Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Feb 2009
Randomized Controlled Trial Comparative Study[Effectiveness of a recruitment manoeuvre and positive end-expiratory pressure on respiratory mechanics during laparoscopic bariatric surgery].
To evaluate recruitment manoeuvre (RM) efficiency associated with a 10 cmH(2)O positive end expiratory pressure (PEEP) on respiratory mechanic estimated by lung compliance (Ctp) and PEEP to ZEEP expiratory volume delta (Delta VTE) during laparoscopic bariatric surgery in patients with morbid obesity. ⋯ In patients with morbid obesity undergoing laparoscopic bariatric surgery, an RM conducted prior the pneumoperitoneum temporarily improves lung mechanics but without any change of the end expiratory lung volume at the end of the surgery in comparison with PEP alone. The RM was well tolerated.
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Ann Fr Anesth Reanim · Feb 2009
Letter Randomized Controlled Trial Comparative Study[Efficacy of a low dose of ketamine in reduction of propofol-injection-related pain].
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Ann Fr Anesth Reanim · Jan 2009
Randomized Controlled Trial Comparative Study[Duration of antibiotic therapy for ventilator-associated pneumonia: comparison of 7 and 10 days. A pilot study].
To compare the efficiency of a 7-day antibiotics regimen with a 10-day regimen for ventilator-associated pneumonia (VAP). ⋯ In patients with microbiologically confirmed VAP who received appropriate empirical antibiotic therapy, a 7-day antibiotic regimen was as efficient clinically and microbiologically as a 10-day antibiotic regimen with a reduction of antibiotic use.
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Ann Fr Anesth Reanim · Dec 2008
Randomized Controlled Trial[Ropivacaine infiltration during breast cancer surgery: postoperative acute and chronic pain effect].
Decrease acute pain after breast cancer surgery by an infiltration of ropivacaine. Analyse effect on chronic pain. ⋯ Ropivacaine scar infiltration provided no acute or chronic pain relief after breast cancer surgery.
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Ann Fr Anesth Reanim · Dec 2008
Randomized Controlled Trial[Effect of ketamine on prevention of postmastectomy chronic pain. A pilot study].
This pilot study was designed to evaluate the feasibility of a trial to estimate the preventive effect of ketamine on postmastectomy pain syndrome (PMPS). ⋯ We found no preventive effect of ketamine on the development of PMPS. However, the non-statistically significant effect of ketamine on hyperalgesia three months after surgery could justify a larger study with the same methodology.