Traumatisme de l’aorte thoracique par broche

penetrating ulcer of the aorta is a rare ulcerating atherosclerotic lesion of the aortic wall. two new cases are reported.

Démarche d’assurance qualité en chirurgie ambulatoire de la main

Postoperative rehabilitation is a multidisciplinary program that requires participation of anesthetists and surgeons. The development of laparoscopic surgery is one of the components of this program. Rehabilitation requires effective analgesia avoiding the administration of too much opiate because of their side effect on the digestive tract. Postoperative-epidural analgesia with local anesthetics significantly shortens postoperative ileus, but intravenous infusion of lidocaine should have the same effect. The main objectives are reduction in postoperative morbidity and shortening of hospital stay.

Surveillance during the postoperative period

The accurate assessment and monitoring of arterial pressure is a key issue in the ICU. Arterial tonometry (applanation tonometry) is increasingly used in the cardiovascular field to noninvasively estimate pressure at the radial artery and carotid artery level and to reconstruct central aortic pressure. This allows the quantification of left ventricular afterload and may improve the evaluation of arterial stiffness and cardiovascular risk. The present article briefly summarizes the technical and methodological aspects of the technique and the potential interest in the rationale, pathophysiological management of ICU patients, with special focus on the links between pulse pressure and stroke volume.