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Biomedical subjects

C Rathat

Publications and source records attributed to C Rathat.

35 records · Page 2Linked to original sources
PubMed1981

[Early acute pulmonary oedema happening during peritoneovenous by pass (author's transl)].

The authors report the cases of two cirrhotic patients without cardiac failure who underwent peritoneo-venous bypass (Leveen valve). On the two cases an acute pulmonary oedema (APE) serious but not fatal was noted at the 36e hour. This one was associated with a rise of cardiac output and a moderate rise of the pulmonary wedge pressure (15-18 mm Hg). The administration of thiamine did not correct these perturbations but small doses of furosemide corrected the APE. Despite the low frequency of the cases of APE after Leveen bypass and their mechanism not definitevely known, the authors recommend in pre-, per- and post-operative period the monitoring of cardiac function with a right catheterism.

Acute Disease↗
PubMed1981

[Acute pneumonia without pyosis among adults. Outcome of seventy-transtracheal aspirations (author's transl)].

Seventy transtracheal aspirates (T.T.A.) have been achieved with patients having an acute pneumonia; 42 had a chronic respiratory failure; 25 had received a previous antibiotherapy; 49 presented negatives delayed hypersensitivity skin reactions. No major accident was noticed and the T.T.A. were positive in 87 p. cent of the cases. The results show the predominance of the Cocci Gram + especially pneumococcus. These cases are associated with Hemophilus influenzae in 19 p. cent of the cases. Negative skin tests show the frequency of this association. Infections with Bacilles Gram -- are found as well in this circumstance. The previous antibiotherapy alters microflora and leads to a B.G. -- as well predominance. At last, the evolution is not influenced by the discovery of an organism in the T.T.A. The authors compare the results with those found in previous work and conclude in the interest of that method which enable a quick identification of the organism and the starting of a well adapted antibiotherapy.

Acute Disease↗
PubMed1981

[Actuality of ambulatory anaesthesia in oto-rhino-laryngologic surgery (author's transl)].

The ambulatory intervention in ORL surgery presents a certain amount of constraint : anaesthetic, surgical, medicolegal and socio-economic. In spite of the lack of medicolegal definition for ambulatory anaesthesia, these anaesthetic intervention may take place in conditions approaching the other anaesthetic intervention provided that some rules are respected. The authors propose a practical treaty for the ambulatory intervention ORL surgery and as an illustration to this presentation propose a sample of a hundred ambulatory interventions.

Ambulatory Surgical Procedures↗
PubMed1980

[Changes in erythrocyte lipids in major septic states].

The authors studied changes in erythrocyte lipids in severe infectious syndromes, separating healthy individuals (n = 10) from those with hepatic insufficiency (n = 7). No variations in sphingomyelins were seen. By contrast, the fall in cholesterol and other phospholipids studied (phosphatidylcholine and phosphatidylethanolamine) was highly significant. The difference between the two groups remained clear on the fourth day. No relationship could be established with prognosis and the organism responsible. In conclusion, the authors stress the need for study of the relationships between these changes and erythrocyte functions.

Erythrocytes↗
PubMed1980

[Respiratory failure during Ogilvie's syndrom (author's transl)].

About two cases of "Ogilvie's syndrom" so called colonic ileus or acute idiopathic dilatation of the colon, in patients with chronic bronchitis, the authors discuss the possibility of this etiology like respiratory failure. A rapid colonic decompression is necessary to prevent cecal perforation.

Acute Disease↗
PubMedDate not supplied

[Post-operative necrotising enterocolitis. One case cured by hyperbaric oxygenotherapy (author's transl)].

About one case of necrotising enterocolitis following an extra-peritoneal and aseptic operation, it seems that a post-operative ileus, by the ischemia of mucous membrane and the swarming of anerobics that it involves, seems to be responsable of this dreadful complication. The macroscopic and deceiver aspect of intestine to an early re-operation can impeed this diagnosis. The hyperbaric oxygenotherapy seems to be a perceptible adjuvant treatment.

Adult↗
PubMedDate not supplied

[Evaluation of a training program for nurses specializing in anesthesia and resuscitation in Cambodia].

Following the signing of a treaty drafted between the Cambodian Ministry of Health, Médecins Sans Frontières, and the universities of Paris Nord and Bordeaux-II, the first class of sixteen nurses completed the training in anesthesia and resuscitation, between September 1991 and June 1993. The training course took into account the special context in which the course was planned and organized. By bringing together the specific skills of non-government organizations and universities, the students obtained high quality professional skills which have become extremely rare in Cambodia, where almost all competent health-care professionals have disappeared. The results of the program were evaluated several months after the graduation. Using quantitative and qualitative methods, evaluators tried to assess if the nurses were able to apply what they had learned, if the course material was relevant, and how well the nurses adapted in terms of actual work, and professional recognition and development. Eight months after graduation, the nurse anesthetists' activities represented approximately 24% of the total activity of the departments in which they worked. Thirteen of the sixteen nurses received significant professional recognition for their responsibilities in the departments, and for their independence in administering anesthesia. The working conditions were satisfactory, and the nurses were able to correctly apply what they had learned and solve many problems. However, because the anesthesia and resuscitation departments were being set up at the time of their arrival, the nurses were not able to fully care for the patients during the pre- and post-operation periods. Objectives for improving the training courses were defined, following a detailed analysis of the results of the study. However, proper supervision of the newly trained nurses remains an essential element in maintaining their competencies and motivation. By 1997, fifty-four people (fourty-five nurses and nine doctors) should be trained in anesthesia and resuscitation. The continuation of the school depends on the possibility of the Cambodians to take charge of the program. For this purpose, two of the graduate nurses began training as teachers in November 1993.

Cambodia↗