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Biomedical subjects

J Tremouroux

Publications and source records attributed to J Tremouroux.

27 records · Page 2Linked to original sources
PubMedDate not supplied

A case of candida albicans endocarditis 3 years after an aortic valve replacement. Successful combined medical and surgical therapy.

The authors report a case of candida albicans endocarditis occurring 3 years after aortic valve replacement and bacterial endocarditis. They may attempt to the difficulty of the diagnosis, the successful combined surgical and medical treatment, the duration and the follow-up of the therapy and finally the aspect of the side effects of the used antifungal drugs.

Adult↗
PubMedDate not supplied

[Therapeutic aspects of dehiscence of a laparotomy wound after a digestive fistula or following intervention for acute pancreatitis].

Fourteen cases of digestive fistulas, complicated by a dehiscence of the laparotomy wound, are described. Ten patients have a single fistula and 4 have multiple digestive fistulas. There were eleven survivors. This represents a mortality of 21.4%. In 9 cases, the spontaneous recovery of the fistulated zone is followed by a losing of the laparotomy wound. In 2 cases, surgical intervention was necessary to permit the recovery of the fistula and of the dehiscence of the laparotomy. The treatment of such patients requires a mean hospitalization in an intensive care ward of about 48 days +/- 25.8 (SD). The authors report the different therapeutic aspects : the nutritional support, the control of the infection and of the locoregional and systemic complications.

Acute Disease↗
PubMedDate not supplied

[Therapeutic aspects of laparotomy after digestive fistula or after surgical intervention for acute pancreatitis (author's transl)].

Fourteen cases of digestive fistulas, complicated by a dehiscence of the laparotomy wound, are described. Ten patients have a single fistula and 4 have multiple digestive fistulas. There were eleven survivors. This represents a mortality of 21.4%. In 9 cases, the spontaneous recovery of the fistulated zone is followed by a losing of the laparotomy wound. In 2 cases, surgical intervention was necessary to permit the recovery of the fistula and of the dehiscence of the laparotomy. The treatment of such patients requires a mean hospitalization in an intensive care ward of about 48 days +/- 25.8 (SD). The authors report the different therapeutic aspects: the nutritional support, the control of the infection and of the locoregional and systemic complications.

Acute Disease↗
PubMedDate not supplied

[Effects of three types of respiratory assistance (continuous positive pressure, intermittent positive pressure, classical respiratory physiotherapy) on PaO2 and PaCO2 in patients undergoing digestive tract surgery].

Two hundred and seventeen patients undergoing digestive tract surgery, either randomly or non-randomly allocated in two separate groups, and presenting postoperative hypoxemia, were studied during intensive care : 77 were ventilated by continuous positive pressure (CPP), 70 by intermittent positive pressure (IPP), and 70 were treated by classical respiratory physiotherapy. Results showed that CPP was the method of choice for ventilatory assistance following digestive tract surgery: hematosis was improved in a prolonged manner without modification of CO2 levels. The other procedures had a beneficial effect on PaO2 but at the price of a hyperventilation. Patients receiving IPP developed hypocapnea and hypoxemia five minutes after the end of the treatment. Physiopathological bases for these differences in gasometric behaviour in patients undergoing digestive tract surgery are analyzed as a function of the characteristics of CPP on the one hand, and IPP and respiratory physiotherapy on the other.

Adult↗
PubMedDate not supplied

[Peritoneal dialysis treatment for acute necrotic hemorrhagic pancreatitis (author's transl)].

Thirty patient suffering from acute necrotic hemorrhagic pancreatitis and treated from admission by peritoneal dialysis were studied. According to developments, 4 groups are defined. The first group consisted fo 14 patients treated only by peritoneal dialysis, 3 died. The second group consisted of 7 patients whose peritoneal dialysis was interrupted during hospitalization and who underwent differed surgery. The third group consisted of 5 patients who were operated during the period of peritoneal dialysis, all died. Finally, the fourth group consisted of 4 patients who were dialysed for a short period before emergency surgery, there were no deaths. Peritoneal dialysis, associated with other therapeutic measurements resulted in early improvement of abdominal and toxaemic signs such as shock and functional renal insufficiency. Acute tubular necrosis, observed in 5 patients was reversible in two. Six out of eleven were weaned from assisted ventilation. This allowed the spontaneous resorption of peripancreatic necrotic masses in four cases. Nevertheless it did not prevent the development of new necrotic masses in 5 other cases nor peritoneal infection, seen in 4 cases. It is ineffective in the development of shock lung which followed in 2 cases, during the course of treatment. In all, 11 patients survived by medical peritoneal dialysis only. Of the 30 patients, 19 survived or 63.4%. If the period between the first digestive signs and the installation of the peritoneal dialysis is less than or equal to 7 days, as seen in 21 cases, 15 patients survived or 71.5%.

Acute Disease↗