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Biomedical subjects

O Abassi

Publications and source records attributed to O Abassi.

22 records · Page 2Linked to original sources

[Prevention of nosocomial urinary tract infection: vesical catheter versus Penilex].

Nosocomial urinary tract infection is the most frequent nosocomial infection in many care units. Its main risk factor is the presence of a bladder catheter. Prevention is based upon the enforcement of hygiene recommendations which are not always carefully applied everywhere. We report a prospective study concerning 328 patients divided into two gropus. Group I patients (n = 161) had an indwelling bladder catheter. Group II patients (n = 167) had an external urinary drainage by Penilex. The incidence of nosocomial urinary infection was 2.4% in group II versus 26.7% in group I. Thus preventive efficacy of Penilex use appears to be well demonstrated.

Critical Care↗

[Cervical peridural anesthesia for carcinologic surgery of the larynx. 10 cases].

Cervical peridural anesthesia was associated to a general anesthesia with controlled ventilation in ten patients undergoing laryngectomy for cancer. All the patients (middle age 57 years) suffered chronic bronchopneumopathy. The cervical peridural approach is realized by puncture at the level C6-C7 with setting of a peridural catheter. After a test dose, a total volume of 18 ml of bupivacaïne at 0.33% is injected. Reinjections of nine ml of the anesthetic solution are realized after a mean delay 200 min. After induction with thiopental and pancuronium bromide, narcosis is maintained by N2O/O2, 0.5/0.5 associated to 0.5% halothane. The mean operating time was four hours and ten minutes. The anesthetic block obtained stretches from C2 to D4, after a mean delay 22 +/- 7 min. Analgesia is satisfying. Little changes occurs in hemodynamic state, except an almost constant bradycardia. Bleeding stay in range of laryngectomies. The awakening is immediate; the post-operative evolution is simple. No complication tied to the anesthesia has been observed.

Adult↗

[Severe hemobilia of cholecystic origin].

The authors report a case of severe hematobilia originating in the gall bladder itself ans associated with a cholecysto-colic fistula. They review the different etiologies of hematobilia and stress the major value of selective arteriography of the coeliac trunk and possible pitfalls in this condition. This case highlights the rare complications of cholelithiasis (hematobilia and cholecyto-colic fistula) and the severity of blood spoliation. Therapy is reviewed as a function of the lesion causing hematobilia.

Angiography↗

[Caustic lesions of the upper digestive tract].

A study of 108 patients who had ingested variable quantities of a caustic substance, most often for suicidal reasons. Hydrochloric acid was the substance most often encountered After stabilisation of any hemodynamic and respiratory disorders, all patients received emergency endoscopy. Subsequent therapy was based on the following endoscopic findings: --Patients, in whom the mucosa was normal, were not hospitalised. --The digestive tract of patients with stage I disorders was rested for 10 days. --Patients with stage III, disorders were operated on as an emergency especially when signs of gravity were present. --Patients with stage II disorders constituted the group which posed most problems in our study. These patients required enteral feeding as soon as possible, via a simple jejunostomy.

Adolescent↗