in two cases (suxamethonium, vecuronium and atracurium in one patient, suxamethonium, vecuronium and pancuronium in the other.
-
Ann Fr Anesth Reanim · Oct 1999
[Anesthesia consultation in cardiovascular and thoracic surgery. A survey of patient and physician satisfaction].
To assess the quality of the preadmission anaesthetic consultation prior to cardiovascular and thoracic surgery with a satisfaction inquiry. ⋯ This inquiry showed that the preadmission anaesthesia consultation was considered as benefitful by patients and anaesthetists. However the participation of patients in this study was poor. Subsequently to the inquiry information forms have been produced and handed to the patient prior to the consultation.
-
Ann Fr Anesth Reanim · Oct 1999
[A scale of perioperative satisfaction for anesthesia. I--Construction and validation].
To develop and to validate a scale assessing perioperative patient's satisfaction with anaesthesia (Evan). ⋯ A self-completed questionnaire on patient's satisfaction with anaesthetic period was validated, allowing a global and multidimensional assessment of patient's satisfaction.
-
Ann Fr Anesth Reanim · Oct 1999
Case Reports[Tracheal rupture initially masked by accidental bronchial intubation].
We report a case of tracheal rupture complicating a blunt chest trauma. As the endotracheal tube had been inadvertently inserted into the right bronchus, tracheal rupture was only suspected when increasingly severe subcutaneous emphysema occurred after mobilization of the tube. Bronchoscopy confirmed the diagnosis. ⋯ Tracheal rupture is an uncommon lesion. All physical and radiological symptoms provide useful diagnostic orientation. In the patient of our case report, inadvertent bronchial intubation made artificial ventilation possible and probably prevented lethal outcome.