[Regional anesthesia for ambulatory surgery in ophthalmology]

We report a survey of 1075 patients who underwent surgery in the operating room of Ophthalmology, which is to assess the quality of ambulatory anesthesia practice in our structure, and its evidenced by the anesthesia safety and satisfaction of the patient. Prospective study spread over six months to August 2009 to January 2010, surgery activity is distributed mainly on the five business days of the week. The duration of the interventions is less than an hour for most acts. One form of exploitation has been established to collect these data. The results are expressed as number, average, extreme and percentage. The average age was 57 years, including 180% cases pediatriques. 70% were classified as high risk. The regional anesthesia performed on an outpatient basis has involved 846 patients, or 3/4 of the activity of the block. Surgery for cataract accounted for 96% of ambulatory anesthesia, followed by the schedules and the anterior segment. Intraoperative complications were represented by bradycardia: 70%, bronchospasm: 90%, intraorbital hematoma: 9% postoperative nausea and vomiting: 1%, two cases of enophthalmos, and one case of delayed awakening. It is an attractive alternative to general anesthesia. Much of the ophthalmic surgery is performed on an outpatient basis, with obvious benefits in terms of economics and patient satisfaction. However, the constraints associated with this practice should not be forgotten, the need for coordination and organization seems even more necessary than elsewhere. The organization of staff training and patient information is a prerequisite for its realization

[Acute transverse myelitis - about a case report]

The acute transverse myelitis is characterized by motor, sensor and autonomic dysfunction. The causes are multiple requiring a rigorous diagnostic investigation. The idiopathic forms are rare. The imagery by magnetic resonance easily makes it possible to make the diagnosis of myelitis but also to follow the evolution under treatment. We report a clinical case of an acute transverse myelitis whose assessment etiologic was negative with a fatal resulting

Acute oedema of the lung and pre-eclampsia about 15 cases

Our aim is to point out the relation between acute oedema of lung and pre-eclampsia and guidelines of care. All the patients were hospitalized in the intensive care unit of the university hospital center of Hassan II of Fez, for pre-eclampsia and eclampsia from January 2003 to March 2006. The authors report 15 cases of acute oedema of the lung [AOL] associated with pre-eclampsia. The average age was of 24 +/- 9 years. We noted 9 primipars, 6 cases of AOL occurred in delivery period. 10 cases of preeclampsia were detected, whereas it was associated to a cardiomyopathy of the peripartum and three rheumatic valvulopathies. The childbirth took place by Caesarean at 8 patients and 7 were confined by low way. 9 patientes required artificial ventilation and the haemodialysis was carried out in 3 patientes. The evolution was favourable in 12 patientes. We deplored three maternal deaths and 4 newborn deaths. The acute oedema of the lung during the preeclampsia is a serious pathology; its mechanism of appearance is complex. The materno-foetal forecast depends on how the treatment was prompt, of the severity of the EP and the age of the pregnancy. The prevention is based on the antenatal consultation and the monitoring of any EP in order to propose in time a possible ending of pregnancy