Stopping or maintaining oral anticoagulation in patients undergoing photoselective vaporization of the prostate (SOAP) surgery for benign prostate obstruction: study protocol for a multicentre randomized controlled trial.

Background: Lower urinary tract symptoms related to benign prostatic obstruction (BPO) are frequent in men aged > 50 years. Based on the use of innovative medical devices, a number of transurethral ablative techniques have recently been developed for the surgical treatment of BPO. In recent years, GreenLight photoselective vaporization of the prostate (PVP) has been considered as a non-inferior alternative to transurethral resection of the prostate.

Spinal anesthesia failure after local anesthetic injection into cerebrospinal fluid: a multicenter prospective analysis of its incidence and related risk factors in 1214 patients.

Background And Objectives: Different mechanisms have been proposed to explain spinal anesthesia failure even after LA injection into the subarachnoid space. The aim of this prospective multicenter study was to assess the incidence of spinal anesthesia failure, excluding technical problems, and then to suggest independent factors leading to failure.

Methods: Consecutive spinal anesthetic procedures performed in 21 centers were included.

[Immediate fetal-maternal morbidity of first instrumental vaginal delivery using Thierry's spatulas. A prospective continuous study of 195 fetal extractions].

Objectives: To investigate the immediate fetal-maternal morbidity related to Thierry's spatula for first instrumental vaginal delivery.

Patients And Methods: We conducted a prospective observational study in Toulouse university hospital, including primiparas who vaginally delivered a live singleton cephalic infant>36 WG, between December 2005 and June 2006. Instrumental deliveries were performed using short spatulas in all cases.

Anaesthetic practices for scheduled caesarean delivery: a 2005 French national survey.

Background And Objective: It is not known whether anaesthetic practices for ASA I parturients undergoing scheduled caesarean delivery have changed since the last (1996) survey and how practices reflect current recommendations.

Methods: A 26-item survey questionnaire (organization of the maternity unit, preoperative evaluation, technical aspects describing regional or general anaesthesia, oxytocic and antibiotic drugs, postoperative analgesia) was distributed to all French obstetric units (excluding overseas).

Results: The response rate was 73% (451/621).

[Characteristics of mepivacaine axillary brachial plexus block performed at 2800 m of altitude].

Objective: We evaluated the feasibility and pharmacodynamic profile of axillary brachial plexus nerve blocks performed in high altitude.

Study Design: A prospective study was performed in healthy volunteers.

Patients And Methods: Ten male volunteers received 20 ml of 1.

Double- vs. single-injection infraclavicular plexus block in the emergency setting: higher success rate with lower volume of local anaesthetic.

Background And Objectives: Infraclavicular plexus block has many advantages of particular interest in the emergency setting. However, the number of nerve stimulations needed to optimize the technique remains unclear. We evaluated both the local anaesthetic requirement and the success rate of Sim's derived infraclavicular plexus block performed with a nerve stimulator when either one or two responses were sought.

The feasibility and efficacy of short axillary catheters for emergency upper limb surgery: a descriptive series of 120 cases.

We prospectively evaluated the feasibility and efficacy of a simple method for inserting 5.1-cm brachial plexus catheters using a fascial click technique. In 120 patients, after inserting an axillary catheter by a resident and verifying adequate position using a nerve stimulator, 0.

The sciatic nerve block in emergency settings: a comparison between a new anterior and the classic lateral approaches.

Background: Anterior and lateral approaches to the sciatic nerve block are performed with the patient in the supine position. This could be an important advantage when mobilization to the limb involved is limited or painful, particularly in emergency conditions. The aim of this prospective, randomized study was to compare these two sciatic nerve blockades performed in an emergency setting.