PubMed Health⌕ Search

Biomedical subjects

O Paut

Publications and source records attributed to O Paut.

45 records · Page 3Linked to original sources
PubMed1993

GABA-ergic control of visual perception in healthy volunteers: effects of midazolam, a benzodiazepine, on spatio-temporal contrast sensitivity.

1. We studied the effects of midazolam (MDZ), a benzodiazepine, on spatio-temporal contrast sensitivity, choice reaction time, and mood visual analogue scales in healthy volunteers. 2. Eight extensively trained, healthy volunteers were included in a placebo-controlled cross-over double-blind trial of MDZ (0.15 mg kg-1). Treatments were injected intramuscularly and evaluations were performed before and 0.5, 1, 2, 3 and 4 h after drug administration. Spatio-temporal contrast sensitivity was measured using a micro-computer with appropriate software. Stimuli were vertical gratings with adjustable contrast, with spatial frequencies of 0.25, 1 and 4 cpd. Four conditions of temporal modulation were used: the grating was either static or drifting laterally with temporal frequencies of 1, 3 and 9 Hz. 3. An analysis of variance was performed on the data. As compared with placebo, MDZ induced an increase in choice reaction time and sedation (as assessed on visual analogue scales). From 0.5-4 h after the injection, MDZ produced an overall decrease in visual sensitivity, as compared with placebo. More specifically, MDZ preferentially affected medium to high spatial frequencies and low temporal frequencies. Several non-exclusive hypotheses may account for the results: 1) an increase in the size of the receptive fields, 2) a preferential effect on the visual parvocellular pathways which mediate the sensitivity to high spatial and low temporal frequencies.

Adult↗
PubMed1992

Successful treatment of fungal right atrial thrombosis complicating central venous catheterization in a critically ill child.

A 9-year-old boy was admitted to our pediatric intensive care unit after multiple trauma. On the 17th day post trauma, he developed catheter-related sepsis with candidemia. After removal of the catheter and 6 days of unsuccessful intravenous antifungal therapy, conventional and transesophageal two-dimensional echocardiography was performed revealing a large right atrial thrombus. Surgical thrombectomy under cardiopulmonary bypass was performed and the patient recovered within a few days. Fungal right atrial thrombus is a rare, life-threatening complication of central venous catheterization. Two-dimensional echocardiography is a simple and effective diagnostic technique that should be performed when candidemia is detected. The proper therapeutic response depends on the findings of this examination. For a symptomatic patient with a large, mobile thrombus, we strongly recommend thrombectomy. Surgery not only allows removal of the mass and thus elimination of the mechanical complication but is also a key to management of infection.

Candidiasis↗
PubMed1992

Pharmacodynamic properties of propofol during recovery from anaesthesia.

Propofol was used to induce and maintain anaesthesia in 20 healthy adult ASA physical status 1 patients undergoing dental surgery. Recovery was studied using psychometric tests and clinical assessment while propofol blood levels were obtained at the same study times. Recovery was rapid and there were no significant differences 60 min after anaesthesia (t60) for the tracing test and 90 min for the choice reaction time. All patients were orientated in time at t30 and in space at t45; Stewart's score was maximal in all patients at t60; recovery of normal walking was slower, i.e. t120. Return to baseline for psychometric function was linked to a decrease in propofol blood level, for both the tracing test (P less than 10(-6)) and the choice reaction time (P less than 10(-3)). We conclude that propofol is a suitable anaesthetic agent for induction and maintenance of short duration dental anaesthesia.

Adult↗
PubMed1992

[Fungal thrombus of the right atrium on a central venous catheter. Apropos of a case].

The authors report the case of a 9 year old child in an intensive care unit after multiple trauma, presenting with a candida septicaemia and a central venous catheter. Echocardiography, performed because of the inefficacy of medical treatment, showed a right atrial thrombus. Surgical ablation was decided because of its extreme mobility and persisting infection, and resulted in cure of the patient.

Candidiasis↗
PubMed1990

[How to assess the psychomotor test "Track Tracer"?].

The psychomotor test "Track Tracer" is usually assessed by measuring the number of errors and the time needed for its completion. The link existing between the number of errors and the time of completion permitted the authors to propose a scoring system representing a reliable evaluation of psychomotor function recovery.

Anesthesia Recovery Period↗
PubMed1990

Propofol as the main anaesthetic agent in dental surgery.

Propofol was used as the main anaesthetic agent for induction and maintenance of anaesthesia in 30 patients undergoing dental surgery requiring tracheal intubation. Anaesthesia was successfully induced and intubation performed in all patients, with a propofol induction dose of 3.5 mg/kg and without muscle relaxants or opioids. Intubating conditions were good for 77% of the patients. No haemodynamic changes occurred. Maintenance with propofol 9 mg/kg/h and 70% nitrous oxide provided suitable conditions for surgery. Awakening and recovery times were short and few side effects were recorded. However, post-operative dental pain was systematically recorded and was present in 60% of the patients.

Adult↗