[Recovery of neuromuscular block after continuous infusion of cisatracurium in patients with renal dysfunction].

Objective: Study of the recovery of neuromuscular block after continuous infusion of cisatracurium in patients with renal dysfunction.

Study Design: Prospective case-control study.

Patients: Forty adult patients scheduled for urological surgery were assigned to two groups according to the creatinine clearance (CC) as a measure of the renal function: group IR (CC < 60 mL.

[Patient-controlled sedation with propofol for extracorporeal shock wave lithotripsy].

Objective: Evaluation of patient-controlled sedation with propofol for extracorporeal shock wave lithotripsy (ESWL) using an EDAP LT01 lithotriptor.

Study Design: Prospective clinical study.

Patients: Fifty consecutive patients, ASA I or II, aged 18-65 years.

Cognitive sequelae of propofol anaesthesia.

As with any substance that interferes with nervous system functioning, anaesthetics are likely to have neural effects the duration of which extend beyond the acute loss of consciousness. Studies of recovery after anaesthesia have shown that physiological effects and psychomotor functions return to pre-anaesthesia levels within at most 90 min of the cessation of propofol administration. To date no report has been published concerning the possible longer term effects of propofol anaesthesia on higher cognitive functions such as learning, language, reasoning and planning.

[Evaluation of cognitive functions after anesthesia with propofol].

Objectives: To assess the disturbances and delay of recovery of cognitive functions following propofol anaesthesia, and to evaluate a series of simple cognitive recovery tests.

Study Design: Prospective comparative non randomized clinical study.

Patients: Two groups of non premedicated patients, of ASA physical class 1 and 2 were studied.

[Anesthesia for extracorporeal lithotripsy in the treatment of renal lithiasis].

Extracorporeal shock wave lithotripsy has become the main technique for treating renal lithiasis. It has many repercussions on anaesthesia. The fundamental technical concepts of lithotriptors are reviewed.

[Reversible acute hepatic failure after treatment with association of isoniazide-rifampicin (author's transl)].

One case of severe acute hepatic failure happening after surgical treatment of large tuberculous ureteral stenosis is reported. The etiology was the association of isoniazide-rifampicin; the clinical, biological and histological data of these hepatitis cases are specified; their physiopathology, as well as their treatment is studied; prevention by plasmatic evaluation of isoniazide is especially important.

[Long-lasting anaesthesia. Advantages of electroanaesthesia (author's transl)].

In a series of 15 anaesthesias lasting more than 8 hours, the authors completely replaced morphine-like drugs with the use of electric currents; the method used was that recommended by Professor Cara and his team. The low toxicity of this technique, alertness on waking and degree of post-operative analgesia are stressed; the possibility of mobilisation of naturally occurring morphine-like substances is raised, considering recent neurophysiological work. This leads the authors to refer to electric analgesia rather than electric anaesthesia.

[Autotransfusion in experimental hemoperitoneum. Hematologic study].

In order to study the hematologic repercussions of pre-operative autotransfusion, ruptures were made in experimental spleens followed by retransfusion after intraperitoneal barbotage of long duration in 8 dogs. This was performed without any heparinization. The following facts could be established:--although the blood shed was rich in red globules, it presented major alterations with a loss of clotting agents and evidence of fibrinogenic degradating elements.