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Biomedical subjects

P Lassie

Publications and source records attributed to P Lassie.

6 recordsLinked to original sources
PubMed1995

Thoracic spinal trauma and associated injuries: should early spinal decompression be considered?

The relative benefits of conservative or surgical treatment in thoracic spinal trauma are still controversial. Owing to its anatomic relations, thoracic spinal trauma is specific regarding neurologic prognosis, the high incidence of associated injuries, and surgical management. Over a 30-month period, 49 patients sustained thoracic spinal trauma with neurologic impairment. The authors review population characteristics, associated injuries, and surgical management, and underline the high incidence of associated injuries, in particular, blunt chest trauma. In their opinion, early spinal decompression has no indication in complete paraplegia. Concerning partial paraplegia, early surgery may enhance neurologic recovery. Nevertheless, they suggest three main criteria in deciding whether or not to perform surgery early: the existence of residual spinal compression, the degree of neurologic impairment, and the presence of potential hemorrhagic lesions or blunt chest trauma, especially pulmonary contusion.

Adolescent↗
PubMed1989

[Functioning of an organ procurement center in Bordeau].

The ever increasing practice of transplantation requires the creation of units specialized in the reception of potential organ donors. The functioning of the organ procurement centre at Bordeaux is described, and the results of 100 procurements performed over a 27-month period are reported. The technical support (electroencephalography, laboratories, etc.) ensures that the donors are under permanent care. Recipients chosen in priority are "super-emergencies" and local patients. One half of the 100 donors came from the Gironde department and the others from 6 neighbouring departments. Procurement takes place 6 hours on average after the 2nd inactive electroencephalogram, and it is multiple in 87 per cent of the cases. Two hundred and fifty-two organs were obtained, including 166 kidneys (8 of which were not utilized), 50 hearts and 36 livers; 55 per cent remained in Bordeaux and 45 per cent were sent to other parts of France or abroad. The cerebral death reception centre must be self-sufficient, independent and permanently accessible. Ideally, local co-ordination is ensured by a physician. Procurements in peripheral hospital are possible but difficult to organize. A greater sensitization, a better regional collaboration and a widening of the criteria used in the selection of donors should result in a further increase in the number of multiple organ procurements.

Adolescent↗
PubMed1988

[Post-traumatic cerebral fat embolism].

A seventeen year old boy sustained pelvic, femoral shaft and malleolar fractures in a road traffic accident. Six hours after admission, the patient became comatose (Glasgow coma score = 7); the coma worsened such that, 24 h later, the coma score was 4. Petechiae were present on the conjunctiva and anterior chest wall. Computed tomography revealed diffuse brain swelling. The diagnosis of cerebral fat embolism was made. There were multiple episodes of severe intracranial hypertension. After 23 days of traction, the femoral fracture was internally fixed. The patient returned home after five months of hospital, with just a few memory and writing problems. Ten months after the accident, magnetic resonance imaging showed a small ventricular dilatation due to subcortical atrophy. Residual ischaemic lesions and demyelination could be seen in the right centrum ovale and temporal lobe. The cerebral lesions contrast with the reversibility of the clinical state.

Adolescent↗