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Biomedical subjects

C Coulon

Publications and source records attributed to C Coulon.

48 records · Page 3Linked to original sources
PubMed1981

[Surgery of abdominal aortic aneurysm infra-renal. Hemodynamic changes induced by aortic clamping and declamping. Eight cases (author's transl)].

Hemodynamic data of 8 patients undergoing planned resection of abdominal aortic aneurysm are statistically analyzed by variance analysis ("patient" factor and "time" factor). The results are: 1. "Patient" factor exists for all the variables studied. 2. "Time" factor is present for some of them. After aortic clamping, there is a significant decrease of the systolic index (p less than 0.05) and of the left ventricular systolic work index (p less than 0.01). After aorting declamping, a high significant increase of the mean right auricular pressure (p less than 0.001) and of mean capillary wedge pressure (p less than 0.001) are seen. Similar results are observed at the end of surgery. The results are commented with regard of the literature.

Aged↗
PubMed1977

[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↗