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158 results on '"Boisson-Bertrand D"'

40. Amygdalectomies et masque laryngé renforcé.

Author

Boisson-Bertrand, D

Subjects
COMPARATIVE studies, RESEARCH methodology, MEDICAL cooperation, RESEARCH, STATISTICAL sampling, TONSILLECTOMY, TRACHEA intubation, EVALUATION research, RANDOMIZED controlled trials, LARYNGEAL masks
Abstract

One hundred children were randomly allocated to receive general anaesthesia for tonsillectomy either through a performed tracheal tube or a reinforced laryngeal mask. The insertion of both devices was easy but occasionally, with the laryngeal mask, the airway became obstructed during the Boyle-Davis gag insertion. There was more coughing after intubation (ET 26%, RLM 0%, P< 0,001) and extubation (ET 34%, RLM 0%, P< 0,001), than after insertion and withdrawal of the RLM. Oxygen desaturation (ET 14%, RLM 2%, P< 0,002) and internal contamination with blood seepage (ET 30%, RLM 4%, P< 0,001) occurred less frequently than with the RLM. [ABSTRACT FROM AUTHOR]

Published
1995
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42. Comparaison de l'incidence sur le saignement de deux techniques anesthésiques midazolam-alfentanil versus propofol-alfentanil lors de la cure d'otospongiose.

Author

Boisson-Bertrand, D and Manel, J

Subjects
ALFENTANIL, BLOOD pressure, CLINICAL trials, COMPARATIVE studies, HEART beat, SURGICAL hemostasis, INTRAVENOUS anesthesia, LIDOCAINE, LOCAL anesthesia, RESEARCH methodology, MEDICAL cooperation, MIDAZOLAM, OTOSCLEROSIS, RESEARCH, TIME, EVALUATION research, DISEASE incidence, PROPOFOL, SURGICAL blood loss
Abstract

This study was performed to compare the incidence of bleeding associated with two anaesthetic techniques during otolaryngological microsurgery. Twenty-eight venous interpositions for otospongiosis have been carried out at random either under local anaesthesia combined with light sedation (midazolam 0.1 mg.kg-1 and alfentanil 0 micrograms.kg-1) or using general anaesthesia (propofol 2.5 mg.kg-1, then 9 mg.kg-1.hr-1 and alfentanil 30 micrograms.kg-1, then 15 micrograms.kg-1). The patients' lungs were mechanically ventilated. Every ten minutes, heart rate, arterial blood pressure and FETCO2 were observed. Bleeding was assessed on a four-point scale and evaluated according to its duration and the annoyance that it caused. General anaesthesia was clinically better tolerated. Heart rate and arterial blood pressure were lower than with general anaesthesia. The end-expiratory CO2 was 4.7 +/- 0.2 per cent. Bleeding was less frequent, lasted less time, but when it occurred the surgical disturbance was identical in the two groups. General anaesthesia produced a less bloody operating field and local anaesthesia required the cooperation of the patient. [ABSTRACT FROM AUTHOR]

Published
1991
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