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Biomedical subjects

B Parent

Publications and source records attributed to B Parent.

47 records · Page 3Linked to original sources
PubMedDate not supplied

[Value of ventilatory assistance through the mouth in readaptation of patients with chronic respiratory insufficiency. Report of 20 cases (author's transl)].

Twenty patients with severe and chronic respiratory insufficiency (SaO2 less than or equal to 80% - PaCO2 greater than or equal to 50 mmHg) were treated with intermittent ventilatory assistance. They used volumetric apparatus 2 to 8 hours a day, during at least 6 months (22 months +/- 13). Respiratory status never improved strikingly, on the contrary most of the time it worsened and patients needed other ventilatory technics and/or died (11 of 20). This technic of ventilatory assistance does not seem to really change the prognosis of these patients in a severe and chronic state.

Carbon Dioxide↗
PubMedDate not supplied

[Tracheostomy for long-term ventilatory assistance. About 22 observations of severe chronic respiratory insufficiency (author's transl)].

22 patients with severe respiratory insufficiency were treated by definitive tracheostomy for intermittent ventilatory assistance. Early mortality is heavy (9/22 before three months). After three months, the respiratory condition of patients improved greatly and survival rate is good. Tracheostomy is too often delayed and realized at the bad time of a severe acute respiratory failure.

Adult↗
PubMedDate not supplied

[Benign hypoglycemiant pleural tumors. Report on two cases].

Two cases of hypoglycemiant pleural fibroma are reported: -- the first case, in a patient with sarcoidosis, was diagnosed following the onset of neuropsychic manifestations due to hypoglycemia; --the second case, much more atypical, was a patient with an enormous pleural tumor affecting cardiorespiratory function to such a degree that almost total incapacity ensued: the hypoglycemia was detected during routine pre-operative investigations. Various extrathoracic manifestations accompany these tumors: osteo-articular (present in 1 patient), and thyroidal (present in both cases). The various mechanisms proposed to explain the development of hypoglycemia in patients with certain extra-pancreatic tumors are reviewed.

Aged↗
PubMedDate not supplied

[Our experience with thoracoscopy (author's transl)].

The last two years, we carried out 25 thoracoscopies in 26 patients. The examination was not possible in 2 cases, because of severe adhesions, in one case neoplastic and in the other, fibrous. One patient had a bilateral exploration on two separate occasions. All these examinations were carried out under general anesthesia with differential intubation or, on occasion, tracheal intubation. The first 15 cases were carried out using the rigid bronchoscope with a cold light; the subsequent examinations were carried out using the Storz thoracoscope. From a diagnostic point of view, our patients broke down in the following manner: -metastatic pleurisies - 6, -pleural effusion in reaction to bronchial carcinoma -2, -post-radiotherapic pleural effusion - 1, -benign asbestos pleurisy -5, -cirrhotic pleural effusion - 1, -inflammatory pleurisy - 9. We carried out talcum adhesion of the pleura in only 4 cases : 2 cases of neoplastic pleurisy, 1 post-radiotherapy pleurisy, and 1 inflammatory pleurisy. There were 2 infectious complications in this series : one in a patient with diabetes, leading, indirectly, to death. The second was cured by pleuro-pulmonary decortication.

Chronic Disease↗