[Acute renal insufficiency following a snake bite in a 3-year-old child].

Acute renal failure after viper bite is rare in France. We describe a case in a 3 years-old child, treated with peritoneal dialysis. The physiopathology and the methods of treatment are discussed.

[Effect of continuous barbiturate treatment on the blood flow of the mean cerebral artery in severe brain injured patients. A transcranial Doppler study].

Blood flow velocity (BFV) of the MCA has been studied by TCD of 15 patients with non operated serious cranial trauma, treated with continuous barbiturate therapy. Without hemodynamic and ventilatory modifications (PaCO2), average BFV were lowered during the course of treatment and were raised significantly when it was stopped. This study poses the question of the indication and the methods of barbiturate treatment during serious cranial trauma.

[Fluctuation charts and monitoring in pediatric anesthesia].

Automated anesthesia record with trend curves is a real progress for the anesthetist, offering complete and rigorous documentation. The medico-legal aspects are important and justify a non discussed technology.

[Treatment of postoperative pain in children in the recovery room. Use of morphine and propacetamol by the intravenous route].

The analgesic efficiency of morphine and propacetamol for postoperative pain, in the recovery room, was studied in two groups of children, who had undergone either orthopedic or visceral surgery. An injection of 50 mcg/kg of morphine chlorhydrate was given to the first group of 239 children ASA I, who were admitted to the recovery room and who presented signs of severe pain (agitation, crying, complaining). The analgesic efficiency of morphine was judged on physiological criteria (blood pressure, heart rate) and on behavioral criteria (calming of the child).