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Biomedical subjects

B Blettery

Publications and source records attributed to B Blettery.

30 records · Page 2Linked to original sources

[Modification of septicaemias in an intensive care unit following the suppression of prophylactic antibiotics (author's transl)].

The authors after to have suppressed the preventive antibiotic therapy in their intensive care concluded after four years of this new attitude. They ascertain that this new attitude has not changed by no means the number of septicenia in their intensive care. In the other hand, the gram negative septicemia stronghly decrease, succeeding by gram positive septicemia. This results were statistically significant in the sector of intensive care where the supress of antibiotic was quick and the most completely. Thanks to this attitude, the cost of operation of the service was divided by three.

Adolescent↗

[Neurological toxicity of colistine methane sulfonate, about a case (author's transl)].

The authors report a case to call attention on a Neurological Accident happening in a patient with normal renal functions, after administration of a single and strong dose of Colistine. The authors report their case and make a review of the literature on the frequency of these isolated neurological (accidents) and their supposed (pathogenesis).

Adolescent↗

[Septicaemias observed in intensive care. Causes (author's transl)].

For four years, the authors have been making researches to know how can happen cases of septicaemias observed in intensive care. They have noticed the frequency of staphylococci in septicaemias caused by catheters and of gram -- in septicaemias caused by urinary infection. From those observations, they have come to some practical conclusions. They worry about the high number of secondary septicaemia having their origin in little resuscitation operations.

Critical Care↗

[Pulmonary edema due to peroperative overload or anesthetic awakening].

This report gives details of the clinical characteristics, the circumstances of onset and the treatment. There is always a blood volume overload, but the absolute value does not differ radically from that often necessary to maintain during heavy or hemorrhagic surgery, good hemodynamic conditions. The association with other factors seems necessary, in particular the redistribution in blood volum which occurs during awakening or reduction in anesthesia. Treatment by reduction in blood volume (bleeding, diuretics) is often insufficient. Many cases require mechanical ventilation for several days. Ventilation under continuous positive pressure may even be essential. The frequency of these accidents may even rise for several reasons: vasoplegic anesthesia, routine restoration of blood volume for hemodynamic reasons or to protect the kidneys, occasional failure of C.V.P. as means of control of this restoration, wider and wider use of red cells concentrates and colloids without precise knowledge of their properties.

Adult↗