[General anesthesia for multiple dental extractions]. / Anesthésie générale pour extractions dentaires multiples

Between 1970 and 1975, 528 sessions of teeth extractions were carried out under general anaesthesia at the Ambroise Paré Hospital in Boulogne. The distribution was as follows: -70 multiple dental extractions in cardiac patients, mostly sent up by cardiology units outside the establishment. -458 multiple dental extractions for orthodontic treatment, germectomies, removal of included or supernumerary teeth, contra-indication or refusal of local anaesthetic. Since 1972, all patients for whom a surgical decision was considered were examined at the Anaesthetic out-patients and the advantages appear obvious. The type of premedication, the choice of the anesthetic technique were classical in the vast majority of cases and, in particular, intubation was carried out as a routine.

[Anesthesia and resuscitation in emergency maxillofacial surgery]. / Anesthésie et réanimation en chirurgie maxillo-faciale d'urgence

A series of 290 cases of maxillo facial trauma permitted the authors to draw up the indications for resuscitation and surgery. Restoration of the permeability of the airways is most often obtained by oral intubation under non-depressor pharmcological agents. The difficulties encountered during intubation were usually linked to pain, but sometimes had a mainly mechanical origin, particularly during zygomatic and malar bone fractures. Tracheotomy was exceptional. Hemorrhage was often the major obstacle and, in certain cases, could only be controlled by immobilisation of the fragments. The anaesthetic technique is very similar to that used in neurosurgery.