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Biomedical subjects

A Besson

Publications and source records attributed to A Besson.

At least 73 records · Page 4Linked to original sources
PubMed1984

[The Cardiac Arrest Team of the Vaud University Hospital].

A resuscitation team has been organized in the CHUV for the purpose of immediate intervention on the scene of cardiac arrest or any other life-threatening condition. The team composition is as follows: 1 anesthesiologist, 1 internist (usually cardiologist) and 1 surgeon. The team is responsible for elaborate resuscitation of in-patients from the general wards as well as out-patients coming for examination or for diagnostic and medicotechnical procedures. The team was almost never called from the intensive care units, from the operating theatres or from the emergency ward. Organization of the CHUV in this respect includes (a) grouping the facilities in larger areas where an alarm is signalled both optically and acoustically, (b) a special priority paging system with pocket radio-receptors (beeps) which can reach all members of the team within seconds, and (c) standardized resuscitation carts strategically located in the hospital. During a period of 7 months the team's work was judged satisfactory. It is called in once every 3 days on average.

Computers↗
PubMed1984

[Continuous thoracic drainage and suction. Comparative study of the performance and price of multiple-use systems (separate bottles) and single-use (compact systems) disposable systems on the market].

A study of 12 pleural drainage systems has been conducted. The system was disposable in 8 instances and allowed multiple use in 4. Each system was analyzed in relation to 15 performance criteria and 15 safety criteria. The cost of use per patient was compared. In conclusion, compact and disposable pleural drainage units can be recommended since they (a) offer superior technical performance, (b) are more reliable, (c) offer increased safety, (d) are easier to monitor, (e) are much safer with respect to cross-infection, (f) are less noisy in some cases, (g) are more useful in apportioning responsibility between surgeons and nursing staff, and (h) are less costly.

Adult↗
PubMed1984

[Opening of an emergency center in the University Hospital Center of Vaud].

Previously decentralised, non-programmed attendances, followed or not by hospitalisation (emergency admissions) at the C.H.U.V. were seen in 7 different sectors. In the context of the opening of a new hospital building for the C.H.U.V., emergencies were concentrated in a new common area known as the "Emergency Centre". The article describes the organisation of this new sector as well as its activity during the first year of its working (7 months). The centre received approximately 1800 patients per month, 51% examined and treated in the department of surgery, 28% by the department of internal medicine, the rest being under the primary responsibility of services of otorhinolaryngology, paediatrics and paediatric surgery and dermatology. Description of the sector includes some maps to demonstrate the architectural concept and its use in case of mass casualties.

Emergency Service, Hospital↗
PubMed1983

[Treatment and prognosis of colo-rectal cancer. Study of 1357 cases].

This retrospective report deals with 1357 cases of colorectal cancer operated on in the last 26 years. It covers the main epidemiologic data, tumour locations, surgical approaches, follow-up and prognosis according to the extent of the cancer. The results are given for the entire period and then by fractions thereof, and it is thus possible to appreciate how the treatment and prognosis of colorectal cancer have evolved. Though a high proportion of advanced cancer has been observed throughout the period studied, progress has been made in early diagnosis in particular: an increasing number of patients (13.5%) are nowadays operated on for tumours in situ or Dukes A.

Adenocarcinoma↗
PubMed1982

[Multifocal pulmonary bilharzioma due to Schistosoma mansoni].

A case of mixed schistosomiasis in an African female immigrant from Cameroon is reported. Schistosoma mansoni was found in a symptomatic double abscess of the lower lobe of the left lung (1981). S. haematobium was present in the stool and the rectal mucosa but the patient had no symptoms. In Africa the patient had been treated for urinary and intestinal bilharziosis with niridazole in 1979, at which time she did not present pulmonary symptoms. After her arrival to Switzerland (1980) she complained of thoracic pain and bloody purulent sputum. A solitary pulmonary infiltration in the left lower lobe and eosinophilia were noted. Tuberculosis was suspected and, despite negative bacillary findings, trial treatment with tuberculostatics was started. As a smaller infiltration appeared beside the first, left lower lobectomy was performed followed by niridazole treatment. The exceptional diagnosis of pulmonary bilharzioma should be considered in patients with a solitary pulmonary infiltration who come from an area endemic for bilharziosis or who show clinical or laboratory signs of a present or past bilharzial infection.

Adult↗
PubMed1982

[Urethral complications of severe fractures of the pelvis. (author's transl)].

Between 1975 and 1979, 282 fractures of the pelvis were treated in Centre Hospitalier Universitaire Vaudois' sixty-eight of these patients sustained severe fractures, with two or more rupture of the pelvic ring. Twenty-eight patients presented with hematuria (microscopic or macroscopic) and five others with urethral bleeding. Urethral bleeding is even more serious; in the present study, it was always associated with urethral rupture. These cases are discussed; mechanism, diagnosis and treatment of these injuries are described.

Adult↗