[Anesthesia in the patient with a pacemaker or implanted automatic defibrillator].

Many patients carry pace-makers, and even automatic defibrillators. As anyone, these patients may develop surgical diseases and require surgery and anesthesia. The particularities of the anesthetic management of such patients are developed, as well as the needed surgical adaptations (particularly concerning electrocoagulation).

Prevention of arrhythmias after noncardiac thoracic operations: flecainide versus digoxin.

Cardiac arrhythmias are known complications of thoracic operations. The prophylactic value of flecainide administered as a constant-rate, intravenous infusion (0.15 mg.

Propofol and spontaneous movements: an EEG study.

Spontaneous movements during induction of anesthesia with propofol were studied in 21 children aged 6-12 yr. The children were randomly assigned to group A (propofol 3 mg.kg-1), B (propofol 5 mg.

[Heparin and spinal or epidural anesthesia: decision analysis].

The incidence of thromboembolism justifies prophylactic measures, the most efficient of which is the use of heparin. However this agent may be responsible for haemorrhagic complications during regional anaesthesia. The risk of bleeding in a poorly accessible area, e.

[The Wolf-Parkinson-White syndrome and peroperative arrhythmias].

The influence of anaesthetic drugs or techniques on the development of arrhythmias in patients with the Wolff-Parkinson-White syndrome still remains controversial. Most of the literature is based on single case reports from which no clear-cut attitude can be defined. In this retrospective study we tried to evaluate if a particular drug or technique could be recommended.

Comparison of propofol and thiopental/halothane for short-duration ENT surgical procedures in children.

Experiences with propofol in pediatric anesthesia are limited. We undertook a study to evaluate the quality of induction and recovery from anesthesia with propofol compared to thiopental/halothane. Twenty children received 3 mg.

Acute pulmonary oedema following administration of ornithine-8-vasopressin.

We report the case of a patient who developed acute pulmonary oedema following a short and uneventful surgical procedure. Among the differential diagnoses, the role of ornithine-8-vasopressin is emphasized.

[An unusual anaphylactic reaction following succinylcholine chloride in a 21-month-old child].

An anaphylactoid reaction occurring after the intravenous administration of succinylcholine in a 21-month-old child is reported. The clinical manifestations and signs were limited to the upper airways and eyelids. The child was not known to be allergic or atopic.

[The value of epidural analgesia in acute pancreatitis].

We report on a patient with acute pancreatitis whose pain was resistant to simultaneous administration of morphine, procaine and Buscopan. This episode was complicated by development of hypertension, tachycardia, angina pectoris, ventricular arrhythmias and electrocardiographic modifications. Analgesia was provided by epidural administration of fentanyl and bupivacaine and brought about rapid resolution of all symptoms.

[Tolerability and pharmacokinetics of an intravenous immunoglobulin preparation in immunologically normal subjects and tolerability in patients with hypogammaglobulinemia resulting from chronic lymphatic leukemia].

Tolerance, clinical effects and kinetics of an unmodified immunoglobulin preparation for intravenous use were investigated in 4 patients with advanced chronic lymphocytic leukemia. Previously, good tolerance of the preparation had been found in 49 immunologically normal patients. The four patients with secondary humoral immunodeficiency received doses of 140-360 mg IgG/kg per infusion as outpatients at monthly intervals.