[TRALI in the University Hospital of Nancy: a reevaluation of the incidence after applying strict criteria of Toronto].

"Transfusion-related acute lung injury" (TRALI) is a post-transfusion lesional pulmonary edema, potentially severe, better defined since the conference of Toronto in 2004. The incidence of TRALI reported in France remains low in part because of its ignorance by physicians. The objective of our study was to evaluate retrospectively transfusion accidents with respiratory complications that occurred in Nancy University Hospital and reported to the haemovigilance between 1996 and 2006, from the software "Traceline" listing all the blood transfusion complications from signs observed.

[Anaphylactic shock after tourniquet removal in orthopedic surgery].

Case report of six patients who experienced symptoms of severe anaphylactic shock, after tourniquet release at the end of minor orthopaedic surgery of the limbs under regional anaesthesia. The immunological mechanism of the shock was confirmed by prick tests. The causative agent was rifamycin SV used for cleaning the surgical wound prior to its closure.

[Pneumatic tourniquet paralysis. A differential diagnosis after loco-regional anesthesia of the upper limb].

A case is reported of a severe neurological deficit after hand surgical using pneumatic tourniquet. The 51 year old ASA I patient underwent an axillary block for hand surgery using 50 ml of mepivacaïne 1%. The tourniquet was remained at 300 mmHg for only 45 min.

Anaphylaxis caused by anti-cremophor EL IgG STS antibodies in a case of reaction to althesin.

The action of cremophor EL, the solubilizing agent of Althesin in a case of anaphylactic reaction which occurred during the induction of anaesthesia has been demonstrated using the Prausnitz-Küstner (P-K) test 10 weeks later. This test was positive at 2 h, with the heated serum and cremophor, proving the presence of allergic IgG STS antibodies.

[26 cases of tracheal stenosis after prolonged intubation or tracheotomy. Personal retrospective study].

A retrospective study over a period of 10 years, involving different hospital departments, revealed a total of 26 patients with post-intubation and/or post-prolonged tracheotomy stenosis which required surgical treatment. Predisposing factors included poor general condition, infection, iatrogenic factors related to intensive therapy (respiration, inadequate nursing) and the duration. Stenosis were situated from the sub-glottis to the carina.

[Histamine liberation in extracorporeal circulation].

Extra-corporeal circulation (E.C.C.