Annales françaises d'anesthèsie et de rèanimation
-
Ann Fr Anesth Reanim · Nov 2013
Comparative Study[Risk of barotrauma when using non-reinhalation Waters valves: A comparative study on bench test.]
Manual ventilation is delivered in the operating room or the intensive care unit to intubated or non-intubated patients, using non-rebreathing systems such as the Waters valve. New generation Waters valves are progressively replacing the historic Waters valve. The aim of this study was to evaluate maximal pressure delivered by these 2 valves. ⋯ Use of new generation Waters valves should be different from historic Waters valves. Indeed, barotrauma could be caused by badly adapted valve expiratory opening pressure settings.
-
Women who are carriers for hemophilia are usually considered as safe carriers. However, they can present hemorragic symptoms associated with low factor VIII or IX levels. During pregancy, factor VIII increases whereas factor IX does not. ⋯ Factor IX does not really increase during pregancy and hemorrage can occur. Epidural and spinal anesthesia seem to be contraindicated as far as recommandations are concerned. Coagulation factor substitution is a mean of increasing factor level before these anaesthesias and can be discussed for each case.
-
Ann Fr Anesth Reanim · Nov 2013
Multicenter Study[Regional survey of peripheral nerve block practice by French residents.]
There are limited data on peripheral nerve block (PNB) practices by residents in France, especially with after introduction of ultrasound. A survey was conducted on PNB practices by French residents. ⋯ The majority of procedures performed by the residents are using ultrasound. The procedure is usually fast, requiring mainly a single puncture and has a high rate of success.
-
Ann Fr Anesth Reanim · Nov 2013
Case Reports[Traumatic injuries of the descending thoracic aorta apart from the isthmus: Diagnosis and therapeutic approach.]
Lesions involving the descending thoracic aorta apart from isthmus are rare and less known by anesthetists. We report the clinical course of two severely injured patients who sustained a thoracic aortic rupture in whom favorable outcome was achieved with endovascular treatment. Mechanisms, diagnosis and therapeutics aspects of these rare lesions are discussed according to literature.