References of "Brichant, Jean-François"
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See detailAnesthesia for emergency cesarean section: regional or general?
Brichant, Jean-François ULg

Conference (2006, November 30)

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See detailBlood glucose concentration profile after 10 mg dexamethasone in non-diabetic and type 2 diabetic patients undergoing abdominal surgery
Hans, Pol ULg; Vanthuyne, A.; Dewandre, Pierre-Yves et al

in British Journal of Anaesthesia (2006), 97(2), 164-170

BACKGROUND: Dexamethasone prevents postoperative nausea and vomiting but may increase blood glucose. We compared blood glucose concentrations after dexamethasone in non-diabetic and type 2 diabetic ... [more ▼]

BACKGROUND: Dexamethasone prevents postoperative nausea and vomiting but may increase blood glucose. We compared blood glucose concentrations after dexamethasone in non-diabetic and type 2 diabetic patients undergoing surgery and looked for any association with preoperative glycosylated haemoglobin [HbA (1c)] and BMI. METHODS: Sixty three patients were enrolled: 32 were non-diabetic (Group ND) and 31 type 2 diabetic (Group D) without insulin treatment. Anaesthesia was induced using i.v. anaesthetic agents and maintained with sevoflurane. All patients received 10 mg dexamethasone at induction. Blood glucose concentrations were measured at induction and then every 60 min for 240 min. Data were analysed using anova. Effects of HbA (1c) and BMI were investigated using linear correlation and logistic regression. RESULTS: Blood glucose concentrations increased significantly over time and peaked at 120 min after 10 mg dexamethasone in both groups. The magnitude of increase was comparable between the groups [mean (SD) 29 (19) and 35 (19)% of baseline in Group D and Group ND, respectively]. Maximum concentrations were higher in Group D [8.97 (1.51) mmol litre(-1), range 6.67-12.94 mmol litre(-1)] than in Group ND [7.86 (1.00) mmol litre(-1), range 5.78-10.00 mmol litre(-1)]. There was a significant correlation between the maximum concentrations and BMI (R(2)=0.21) or HbA (1c) (R(2)=0.26). Logistic regression analysis revealed that the higher the BMI, the lower the HbA (1c) threshold associated with an increased probability (>0.5) of observing blood glucose levels higher than 8.33 mmol litre(-1) during 240 min after dexamethasone administration. Similarly, the higher the HbA (1c), the lower the BMI threshold associated with the same probability. CONCLUSIONS: After 10 mg dexamethasone, blood glucose levels increase in non-diabetic and type 2 diabetic patients undergoing abdominal surgery. Poorly controlled diabetes and severe obesity can influence the development of hyperglycaemia. [less ▲]

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See detailCésarienne urgente: quel délai, quelle organisation?
Brichant, Jean-François ULg

Conference (2006, June 10)

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See detailCardiopulmonary resuscitation
Brichant, Jean-François ULg

Conference (2006, June)

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See detailMaternal cardiopulmonary resuscitation
Brichant, Jean-François ULg

Conference (2006, May 20)

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See detailOn knots in epidural catheters: a case report and a review of the literature
Brichant, Jean-François ULg; Bonhomme, Vincent ULg; Hans, Pol ULg

in International Journal of Obstetric Anesthesia (2006), 15(2), 159-162

A lumbar epidural catheter placed for labor analgesia proved to be difficult to remove after an uneventful delivery. With the patient in the position of catheter insertion, i.e. seated, firm and steady ... [more ▼]

A lumbar epidural catheter placed for labor analgesia proved to be difficult to remove after an uneventful delivery. With the patient in the position of catheter insertion, i.e. seated, firm and steady traction allowed removal of the catheter and revealed a knot 4 mm from its tip. Passing excessive amount of catheter into the epidural space may have contributed to this complication. Guidelines to prevent and to minimize this complication are suggested. (c) 2005 Elsevier Ltd. All rights reserved. [less ▲]

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See detailCombined use of Bispectral Index (TM) and A-Line (TM) Autoregressive Index (TM) to assess anti-nociceptive component of balanced anaesthesia during lumbar arthrodesis
Bonhomme, Vincent ULg; Llabres, V.; Dewandre, Pierre-Yves et al

in British Journal of Anaesthesia (2006), 96(3), 353-360

BACKGROUND: This study evaluated the A-Line Autoregressive Index (AAI) response to surgical stimulation during lumbar arthrodesis, as an estimate of the anti-nociceptive component of a Bispectral Index ... [more ▼]

BACKGROUND: This study evaluated the A-Line Autoregressive Index (AAI) response to surgical stimulation during lumbar arthrodesis, as an estimate of the anti-nociceptive component of a Bispectral Index (BIS) guided anaesthesia combined with epidural analgesia. METHODS: An epidural catheter was inserted in 23 patients allocated randomly to receive ropivacaine plus clonidine (Group R) or normal saline (Group S) epidurally. General anaesthesia was induced with propofol, cis-atracurium and a remifentanil infusion that was stopped 3 min after tracheal intubation, and maintained using sevoflurane to keep BIS at 50 (range 40-60). Mean arterial pressure, heart rate, end-tidal sevoflurane, BIS and AAI were analysed from 2 min before to 17 min after surgical incision. RESULTS: While BIS was maintained at 50, AAI significantly increased from a 2 min averaged value of 12 (4) to 21 (7) in Group S within the first 5 min after surgical incision, but did not change in Group R. Maximum AAI values reached during the study period were significantly higher in Group S than in Group R [38 (12) and 27 (10), respectively]. Binary logistic regression analysis allowed the calculation of AAI threshold values above which the probability of predominant nociception over anti-nociception was higher than 95%. At 1 MAC sevoflurane concentration, a 2 min averaged AAI of 35 or an AAI peak value of 62 were associated with such a probability. CONCLUSIONS: During a BIS-guided constant level of hypnosis, AAI response to the onset of surgical stimulation significantly differs according to the analgesic regimen. Further studies are needed to refine the estimation of sensitivity and specificity of this variable in assessing the balance between nociception and anti-nociception during general anaesthesia. [less ▲]

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See detailCésarienne urgente: quel délai, quelle organisation?
Brichant, Jean-François ULg

in 24e Journées Internationales de Mises Au Point en Anesthésie-Réanimation. Communications scientifiques MAPAR 2006 (2006)

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See detailHead Trauma
Bonhomme, Vincent ULg; Hans, Pol ULg; Brichant, Jean-François ULg

in Acta Anaesthesiologica Belgica (2006), 57(3), 239-47

this review is to provide the reader with the most commonly accepted principles for the management of head trauma patients. The initial clinical evaluation and resuscitation, radiological evaluation ... [more ▼]

this review is to provide the reader with the most commonly accepted principles for the management of head trauma patients. The initial clinical evaluation and resuscitation, radiological evaluation, monitoring, intracranial pressure and cerebral perfusion pressure management, brain protection, associated organ dysfunctions and complications, anaesthetic manage ment and the singularities of paediatric head trauma patients are described, either for the acute phase and the secondary phase of management. [less ▲]

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See detailFluid therapy in PET
Brichant, Jean-François ULg

Conference (2005, September 30)

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See detailCPR in pregnancy
Brichant, Jean-François ULg

Conference (2005, September 30)

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See detailAnesthésie et réanimation d'une parturiente présentant une prééclampsie
Brichant, Jean-François ULg

Conference (2005, September 26)

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See detailAnesthésie de la femme enceinte pour un acte opératoire non obstétrical
Brichant, Jean-François ULg

Conference (2005, September 26)

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See detailLa pré-éclampsie dans tous ses états. Gestion en anesthésie
Brichant, Jean-François ULg

Conference (2005, September)

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See detailAnesthésie en obstétrique: problèmes cliniques
Brichant, Jean-François ULg

Conference (2005, September)

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See detailAnesthésie du patient asthmatique
Brichant, Jean-François ULg

Conference (2005, April 27)

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