Biomedical subjects
Publications and source records attributed to P Le Cosquer.
In this paper, based on the results of a questionnaire, the author carried out a descriptive study about all the knowledges of the anaesthesists medicine on 1999 new law of blood transfusion. This work pointed out the progress that is still to be done, justifying a specialized formation in transfusion for all the people working in anaesthesiology.
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We report a case of amiodarone-induced thyrotoxicosis, diagnosed with a systematic laboratory investigation in a 64-year-old patient, for haematuria. Despite the interruption of amiodarone, hyperthyroidism and a goiter occurred. Conventional therapy betablockers, antithyroid agents, prednisone, potassium perchlorate) did not result in any clinical improvement. The development of a malignant thyrotoxicosis with neurologic disturbances and acute respiratory insufficiency required mechanical ventilation and a subtotal thyroidectomy. The patient's status improved progressively and he was discharged without sequelae. The respective roles of medical therapy and thyroidectomy in amiodarone-induced thyrotoxicosis are discussed.