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Anesthesia --- Anesthésie --- Anesthetics --- Anesthesia. --- Anesthésie.

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Covering the most important topics in trauma anesthesia, this updated edition provides anesthesiology trainees and practitioners with a practical basis for managing trauma patients. Many recent advances in trauma care are identified, including paradigm shifts in the management of bleeding and coagulopathy, new neuromuscular blockade and anticoagulant reversal drugs, and updated clinical practice guidelines. This volume provides a concise, practical review of the essential elements in the care of the severely injured trauma patient, including emergency airway management, fluid and blood resuscitation, monitoring, coagulation therapy, regional and general anesthesia, and perioperative care. Edited by two of the most experienced trauma anesthesiologists in the United States, with chapters written by experts from leading US and Canadian trauma centers with the highest and most varied caseload of critically injured patients, Essentials of Trauma Anesthesia identifies new trends in surgery and anesthesiology practices that impact on the management of trauma patients.

Anesthesia in traumatology.

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Now thoroughly up to date with new chapters and new multimedia resources, Smith's Anesthesia for Infants and Children, 9th Edition, by Drs. Peter Davis and Franklyn Cladis, covers the information you need to provide effective perioperative care for any type of pediatric surgery. Leading experts in pediatric anesthesia bring you up to date with every aspect of both basic science and clinical practice, helping you incorporate the latest clinical guidelines and innovations in your practice.

Anesthesia. --- Infant. --- Child.

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The consequences of failure to adequately oxygenate a patient and ventilate their lungs during surgery can be catastrophic. Taking a uniquely case-based approach to clinical airway management, this textbook provides a comprehensive and richly illustrated guide to this vital component of anesthetic practice. The clinically diverse cases include practical guidance on the choice of management technique, airway device, its placement, associated medications and mode of ventilation, and cover important advances in equipment and scientific knowledge to keep clinicians up to date on recent developments in the field. As well as upper airway problems, this text also encompasses the management of less commonly discussed lower airway challenges. The written material is supplemented by links to additional online videos. Written by an international collection of leading experts, Clinical Airway Management is a useful and extensive resource that helps anesthesiologists, emergency physicians, intensivists and trainees navigate the challenges faced every day in clinical practice.

Airway (Medicine) --- Respiratory therapy. --- Anesthesia.

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Introduction : With 10 500 new cases per year in Belgium, breast cancer represents the most frequent cancer among women and the first leading cause of cancer death among young women, far ahead of colorectal or pulmonary cancer. The risk of loco regional recurrence after mastectomy or breast-conserving therapy varies between 5% and 40%, depending on risk factors and the therapy used for the primary tumor. The aim of our study is to determine whether extensive surgery has its place in the curative management of loco regionally recurrent breast carcinoma, because it is still imprecise and has not been well defined yet. Methods : From March 2004 to March 2016, 32 patients underwent extensive surgery for loco regionally recurrent breast carcinoma. The median interval between surgery of the primary tumor and the loco regional recurrence managed at Saint-Luc University Hospital was 138,7 (3-348) months. 10 patients had an isolated nodal recurrence, 15 had a cutaneous and muscular recurrence with or without nodal extension, and 7 had a local bone spread (sternum and/or ribs). Complete RO resection was achieved in 24 patients (75%). Overall survival and disease-free survival curves were estimated using the Kaplan-Meier method. Results: The Disease-Free Survival (DFS) at one, three and five years after the extensive surgery is 91,3%, 73% and 53% respectively. Two patients among 32 died after bone and hepatic metastatic evolution. The Overall Survival (OS) of this study is 93,75%. After a median follow-up of 44,8 months, 8 out of 32 patients are alive but ill (25%), 22 out of 32 patients are alive and disease-free (69%) and 2 patients died because of their cancer (6%).Conclusion: This type of surgery provides an acceptable morbidity, an improved quality of life, an excellent long-term disease-free survival and should be integrated in the therapeutic strategy of loco regional breast cancer recurrences. Introduction : Avec 10 500 nouveaux cas par an en Belgique, le cancer du sein représente le cancer le plus fréquent chez la femme ainsi que la première cause de mortalité par cancer chez la femme jeune, loin devant le cancer colorectal et le cancer du poumon. Le risque de récidive locorégionale après mastectomie ou chirurgie conservatrice varie entre 5% et 40%, selon les facteurs de risque et le type de traitement de la tumeur primitive. Le but de notre étude est d'évaluer la place de la chirurgie extensive dans les récidives locorégionales et les maladies métastatiques limitées du cancer du sein, car celle-ci est encore mal définie et pas du tout standardisée. Méthodes : De mars 2004 à mars 2016, 32 patients ont bénéficié d'une chirurgie extensive dans le cadre d'une récidive locorégionale de leur cancer du sein. Le délai moyen entre l'intervention chirurgicale de la tumeur initiale et la récidive locorégionale prise en charge chirurgicalement aux Cliniques universitaires Saint-Luc est de 138,7 mois (3-348 mois). 10 patients ont récidivé uniquement au niveau ganglionnaire, S ont eu une récidive cutanéo­ musculaire avec ou sans atteinte ganglionnaire et 7 ont eu une atteinte osseuse locale (sternum et/ou côtes). Une résection complète (RO) a été effectuée chez 24 patientes (75%). Des courbes de survie globale et de survie sans récidive ont été réalisées sur base de la méthode Kaplan-Meier.Résultats :La survie à 1an,3 ans et 5 ans sans évolution péjorative après chirurgie extensive est de 91,3%, 73% et 53% respectivement. 2 patientes parmi les 32 cas de l'étude sont décédées suite à une évolution métastatique hépatique et osseuse. La survie globale des patients de cette étude est donc de 93,75%. Après un follow-up moyen de 44,8 mois, 8/32 patients sont en vie mais malades (25%), 22/32 patients sont en vie et en rémission (69%) et 2/32 patients sont décédés de leur cancer (6%).Conclusion : Ce type d'intervention permet une morbidité acceptable, une amélioration de la qualité de vie des patients, une excellente survie à long terme et devrait dès lors être intégré dans la stratégie thérapeutique des récidives locorégionales du cancer du sein.

Anesthesia, Conduction --- Breast Neoplasms --- Metastasectomy