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173 results on '"Brinquin, L."'

15. Fièvre et bi-cytopénie

Author

Damiano, J., primary, Béchade, D., additional, Samson, T., additional, Souleau, B., additional, Morell, E., additional, Nicand, E., additional, Brinquin, L., additional, and Algayres, J.P., additional

Published
2002
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18. Paraplegia After Sitting Position

Author

Mérat, S., primary, Lévecque, J-P., additional, Le Gulluche, Y., additional, Diraison, Y., additional, Delmas, J-M., additional, Faillot, T., additional, and Brinquin, L., additional

Published
2002
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34. Septicémie nosocomiale à Candida albicans au cours d'une alimentation parentérale sur veine périphérique

Author

Brinquin L, H. Le Bever, P. Deglise, C. Tritschler, and A. Ducolombier

Subjects
Anesthesiology and Pain Medicine, General Medicine
Abstract

Resume Les septicemies a levure au cours de la nutrition parenterale totale sont frequentes, mais leur survenue au cours d'une perfusion sur veine peripherique est rare. Un cas de candidose systemique avec localisations oculaire et renale survenue au cours d'une alimentation sur veine peripherique, chez un patient de 24 ans admis pour hematome bulbaire spontane, est deerit. L'observation met l'accent sur l'interet diagnostique de l'examen ophtalmologique precoce devant tout syndrome septicemique. Le diagnostic est confirme par neuf hemocultures positives et par les tests immunologiques, mais la recherche d'antigenes solubles est restee negative. La responsabilite d'un flacon de perfusion perime et contamine est evoquee, mais ne peut etre affirmee avec certitude. Le bilan immunitaire peut evoquer un SIDA, mais a tort car il a ete demontre que Candida albicans lui-meme possedait une activite immunosuppressive.

Published
1986

35. Le fibrome naso-pharyngien. Exérèse sous hémodilution et autotransfusion différée

Author

H. Le Bever, P. Trannoy, Bonsignour Jp, C. Pharaboz, Brinquin L, R. Dorne, Y. Legulluche, A. Rigaud, and P. Welfringer

Subjects
medicine.medical_specialty, Blood transfusion, business.industry, medicine.medical_treatment, Autologous blood, General Medicine, Angiofibroma, Phlebotomy, medicine.disease, Preoperative care, Surgery, Anesthesiology and Pain Medicine, Blood loss, Homologous blood, Anesthesia, Medicine, business, Autotransfusion
Abstract

The surgical treatment of juvenile naso-pharyngeal angiofibroma involved a potential haemorrhagic risk: the average intra-operative blood loss was estimated at between 1,300 and 2,800 ml in many reports. Two cases are reported in which haemodilution and autologous blood transfusion were used. The method consisted in pre-operative repeated phlebotomies ("leap-frog") and normovolaemic acute haemodilution; thus, 1,700 ml of autologous blood was collected in the first case, and 2,300 ml in the second one. Autotransfusion was carried out and no homologous blood transfusion was used in the peri-operative period. The use of this method, although compelling, had many advantages (financial saving, suppression of adverse reactions with homologous transfusion, transfusion of fresh blood, reduction of postoperative oedema).

Published
1986

36. [Mendelson's syndrome]

Author

Auboyer C, Bouletreau P, Brinquin L, Alain LEPAPE, and Motin J

Subjects
Radiography, Adrenal Cortex Hormones, Bronchoscopy, Humans, Hydrogen-Ion Concentration, Suction, Pneumonia, Aspiration, Lung, Respiration, Artificial, Anti-Bacterial Agents
Abstract

Mendelson's syndrome is discussed with a review of the literature and presentation of 27 personal cases studies. Accidental aspiration of gastric fluid occurs primarily during anesthesia, in cranial trauma victims, and in toxic coma patients. Tissue damage is proportional to the acidity and the quantity of aspirated fluid. The initial clinical manifestations are often serious, sometimes leading to acute respiratory distress syndrom with pulmonary edema. Frequent infectious complications, often with anaerobic microbes, are deciding factors in the prognosis. Artificial ventilation with positive pressure (sometimes continuous) is often necessary. Administration of corticosteroids at high doses is likely favorable. Prophylactic administration of antibiotics is initially directed against anaerobic agents. The prevention of this serious syndrome should be a primary concern of anesthesiologists and physicians treating comatous patients.

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