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Biomedical subjects

L Raynal

Publications and source records attributed to L Raynal.

16 recordsLinked to original sources
PubMed1984

Fractures of the hip in the elderly: therapeutic and medico-social considerations.

The factors influencing mortality and morbidity were analysed in a series of 224 elderly patients with hip fractures. It was found that mortality was influenced by the high age, the number of medical antecedents and the number of general complications occurring following surgery. Mortality rate was high in mentally deteriorated patients with a gain in autonomy in only 25% of the cases. On the contrary, mortality was less, and there were few modifications of the mental status in patients who were mentally normal upon admission. The recovery of total or partial autonomy in this group was 69.9%, justifying therefore the surgical intervention.

Age Factors↗
PubMed1976

[Role of peridural anesthesia in thoracic surgery].

Periduralaneaesthesia by the cervical route (C6-C7 or C7-D1) or by the upper lumbar route with an ascending catheter, permit thoracic surgery in all its applications. The reduction in operative bleeding is an appreciable advantage of the method, and automatic nervous stability is remarkable. On the other hand, keeping the patient in the waking state is a definite disadvantage, especially in removal of one lung. As far as the anaesthetist is concerned he will be faced with difficulties of ventilation and bronchial aspiration. On the other hand, combined with slight general anaesthesia and tracheal intubation, peridural anaesthesia is definitely of interest. Furthermore, during the post-operative period, it is precious permitting a cough without pain and, in this respect, the comparison with anaesthesia of the inter-costal nerves, is worth discussins, each technique having special advantages.

Anesthesia, Epidural↗