Annales françaises d'anesthèsie et de rèanimation
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The Univent tube was designed as an alternative to double lumen endotracheal tubes. It is a conventional single lumen tube with an additional small channel within the concave anterior wall portion that houses a movable bronchial blocker used for lung isolation. A thin lumen in the blocker itself allows lung deflation and various ventilatory patterns (oxygen inflow, CPAP, jet-ventilation) in the blocked lung. ⋯ The "blind" insertion of the bronchial balloon carries a high risk of primary malpositioning or secondary displacement that may cause a loss of the lung isolation or even tracheal obstruction. Initial insertion with fiberoptic bronchoscope is therefore required and this device must also be available during the whole period of one lung ventilation. High pressures generated by the bronchial cuff and higher cost than that of double lumen endotracheal tubes are two other factors that limit the use of the Univent tube.
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Ann Fr Anesth Reanim · Jan 1994
[Training in anesthesiology and surgical intensive care in the United Kingdom].
A review of the training in anaesthetics in the United Kingdom is presented. After basic medical training and obtaining the MB BS qualification, the trainee will usually spend a year outside anaesthetics. Following this period, basic specialist training takes approximately four years, going through senior house officer and registrar grades, leading to the Fellow of the Royal College of Anaesthetist (FRCA) diploma. ⋯ A Certificate of Accreditation is awarded after three years of satisfactory experience in a senior registrar post. The accredited senior registrar is then ready to apply for a consultant vacancy or a senior lecturer's post. Academic appointments are made at registrar and senior registrar levels (lecturers) and consultant level (as senior lecturers and professors).
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Interpleural analgesia, a recently devised method for postoperative analgesia, consists of the injection of a local anaesthetic into the pleural space. The technique of the catheter insertion is simple and derived from the threadening of an epidural catheter, using the same equipment. An unilateral analgesia is obtained with a rapid onset but not efficient enough for a surgical procedure. ⋯ Lidocaine may also be administered at the dose of 2 mg.kg-1 of a 2% solution. Main indications of interpleural analgesia are cholecystectomies and thorax trauma patients. Adverse effects and hazards are uncommon and include mainly pneumothorax and toxic effects of a local anaesthetic overdose.
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We report the bench testing of three new anaesthesia ventilators: Flexima (Datex), SA2/RA2 and Cato (Dräger). The test circuit included a two compartment lung model, a pneumotachograph and a pressure gauge. ⋯ Moreover, the tidal volume of the Flexima increased with the fresh gas flow. In spontaneous ventilation inspiratory resistance were low.
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Ann Fr Anesth Reanim · Jan 1994
[Arguments for the addition of an oxygen reserve container to the anesthetic equipment].
In France, the presence of an emergency oxygen cylinder as part of every the anaesthetic machine is not made compulsory by an official regulation. This article provides arguments in favour of such a presence, as recommended by the French Society of Anaesthesia and Intensive care (SFAR).