ABSTRACT
INTRODUCTION: During surgical procedure, antibioprophylaxis is known to decrease bacterial proliferation and limit postoperative complications such as infections. In France, antibiotic prescription guidelines have been established for ear surgery, but applied with discrepancies. The purpose of the study was to evaluate the necessity of antibioprophylaxis in ear surgery. MATERIAL AND METHODS: Retrospective study of two consecutives series of ear surgery with two different antibioprophylaxis protocols. In the first series (n=100), antibioprophylaxis by amoxicillin and clavulanic acid was given only in cases of chronic otitis media with otorrhea and cholesteatoma (contaminated surgery). In the second series (n=107), no antibiotic was administered. The number of infected complications was evaluated by reviewing medical charts. RESULTS: The percentage of infected complications was 5% versus 6.5% in the second series (with no antibioprophylaxis), for all types of ear surgery, 9.4% versus 4.2% after ear contaminated surgery. No statistical difference was observed between the two series. CONCLUSION: In ear surgery, postoperative infected complications do not more frequently occur without antibioprophylaxis, either in otorrhea or in cholesteatoma surgery.
Subject(s)
Amoxicillin-Potassium Clavulanate Combination/therapeutic use , Antibiotic Prophylaxis/methods , Cholesteatoma, Middle Ear/surgery , Otitis Media/surgery , Otologic Surgical Procedures , Preoperative Care , Adolescent , Adult , Aged , Cerebrospinal Fluid Otorrhea/complications , Female , Humans , Male , Middle Aged , Otitis Media/complicationsABSTRACT
Narcotics are used in neuro-anesthesiology according to their pharmacology and their effects on cerebral physiology. New narcotics (fentanyl, sufentanil, alfentanil) fulfill the requirements of modern neurosurgical anesthesiology looking for quick awakening.
Subject(s)
Analgesics, Opioid , Anesthesia, General/methods , Neurosurgery , Animals , Blood Pressure/drug effects , Cerebrovascular Circulation/drug effects , Craniotomy , Dogs , Humans , Intracranial Pressure/drug effects , Morphine Derivatives , Nervous System Diseases/surgerySubject(s)
Anesthesia, General , Anesthesia, Obstetrical , Cesarean Section , Cimetidine/therapeutic use , Gastric Juice/drug effects , Pneumonia, Aspiration/prevention & control , Preanesthetic Medication , Adult , Cimetidine/administration & dosage , Female , Humans , Hydrogen-Ion Concentration , Intraoperative Complications/prevention & control , PregnancySubject(s)
Anesthesia, General , Brain/diagnostic imaging , Methohexital/administration & dosage , Tomography, X-Ray Computed , Age Factors , Child, Preschool , Female , Humans , Infant , Male , RectumABSTRACT
In ten head injured patients, propofol was used as a sedative drug during 8 h (3 mg . kg-1 . h-1). Clinical sedation was good, without any incidence on the cerebral perfusion pressure. 14 min after stopping the propofol infusion, the results of clinical examination were similar to those found before sedation.
Subject(s)
Anesthetics/administration & dosage , Craniocerebral Trauma , Phenols/administration & dosage , Anesthetics/pharmacology , Craniocerebral Trauma/metabolism , Humans , Infusions, Intravenous , Intracranial Pressure/drug effects , Phenols/pharmacology , Propofol , Time FactorsABSTRACT
A respiratory distress syndrome is reported in a four month old girl, after placement of a ventriculo-peritoneal shunt for hydrocephalus. This complication was related to a surgical pneumothorax. It was an early and spontaneously resolving complication, which one should have in mind after shunting procedures.
