INDICATIONS ET LIMITES DES SOINS SOUS ANESTHESIE GENERALE CHEZ L'ENFANT ET CELLES DES SOINS SOUS ANALGESIE AU PROTOXYDE D'AZOTE PDF Download

Author: FABIENNE.. CHEVET
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Category :
Languages : fr
Pages :

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Author: Yannick Diascorn
Publisher:
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Category :
Languages : fr
Pages : 70

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Author: Caroline Ridoux
Publisher:
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Category :
Languages : fr
Pages : 121

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L'avènement de la nasofibroscopie dans les années 80 a réduit la pratique de l'endoscopie au tube rigide, sous anesthésie générale. Objectifs : Evaluer les apports de l'endoscopie rigide et ses indications. Matériel et méthode : Etude rétrospective de tous les patients de un an ou moins, bénéficiant d'une nasofibroscopie pour un symptôme respiratoire entre janvier 2003 et décembre 2009. Les enfants ayant une nasofibroscopie puis une endoscopie rigide, sont comparés aux enfants ayant une nasofibroscopie seule, du point de vue clinique et de leurs critères de gravité. Trois types de critères de gravité sont définis : respiratoire, alimentaire et association des deux. Résultats : La moitié des enfants (47 %) ayant une nasofibroscopie seule, n'ont pas de signe de gravité dans le motif de consultation. Les enfants ayant les deux examens ont un signe de gravité pour 74 % d'entre eux, au moment de l'indication de l'endoscopie sous anesthésie générale. Les indications de l'endoscopie sont de trois types : l'exploration d'une lésion vue en nasofibroscopie avec possible geste thérapeutique associé (37 %), la présence d'un critère de gravité (44 %) et l'exploration nasofibroscopique incomplète (19 %). Dans 30 % des cas, l'examen sous anesthésie générale n'apporte pas de nouvelle information, 70 % de ces enfants ont un signe de gravité. Pour les 70 % autres, l'endoscopie confirme une lésion vue (28 %), révèle une nouvelle lésion (30 %) ou redresse le diagnostic (12 %). La fréquence des enfants présentant des lésions multiples du tractus respiratoire, est évaluée à 35 % (10 % de la population totale). Conclusion : Il n'y a pas d'indication à la réalisation systématique de l'endoscopie sous anesthésie générale dans la dyspnée de l'enfant de moins de un an. Une lésion vue, la présence d'un critère de gravité et l'exploration incomplète à la nasofibroscopie sont les 3 principales indications d'une endoscopie rigide sous anesthésie générale.

Author: Neil L. Schechter
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781726443
Category : Medical
Languages : en
Pages : 924

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This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.

Author:
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ISBN: 9780071623445
Category : Airway (Medicine)
Languages : en
Pages : 588

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"Written by the founders of The Difficult Airway Course: Anesthesia and utilizing an instructive case-based approach, this text/DVD presents all of the leading-edge principles, tools, and procedures of airway assessment and management. The scope of the book encompasses the many airway devices that have been developed since the publication of the first edition, many of which have the potential to markedly enhance airway management. Extensively revised and updated, the second edition of Management of the Difficult and Failed Airway emphasizes how airway management is context-sensitive: included are strategies for treating patients in a range of settings, from prehospital care to the ER, as well as proven techniques for special patient populations. In addition, new chapters have been added to further refresh the book's content and provide you with a solid grasp of the most critical topics in this fast-evolving area. The book's effective organization has been maintained, beginning with the first section's focus on the basic foundations of difficult and failed airway management. The second section reviews must-know airway devices and techniques, while the third part of the text introduces case studies that thoroughly examine the application of these techniques in complex clinical situations. A final section covers the practical considerations, such as difficult airway carts and teaching and simulation in airway management."--Publisher description

Author: Samir K. Ballas
Publisher: Lippincott Williams & Wilkins
ISBN: 1496331834
Category : Medical
Languages : en
Pages : 1004

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Sickle Cell Pain is a panoramic, in-depth exploration of every scientific, human, and social dimension of this cruel disease. This comprehensive, definitive work is unique in that it is the only book devoted to sickle cell pain, as opposed to general aspects of the disease. The 752-page book links sickle cell pain to basic, clinical, and translational research, addressing various aspects of sickle pain from molecular biology to the psychosocial aspects of the disease. Supplemented with patient narratives, case studies, and visual art, Sickle Cell Pain’s scientific rigor extends through its discussion of analgesic pharmacology, including abuse-deterrent formulations. The book also addresses in great detail inequities in access to care, stereotyping and stigmatization of patients, the implications of rapidly evolving models of care, and recent legislation and litigation and their consequences.

Author: Mohamed M. Ghoneim (M.D.)
Publisher: Butterworth-Heinemann
ISBN:
Category : Medical
Languages : en
Pages : 216

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* First comprehensive source on facts about consciousness while under anesthesia * Includes a detailed pharmacology of drugs * Details techniques for detection and prevention. * Author is leading expert in field

Author: Paolo Falaschi
Publisher: Springer Nature
ISBN: 3030481263
Category : Anesthesiology
Languages : en
Pages : 355

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This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.

Author: Royal College of Paediatrics and Child Health
Publisher: BMJ Books
ISBN: 9780727911797
Category : Medical
Languages : en
Pages : 80

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this concise book covers all aspects of neonatal resuscitation from the moment of birth to transfer to the neonatal unit. It discusses special considerations, and communication with parents and other professionals. The advice has been drawn up by a working party, giving it the authority of a distinguished body of specialists.

Author: Keith W. Kaye
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 336

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