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Biomedical subjects

F Roujas

Publications and source records attributed to F Roujas.

31 records · Page 2Linked to original sources

[Inhalation of regurgitated fluid during anesthesia].

Since the observations of HALL in 1940 and MENDELSON in 1946 numerous clinical and experimental reports have completed our knowledge of the consequences of inhalation of fluid during anesthesia. Apart from the pulmonary signs, this syndrome includes cardiovascular signs. The course of the pulmonary disease is often unfavourable. Frequently, diagnostic problems are raised a posteriori in the light of respiratory distress and abnormal pulmonary radiological signs. It is then sometimes difficult to distinguish the role of the position on the operating table, the role of massive transfusion without adequate filtration, a state of shock, or unrecognised inhalation of fluid. The various problems are exposed. The interest of prevention and treatment is discussed.

Anesthesia, General↗

[Massive facial destruction. Management, resuscitation, anesthesia, surgery (experience at the Henri-Mondor University Hospital Center)].

Anaylsing 67 cases of facial injury treated at the Henri Mondor Hospital in Créteil, the authors consider the various problems raised by these injured patients. -first aid, -methods of protection of the airway, -surgical management, -anaesthetic management and resuscitation, -problems of post-operative supervision, -methods of feeding. Owing to the localisation of these lesions, and the surgical methods, these are high risk injured patients who raise complex problems in the pre, per and post-operative periods, dominated by maintenance of the permeability of the airway. A specialised multidisciplinary team ensures coordination of the various acts.

Adult↗

[Place of neuroleptics in geriatric anesthesia].

The elderly show changes in various parenchymas linked to the process of ageing. Pathological abnormalities may be added to this picture leading to physiopathology peculiar to the aged. In relation to special problems raised by this background, the advantages and disadvantages of N.L.A. are discussed. The authors refer to an experiment in the Department of Anesthetics and Intensive Care in Créteil.

Aged↗

[Monitoring of cerebral function. Limits and values].

The Cerebral Function Monitor registers EEG amplitude and frequency variations. The C.F.M.A. described in 1979 produces a more detailed analysis of the EEG amplitude and analyses the frequency of the waveforms into standard bands. The device has many indications in anaesthesia and intensive cares for continuous monitoring of cerebral electrical activity over long periods. Unfortunately it is not as well diffused as it might be.

Anesthesia, General↗

[Deliveries outside maternity hospitals. 5-year prospective study apropos of 150 cases].

Deliveries outside of maternity hospitals in 1983 resulted in many high risk newborns. In 40% of cases it occurred in lower socio-economic groups and in 60% was due to lack of information with regards to recent progress in obstetrical care. The presence of regional emergency services (SAMU) and competent pediatric care, has allowed for rapid transport and medical intervention. One hundred and fifty newborns weighing between 850 and 3,790 gms were thus transported: 50% were of low birth weight, 63% born after 38 weeks gestation and 37% were premature. Hypothermia was common and details of labour were unknown. Despite rapid intervention, there were 9 deaths including 6 with severe neonatal asphyxia. Morbidity was related to socio-economic and intellectual parental levels.

Adult↗