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Biomedical subjects

R Pons

Publications and source records attributed to R Pons.

At least 19 recordsLinked to original sources

[Malignant Mediterranean boutonneuse fever. Septic shock of unknown origin?].

Mediterranean Botonous Fever (MBF) is an infectious disease which provokes multisystemic vasculitis due to endothelial proliferation of rickettsia conorii. Its incidence, in our environment, has greatly increased during the last years being endemic in many large cities and their surrounding suburbs. In some cases its evolution is specially malignant resulting in septic shock, adult respiratory distress syndrome, and multiorgan failure. The purpose of this communication is to present a new case of malignant MBF with a bad evolution factor which has not been previously referred to, which is the persistence of vector ticks in the inoculation spot.

Boutonneuse Fever

Tumor recurrence in prostatic urethra following simultaneous resection of bladder tumor and prostate.

A comparative retrospective study was performed on 100 patients who had undergone transurethral resection of a superficial bladder tumor (Ta-Tl) with no associated carcinoma in situ (group 1) and 100 patients who had undergone simultaneous transurethral resection of a superficial bladder tumor (Ta-Tl), with no associated carcinoma in situ, and benign prostatic hyperplasia (group II). Evaluation of the recurrences of prostatic urethral tumors in both groups showed that they appeared in 10 patients (12 recurrences) in group I and 10 patients (14 recurrences) in group II (p = not significant). These data enabled us to rule out the influence of simultaneous transurethral resection in cases of recurrences of prostatic urethral tumors.

Adult

[Anesthesia for esophageal surgery].

At the present time, it is rarely necessary to operate after a digestive perforation complicating the ingestion of a caustic fluid. By contrast, cancer surgery progresses. Anaesthesia requires protection with a high degree of analgesia and curarisation. The use of a Carlens tube during oesophagectomy via a thoracic approach facilitates the surgeon's task. Compensation for blood and water losses should be generous. Insertion of a gastric tube through the plasty makes it possible to avoid gastrostomy. Finally, postoperative artificial ventilation is necessary in these individuals who often suffer from some form of respiratory pathology.

Anesthesia, General

[Cardiovascular disorders in young military personnel. Treatment and readjustment].

The vascular disturbances most commonly encountered in conscripts are examined and the features leading to their diagnosis and the consequent differentiation of organic heart diseases are described. Rhythm variations, auscultation abnormalities (systolic, diastolic and vascular murmurs, additional tones) and ECG alterations thus detected are seen as instances of functional disorders, of a non-dangerous nature that will regress or disappear in the course of time.

Adult

[Anesthesia and the postoperative period in non-urgent tracheal surgery. Apropos of 36 patients].

The authors report 36 cases of resection and suture for stenosis or tumour of the trachea and give details of their technique of anaesthesia, the post-operative follow-up and their results. The development of fiber endoscopy and simplification of intubation, increases the security of the patient, facilitates the task of the anaesthetist and thus improves greatly the operative conditions and post-operative period.

Adolescent