Anesthésie, analgésie, réanimation
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Anesth Analg (Paris) · Jan 1981
[Regional intravenous guanethidine for sympathetic block in algodystrophic syndromes (author's transl)].
The authors report their experience with 35 guanethidine intravenous local injections in algodystrophic and neurotrophic syndromes. Although excellent results are obtained in post-traumatic algodystrophies which are treated early, they are less remarkable in long standing sequelae due to injuries of the nervous system, and where, at best, only an antalgic effect can be expected.
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Anesth Analg (Paris) · Jan 1981
[Curing trial of complicated oncologic pain by D-phenylalanine (author's transl)].
Aim of investigations: Very often, chronic pain treatments used for the management of terminal ill cancer patients do not prevent acute or incident pain from coming up. For twenty months D-phenylalanine (DPA), an enkephalinase inhibitor, has been investigated in order to forestall this pain. ⋯ DPA seems a useful drug to prevent acute or incident pain in malignant diseases. Our data point out the consequences the enkephalinases inhibitors will take up for the cure of intractable cancer pain.
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Anesth Analg (Paris) · Jan 1981
[Percutaneous cordotomy. Actual situation in pain surgery (author's transl)].
A personal experience with 138 percutaneous cordotomies is presented. The results and complications are compared to those of 49 open cordotomies at C1-C2 level. ⋯ For this reason the author prefers in certain cases open cordotomy in a modified microsurgical technique which is described. It is outlined that in the authors opinion cordotomy should be restricted to cancer pain.
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Anesth Analg (Paris) · Jan 1981
[Complications of loco-regional anaesthesia in obstetrical practice (author's transl)].
Complications of loco-regional anaesthesia in obstetrics are usually due to several factors: 1. choice of drugs: this must be judicious, taking into account duration of effect, potency and eventual maternal and foetal toxicity. This rule includes also morphinic drugs; 2. choice of technique: taking into consideration the stage of labour and also the eventual surgical procedure. Paracervical block must be avoided because of the numerous side-effects, chiefly foetal distress. ⋯ Peridural anaesthesia may present some complications, like extensive peridural anaesthesia, hypotension. In eclampsia and gemellarity, loco-regional, anaesthesia must be induced with the utmost caution. Moreover, an unrecognized uterine rupture may happen during labour under medullary anaesthesia if the patient had previously a caesarian section.