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G. Gayraud O. Bastien H. Taheri P. Schoeffler C. Dualé 《Annales fran?aises d'anesthèsie et de rèanimation》2013
Objective
To assess the current practice of analgesia after thoracotomy and thoracoscopy in France.Study design
Cross-sectional practice survey.Material
Anaesthetist physicians, each referent for one of the French centres practicing thoracic surgery, during year 2012.Methods
Electronic questionnaire about the activity of the centre in thoracic surgery, and modalities and estimated frequencies of different analgesic techniques. Primary assessment was the estimated percentage of acts, after imputation from original data.Results
Eighty-four centres out of 103 (82 %) answered the questionnaire. Coupling locoregional to general anaesthesia involved 74 % of thoracotomies and 35 % of thoracoscopies. A practice (i.e. for more than 5 % of patients) of epidural analgesia was declared by 68 centres (81 %), and by 27 centres (32 %) for paravertebral block. The most current practices for epidural analgesia were: thoracic puncture, intraoperative initiation, ropivacaïne 0.2 % plus sufentanil, patient-controlled administration with infusion plus bolus, application more than 48 hrs post surgery. The practice rates for technique of paravertebral block were: Eason & Wyatt 34 %, ultrasound-guided 24 %, internal 42 %. The most frequent systemic analgesia was patient-controlled intravenous morphine. Ketamine was used in 60 % of the cases.Conclusions
French practice of analgesia after thoracic surgery improved quality during the last decade, but more than one patient on four (compared to 8 % in UK) may have neither epidural nor paravertebral block, while such techniques are nowadays considered as standard. 相似文献23.
Bani Sadr Alexandre Gregoire Bastien Tordo Jeremie Guyotat Jacques Boibieux Andre Janier Marc 《Annals of nuclear medicine》2019,33(6):424-433
Annals of Nuclear Medicine - Currently, the diagnosis of bone flap osteomyelitis (BFO) remains a challenge for medical imaging. The present study aimed to identify predictive scintigraphic patterns... 相似文献
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Audrey Auclair Julie Martin Marjorie Bastien Nadine Bonneville Laurent Biertho Simon Marceau Frédéric-Simon Hould Simon Biron Stéfane Lebel Odette Lescelleur Jean-Pierre Després Paul Poirier 《Obesity surgery》2016,26(8):1717-1727
Background
Severe obesity is often characterized by ectopic fat deposition, which is related to development of type 2 diabetes (T2D). Thus, resolution of T2D may not be linearly associated with weight loss. The importance of ectopic fat reduction after bariatric surgery and T2D resolution is uncertain.Objective
The aim of this pilot study is to compare body composition and body fat distribution in severely obese patients with or without T2D after biliopancreatic diversion with duodenal switch (BPD-DS) surgery in relation to diabetes resolution.Methods
Sixty-two severely obese patients were evaluated at baseline, 6, and 12 months. Of these, 40 patients underwent BPD-DS surgery. Anthropometric measurements and abdominal and mid-thigh computed tomography scans were performed at each visit.Results
Before BPD-DS surgery, obese patients with T2D had higher weight as well as greater ectopic fat deposition in the abdomen and mid-thigh level than obese patients without T2D (p?<?0.05). Resolution of T2D was 65 and 90 % at 6 and 12 months, respectively. No difference in body composition changes at 6 and 12 months could be found between patients without T2D, patients with T2D resolution, and patients who remained T2D. Resolution of T2D was associated with a greater absolute loss of visceral adipose tissue (VAT) in comparison to patients without T2D (?1175?±?570 cm3 vs. ?729?±?394 cm3 at 6 months and ?1647?±?816 cm3 vs. ?1103?±?422 cm3 at 12 months; all p?≤?0.05).Conclusion
Ectopic fat mobilization, particularly the absolute loss of VAT, may play a major role in T2D resolution following BPD-DS surgery, regardless of the amount of weight loss.26.
In the present article, we report the identification of the first HLA-B*07 null allele found in a Polish patient awaiting a kidney allograft. A discrepant result obtained between serological typing (HLA-B "blank") and high-resolution molecular typing using PCR-SSP method (HLA-B*070201 allele) suggested the presence of a null allele. Genomic DNA sequencing of the HLA-B*07 allele revealed a single nucleotide substitution at the 3' end of the exon 4 leading to a premature stop codon. 相似文献
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Baboudjian Michael Bandelier Quentin Gondran-Tellier Bastien Abdallah Rony Michel Floriane Sichez Pierre Clement Di-Crocco Eugenie Akiki Akram Gaillet Sarah Delaporte Veronique Andre Marc Daniel Laurent Karsenty Gilles Lechevallier Eric Boissier Romain 《International urology and nephrology》2020,52(4):611-618
International Urology and Nephrology - In our center, until 2018, MRI-targeted biopsy was underused. Since January 2018, we systematically performed MRI-targeted biopsy for suspicious... 相似文献
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