ABSTRACT
Peridural anesthesia consists in impregnating by an anesthesic solution, through a lumbal puncture, the nervous radices at their emergence out of the dura mater. The authors detail the technique and its mishaps and accidents, the indications and counter-indications.
Subject(s)
Anesthesia, Epidural/methods , Abdomen/surgery , Anesthesia, Epidural/adverse effects , Humans , Leg/surgeryABSTRACT
The anesthesic fluid is injected close to the intercostal nerve at the starting point of its course in the corresponding space. Its gives an easy analgesia for thoracic or upper abdominal areas.
Subject(s)
Intercostal Nerves/drug effects , Nerve Block/methods , Thoracic Nerves/drug effects , Anesthetics, Local/administration & dosage , HumansABSTRACT
Rachianesthesia is still an useful technique in remote medical units. The authors have reviewed the equipment required, the technique, the possible difficulties or mishaps and the indications and contra-indications.
Subject(s)
Anesthesia, Spinal/methods , Abdomen/innervation , Humans , Leg/innervationABSTRACT
The central venous catheterization is obtained by placing a catheter in the superior or inferior vena cava after puncturing the subclavian vein, the external or the internal jugular, or the femoral ones. The corresponding technics are discribed with their complications, contraindications and advantages. Their value in tropical practice of resuscitation is emphasized.
Subject(s)
Catheterization/methods , Central Venous Pressure , Tropical Medicine , Catheterization/adverse effects , Humans , Infusions, Parenteral , Resuscitation , Venae CavaeABSTRACT
The loco-regional intravenous anesthesia has the great advantage of its simplicity. It is a good complement of the plexic blocks for anesthesia of the upper limb, but it must be discarded in case of lasting interventions because of the tourniquet, or in case of large damages through which the anesthesic fluid leak out, or if a long hemostatic checking may be foreseen.
Subject(s)
Anesthesia, Conduction/methods , Anesthesia, Intravenous/methods , Arm/blood supply , Arm Injuries/surgery , Fractures, Bone/surgery , HumansABSTRACT
The anesthetic block of the upper limb plexus may be realized by either sus-cladications and possible complications.
Subject(s)
Anesthesia, Local/methods , Arm/innervation , Brachial Plexus/drug effects , Nerve Block/methods , Adult , Child , Humans , LidocaineABSTRACT
This paper is a foreword to a series of articles about anesthesia in small medical units in tropical areas. When general anesthesia must be discarded in regard to the patient's condition or the poor level of facilities, loco-regional anesthesia proves to be of great value. The authors review the main drugs available, their dosages, accidents, counter-indications and pre-anesthetic cares.
Subject(s)
Anesthesia, Conduction , Anesthesia, Local , Anesthesia, Conduction/adverse effects , Anesthesia, Conduction/methods , Anesthesia, Local/adverse effects , Anesthesia, Local/methods , Anesthetics, Local/administration & dosage , Humans , Tropical ClimateABSTRACT
Drepanocytic patients have special sensitivity to hypoxia, dehydratation and osmolarity troubles, acidosis, cold and infections. The required precautions are reminded, the choice of a proper type of anesthesia is discussed, suggestions for a good choice of drugs and detailed technics are given.
