Annales de l'anesthésiologie française
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A technique of jet ventilation under general anesthesia (Alfaterinse suxamethonium) was used in 67 patients, in 55 cases for multiple endoscopic examinations in a single stage, usually laryngoscopy in suspension followed by oesophagoscopy, and in 12 cases, for an operation on the larynx. Arterial gasometry (PaO2 and PaCO2) proved the efficacy of the method, the major risk remaining, in the opinion of the authors, the possibility of excessive pressure which may be avoided by strict supervision.
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The authors present six cases of difficult intubation and review the literature on this subject; The circumstances during which difficult intubation may be feared are recalled; some are due to the morphology of the subject, the others to his previous pathology which may be rheumatological or dermatological. The authors then discuss the method of anaesthesia for this unusual intubation and the various technical means proposed to carry out safely the intubation itself.
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After briefly recalling the action of corticosteroids on the normal and pathological lung, the authors review the different etiologies where they can be used in respiratory pathology.
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Comparative Study
[Effect of general anesthesia with Alfatesine on the newborn infant in obstetrical practice].
We studied in 130 parturients during childbirth the effects of general anaesthesia by Alfatesine on the state of the foetus at birth. The examinations took into account the APGAR score, blood gas analysis, pH, bases excess in the umbilical artery and vein and the foetal EEG. The subjects are divided into three groups: prophylactic caesarians, extractions during labor in the absence of any foetal distress and extractions for reasons of acute or chronic foetal distress. ⋯ The APGAR score is hardly affected by the Alfatesine; the EEG is perturbed (but without any clinical manifestations) during the two hours following delivery. However, theses modifications are less pronounced than those observed with barbiturates. The study of blood gases and pH shows lower values under anaesthesia than without.