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The importance of tissue damage secondary to high voltage electrical injury to the limbs often makes the management of this kind of burn very difficult. Repair interventions are sometimes ineffective and amputations are then unavoidable. We report the case of a young patient suffering electrical injury to both upper limbs caused by a high voltage current, whose evolution was dramatically marked by bilateral disarticulation of both shoulders.

Laparoscopic surgery: It is no necessary to change ventilator mode to improve ventilation conditions; a controlled trial.

Backgrounds/aims: The main objective of this study is to compare the ventilatory effects of AFVC and PC modes with the VC mode in laparoscopic surgery of the gall bladder.

Methods: Thirty-five patients programmed for laparoscopic cholecystectomy were included. Four times were defined for all patients.