[Accidental spinal anesthesia by xylocaine, or the danger of spinal infiltrations].
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Biomedical subjects
Publications and source records attributed to F Jardin.
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In the course of 28 cases of status asthmaticus in adults, the authors noted the frequency of metabolic acidosis, assessed as a base deficit. This disorder, already noted by other authors, remains poorly explained. It may nevertheless be conceived that its onset is favourised by the special haemodynamic consequences of this particular form of acute respiratory insufficiency.
Two cases of massive pulmonary embolism, confirmed by angiographic or necropsy findings, were remarkable by the absence of arterial hypoxaemia. The various mechanisms responsible for arterial hypoxaemia in pulmonary embolism are discussed. It is suggested that in patients with massive pulmonary embolism a markedly decreased cardiac output might account for the absence of arterial hypoxaemia. In the light of these two cases the finding of a normal PaO2 does not rule out the diagnosis of pulmonary embolism.
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The authors made a preliminary study of the damage caused by membrane oxygenators. They suggest nevertheless before a completely definative interpretation to increase the number of observations and above all to check the autopsy findings by an experimental study.
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