Cahiers d'anesthésiologie
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Cahiers d'anesthésiologie · Jan 1996
Review[Acute fetal distress. The anesthesiologist's point of view].
Foetal distress is a non-specific and imprecise diagnose sometimes associated with surgical delivery of a normal newborn. As this type of delivery is usually considered urgent, emergent anaesthesia is required. General anaesthesia is usually chosen in these cases because it is the quickest anaesthetic technique and because of fears concerning the haemodynamic consequences of regional techniques. ⋯ Mendelson's syndrome or to cope with a failed intubation drill is of greatest importance. Finally, comprehensive communication between the anaesthetic and obstetrical teams is one of the most useful ways to facilitate safer approach of the management of obstetric emergencies studies. Caesarean section for foetal distress.
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Cahiers d'anesthésiologie · Jan 1996
Review[Caudal and spinal anesthesia in sub-umbilical surgery in children. Apropos of 1875 cases].
Caudal and spinal anaesthesia are two techniques widely used in European children. The aim of this retrospective study was to evaluate the applicability of this practice in developing countries. The study concerned 1875 children, 1 day to 17 years old. isobaric 0.5% bupivacaine was used for spinal anaesthesia (n = 730) and mixture a of 1% lidocaine-0.25% bupivacaine with epinephrine 1/200,000 for caudal anaesthesia (n = 1,145). ⋯ Failure of the technique was less than 1%. These two regional anaesthesia techniques are easy to perform and are inexpensive. This is advantageous for developing countries.
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This review of postoperative analgesia after knee surgery provides a practical approach to the problem. The patient can be hospitalized or undergo day surgery, with different techniques being available for each situation. For day surgery, the intra-articular administration of local anaesthetic and/or opioids, the non-steroidal anti-inflammatory drugs can be used. ⋯ It must be emphasized that a combined approach using these different techniques may be useful in order to offer better analgesia and avoid some side effects. Each technique is described with advantages, side effects and practical usage its. The choice, in each professional environment, must be the best analgesic technique which can be performed safely.
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Cahiers d'anesthésiologie · Jan 1996
Randomized Controlled Trial Clinical Trial[Value of ilio-hypogastric block in appendectomy in children].
This prospective study aimed to evaluate the efficiency of ilio-hypogastric nerve block for control of post appendicectomy pain in children. Forty-two children aged 3-15 years scheduled for appendicectomy were anaesthetized in the same way. After randomization, a preoperative ilio-hypogastric nerve block was performed in 21 patients. ⋯ Five inefficient blocks were recorded. No complications were noted. Ilio-hypogastric block was found to be safe and efficient for control of post-appendicectomy pain in most children.
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This study was performed to determine the incidence of sore throat 24 h after tracheal intubation in 1,268 patients ASA I or II, who had undergone elective surgery. A data form was completed. Nosing were age, sex, type of surgery, anaesthetic drug, muscle relaxant, number of intubation attempts, duration of intubation, and presence of sore throat. ⋯ There was also a greater incidence after thyroid surgery (P < 0.01). There was no correlation between sore throat and variables such as age, muscle relaxant, narcotic drug, number of intubation attempts, or duration of intubation. Lidocaine jelly and the appropriate analgesic drug reduce the incidence of sore throat following tracheal intubation.