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Anesthesie

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https://www.readbyqxmd.com/read/27249932/-the-choice-of-the-anesthesy-optimal-method-using-determination-of-the-toll-like-receptors-level-in-the-plasm-as-a-marker-of-hyperalgesia-in-early-postoperative-period
#1
D V Dmytriyev
There were examined 47 children, operated on for tumors of abdominal cavity and retroperitoneal space. The opioid-induced hyperalgesia may occur in early postoperative period. The anesthesia conduction of m. transverses abdominis (TAP-block), using 0.375% bupivacaine solution and combined spinal epidural analgesia (CSEA) for postoperative anesthesia have promoted the hyperalgesia severity reduction. Hyperalgesia in early postoperative period was demonstrated by upgrading of the toll-like receptors (TLR-4) level in the blood...
January 2016: Klinichna Khirurhiia
https://www.readbyqxmd.com/read/25888159/20th-meeting-of-the-soci%C3%A3-t%C3%A3-francophone-pour-l-informatique-et-le-monitorage-en-anesth%C3%A3-sie-r%C3%A3-animation-sfimar
#2
Olivier Joulin, Mathieu Jeanne, Philipe Mavoungou
No abstract text is available yet for this article.
April 2015: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/25649721/comparison-of-prophylactic-infusion-of-phenylephrine-with-ephedrine-for-prevention-of-hypotension-in-elective-cesarean-section-under-spinal-anesthesi-a-randomized-clinical-trial
#3
Farnaz Moslemi, Sousan Rasooli
BACKGROUND: Spinal anesthesia is an accepted technique in elective cesarean sections. However, hypotension, resulted from sympathectomy is a common problem, especially in pregnant women. Prevention of this complication by sympathomimetic agents is of potential clinical significance. The aim of this study is to compare the effect of prophylactic infusion of Phenylephrine versus Ephedrine in the prevention of hypotension during spinal anesthesia in elective cesarean section. METHODS: Eighty-three patients were enrolled in this study and randomly divided into three groups...
January 2015: Iranian Journal of Medical Sciences
https://www.readbyqxmd.com/read/25507010/-analysis-of-immediate-causes-of-mortality-in-the-injured-persons-suffering-open-hepatic-injury-on-a-prehospital-stage
#4
(no author information available yet)
The results of a medical help delivery on prehospital stage to 200 injured persons, suffering penetrating abdominal wounding with hepatic damage, were analyzed. The main cause of death in 87.5% of the injured persons with open hepatic damage is a non-compensated blood loss, in 12.5%--traumatic shock and a prehospital stage duration. In accordance to data of the expert estimation, the anesthesiologic adequacy have constituted in the group of survivors--80.76%, and in those, who died--68.75%, confirming a very high level of the anesthesy adequacy...
August 2014: Klinichna Khirurhiia
https://www.readbyqxmd.com/read/25417282/-analysis-of-immediate-causes-of-mortality-in-the-injured-persons-suffering-open-hepatic-injury-on-a-prehospital-stage
#5
S O Hur'iev, O Iu Shuryhin, M S Zahriĭchuk
The results of a medical help delivery on prehospital stage to 200 injured persons, suffering penetrating abdominal wounding with hepatic damage, were analyzed. The main cause of death in 87.5% of the injured persons with open hepatic damage is a non-compensated blood loss, in 12.5%--traumatic shock and a prehospital stage duration. In accordance to data of the expert estimation, the anesthesiologic adequacy have constituted in the group of survivors--80.76%, and in those, who died--68.75%, confirming a very high level of the anesthesy adequacy...
August 2014: Klinichna Khirurhiia
https://www.readbyqxmd.com/read/25373809/-in-process-citation
#6
Michel Wager, Foucaud Du Boisgueheneuc, Coline Bouyer, Claudette Pluchon, Véronique Stal, Roger Gil
No abstract text is available yet for this article.
September 2014: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/25034583/-clinical-experience-of-the-treatment-of-solitary-pulmonary-nodules-with-da-vinci-surgical-system
#7
Xiangdong Tong, Shiguang Xu, Shumin Wang, Hao Meng, Xin Gao, Hong Teng, Renquan Ding, Xingchi Liu, Bo Li, Wei Xu, Tong Wang
BACKGROUND: A solitary pulmonary nodule (SPN) is defined as a round intraparenchimal lung lesion less than 3 cm in size, not associated with atelectasis or adenopathy. The aim of this study is to learn clinical experience of the treatment of SPN with Da Vinci Surgical System. METHODS: A total of 9 patients with solitary pulmonary nodules (SPN) less than 3 cm in diameter was treated with Da Vinci Surgical System (Intuitive Surgical, California) in thoracic surgery department from General Hospital of Shenyang Militrary Region from November 2011 to March 2014...
July 20, 2014: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/23235902/-prehospital-treatment-of-polytrauma-patients-by-emergency-physicians
#8
Andreas Bohn, Roman Lukas
Even in the 21st century major trauma still contributes to a svere loss of life in our society. Severly injured victims benefit from prehospital care that both considers tactical and medical aims. Knowledge of major trauma care has grown over the past years. The 2011 german guidelines on multiple- and severe trauma care set a milestone for better treatment of these patients. Trauma courses do not only teach theoretical knowledge but do also train participants in skills. By putting up the new structure of german traumacenters involving certified trauma hospitals it is easier for ambulance doctors to find the best hospital for their patient...
November 2012: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/22950277/-changes-of-energetic-balance-in-patients-while-anesthetized
#9
(no author information available yet)
A new method of energobiometric monitoring, which is realized, using the applied computeric programm, was proposed. Energobiometric monitoring permits to determine quantitatively the energetic deficiency level and to correct it in time for the perioperative morbidity minimization. The patients, suffering uncomplicated operational trauma, presenting in two groups and differing for the anesthesy method applied, have took part in the clinical investigation.
June 2012: Klinichna Khirurhiia
https://www.readbyqxmd.com/read/22642091/-anesthesiological-support-of-operative-interventions-in-the-injured-persons-suffering-a-cold-trauma
#10
H P Kozynets, H P Khytryĭ, V V Kalashnikov, V P Sobol'
Basing on analysis of the treatment results in 74 injured persons with a cold trauma there was proved, that during operative interventions performance a total intravenous anesthesy and a spinal cord anesthesy are used most frequently. Inhalation anesthesy and conducting methods of anesthesy ought to be used more frequently, because a total intravenous anesthesy is a lesser guided one and a spinal cord anesthesy may cause a severe hypotension in the injured persons.
January 2012: Klinichna Khirurhiia
https://www.readbyqxmd.com/read/21945009/-the-18th-meeting-of-the-soci%C3%A3-t%C3%A3-francophone-d-informatique-et-de-monitorage-en-anesth%C3%A3-sie-r%C3%A3-animation-sfimar
#11
M Jeanne, O Joulin
No abstract text is available yet for this article.
October 2011: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/21232098/strategies-of-initiation-and-streamlining-of-antibiotic-therapy-in-41-french-intensive-care-units
#12
MULTICENTER STUDY
Philippe Montravers, Hervé Dupont, Rémy Gauzit, Benoit Veber, Jean-Pierre Bedos, Alain Lepape
INTRODUCTION: Few studies have addressed the decision-making process of antibiotic therapy (AT) in intensive care unit (ICU) patients. METHODS: In a prospective observational study, all consecutive patients admitted over a one-month period (2004) to 41 French surgical (n = 22) or medical/medico-surgical ICUs (n = 19) in 29 teaching university and 12 non-teaching hospitals were screened daily for AT until ICU discharge. We assessed the modalities of initiating AT, reasons for changes and factors associated with in ICU mortality including a specific analysis of a new AT administered on suspicion of a new infection...
2011: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/20836368/-usefulness-of-the-cast-index-and-padding-index-for-the-prognosis-of-pediatric-forearm-fractures
#13
Mario Antonio Ortega Vadillo, Arnulfo Robles Valle, Daniel Bermúdez Martínez
BACKGROUND: The most frequent fractures in pediatric patients are those of the mid or distal shaft of the radius and ulna. Most of them can be treated with closed reduction and a brachio-palmar cast, but sometimes redisplacement or angulation occur within the first few weeks. Xray measurements to foresee these complications have been designed; this paper focuses on their certainty and usefulness. METHODS: Twenty-four patients ages 2-14 years of age were included, all of them with closed fractures of the mid or distal shaft of the radius and ulna treated with reduction maneuvers under anesthesis and placement of an brachio-palmar cast...
May 2010: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/20833503/-guide-for-the-use-of-jet-ventilation-during-ent-and-oral-surgery
#14
REVIEW
J-L Bourgain, M Chollet, M Fischler, G Gueret, A Mayne
The aim of this synthesis was to give recommendations on the use of jet-ventilation during ENT surgical and endoscopy procedures. Literature was collected from PUBMED and analysed by the members of French association of anaesthesiologists in ENT surgery, all skilled in this field. Presentation of these recommendations was given during the general assembly held in Reims, the 15th May 2009. Jet-ventilation is especially indicated during upper airway endoscopy and laryngeal invasive endoscopic surgery. Furthermore, transtracheal jet ventilation is included on most of difficult oxygenation and difficult intubation algorithm...
October 2010: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/20356707/-intrahospital-management-of-women-with-preeclampsia
#15
REVIEW
P Diemunsch, B Langer, E Noll
The management of the PE patient requires admission in order to perform a meticulous assessment of the mothers' and fetal state, distinguishing between the severe and the mild forms. In moderate forms, the pregnancy is allowed to reach the 37(th) week of gestation. In severe forms of PE, the pregnancy is only allowed to continue under stringent monitoring. Before the 34(th) week of amenorrhea is reached, corticosteroid therapy and transfer to an adapted maternity are recommended. The true benefit provided by antihypertensive therapy in the moderate forms of PE is very limited...
April 2010: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/20356705/-prehospital-management-of-severe-preeclampsia
#16
REVIEW
F Trabold, K Tazarourte
Prior to transport, agreement must be reached among all the senior medical staff members involved in the transfer. Tight clinical surveillance is necessary during the transport. The aim of the pharmacological control of a severe hypertension is to allow a moderate reduction of the mean arterial blood pressure as well as dampening the large pressure variations. Boluses of calcium channel inhibitors, eventually combined with labetalol, are to be used as first line treatment. Systematic fluid expansion prior to admission is not recommended...
April 2010: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/20356704/-kidney-and-preeclampsia
#17
REVIEW
B Moulin, A Hertig, E Rondeau
During normal pregnancy, renal blood flow and GFR increase gradually until they reach a peak of about 150% of their normal values by the end of the 1(st) trimester. This increase in GFR is secondary to the extra-cellular compartment expansion caused by a positive sodium balance of about 500-900 mmol which is in turn associated with a water retention amounting 6 to 8 liters. Blood pressure decreases during a normal pregnancy because of the decrease in peripheral vascular resistance. This drop in blood pressure is limited by the renin-angiotensin system...
April 2010: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/20347563/-drugs-during-preeclampsia-fetal-risks-and-pharmacology
#18
REVIEW
R Serreau
During pregnancy, the maternal, placental and fetal physiological characteristics constantly evolve and thereby constantly alter drug bioavailability in the mother and feto-placental unit. Gastric emptying time is increased and bowel movements are reduced. Distribution in the maternal body is mainly influenced by body mass variations, water content and fat stores. Metabolic capacity of the liver appears unchanged but renal clearance of drugs is gradually increased. The placental transfer of most drugs mainly consists of passive diffusion between the maternal and fetal circulations, along their respective concentration gradients...
April 2010: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/20347562/-eclampsia
#19
REVIEW
O Collange, A Launoy, A Kopf-Pottecher, J-L Dietemann, T Pottecher
Eclampsia, the major neurological complication of preeclampsia, is defined as a convulsive episode, or any other sign of an altered consciousness, arising in a setting of preeclampsia, and which cannot be attributed to any other preexisting neurological condition. Convulsive episodes have been described up to 15 days post-partum. Visual disturbances (cortical blindness) are common and must be considered as the equivalent of a convulsive crisis. In case of doubt, the gold standard investigation is the performing of a diffusion weighted MRI...
April 2010: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/20347561/-criteria-of-pregnancy-termination-in-women-with-preeclampsia
#20
REVIEW
B Haddad, C Masson, S Deis, C Touboul, G Kayem
Few studies establishing clear criteria for the medical interruption of a pregnancy complicated by PE are available today. Most of these studies are either retrospective or observational. When combining an analysis of the available literature together with the experts' opinions, one can propose the following set of criteria for therapeutic interruption of pregnancy in the setting of PE, which apply mainly for the severe forms of the disease. These criteria can be subdivided into maternal and fetal criteria...
April 2010: Annales Françaises D'anesthèsie et de Rèanimation
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