Brain lesions in eclampsia: A series of 39 cases admitted in an Intensive Care Unit.

The aim of this study was to identify the encephalic lesions in the eclampsia occurrences. Within a period of 18 months, computed tomography (CT) of the brain was performed in all patients admitted in intensive care for eclampsia. These CTs were analyzed and intracerebral lesions were identified. Thirty-nine patients were included. We noted 10 cases of ischemic stroke, 9 cases of cerebral edema, and 3 cases of hemorrhagic stroke and subarachnoid hemorrhage. The CT scan came back to normal in 20 eclamptic patients. Overall, delays in obstetric and intensive care and time of completion of the CT were long. CT has allowed highlighting in patients with eclampsia varied intracerebral lesions. The early performance of the CT is therefore essential for a better support of patients.

[Diagnosis difficulties of a traumatic lesions of the upper airways about one case]. / Difficultés diagnostiques de lésions des voies aériennes supérieures d'origine traumatique à propos d'une observation.

Cervical region traumas can involve various structures and their assessment is difficult. Vascular and aero digestive lesions (ENT and esophageal sphere) are at the forefront of the lesion assessment. Lesions of the ENT sphere are generally expressed by respiratory signs of varying intensity. They are rarely silent. The authors report a case of cervical wound with vascular lesion in the foreground and large laryngeal tracheal lesions (a section of the first and second tracheal rings, multiple cuts in thyroid cartilage with section of the anterior part of the cricoid cartilage) without clinical expression, discovered during surgical exploration. The circumstances of occurrence, the invasive agents and the management are discussed.

Les traumatismes de la région cervicale peuvent impliquer diverses structures et l'évaluation est difficile. Les lésions vasculaires et aérodigestives (sphère ORL et oesophagienne) sont au premier plan du bilan lésionnel. Les lésions de la sphère ORL s'expriment en général par des signes respiratoires d'intensité variable. Elles sont rarement muettes. Les auteurs rapportent un cas de plaie cervicale avec lésion vasculaire au premier plan et d'importantes lésions laryngo-trachéales (une section des 1er et 2ième anneaux trachéaux, de multiples entailles du cartilage thyroïde avec section de la partie antérieure du cartilage cricoïde) sans expression clinique, découvertes lors de l'exploration chirurgicale. Les circonstances de survenue, les agents vulnérants et la prise en charge sont discutés.

[Anesthesic practice for gynecological and obstetric emergency in the Cocody CHU]. / Pratique anesthesique pour urgences gynecologiques et obstetricales au CHU de Cocody.

OBJECTIVE: To evaluate the anesthetic practice in the operating theater of gynecological and obstetric emergencies. MATERIAL AND METHOD: Prospective, descriptive and analytical study on patients admitted to the operating room for a gynecological and or obstetric emergency over a period of six months. RESULTS: We collected 3,486 patients out of 7,574 admissions, or 46.02%. The average age was 27.3 years with extremes of 15 and 45. SFA was the first operative indication for obstetric emergencies while gynecological emergencies were dominated by first trimester bleeding. 99.39% of the patients benefited from a CPA and 45.40% of them, were classified ASA I u. LAR by spinal anesthesia was the most commonly performed anesthetic regimen. Maternal lethality was 0.005. For the mother, the age group [30-45 years], the provenance, the hemorrhagic syndromes, the ASA III and IV classes, the long delays in transfusion and block management were factors of poor prognosis. (P≤0.05) For the fetus, hemorrhagic syndromes and general anesthesia were factors of poor prognosis. (P ≤ 0.05). CONCLUSION: Spinal anesthesia was the most widely used anesthetic regimen.

OBJECTIF: Evaluer la pratique anesthésique au bloc opératoire des urgences gynécologiques et obstétriques. MATÉRIEL ET MÉTHODE: Etude prospective, descriptive et analytique portant sur les patientes admises au bloc opératoire pour une urgence gynécologique ou obstétrique sur une période de six mois. RÉSULTATS: Nous avons colligé 3486 patientes sur 7574 admissions soit 46,02%. La moyenne d'âge était de 27,3 ans avec des extrêmes de 15 et 45 ans. La SFA était la première indication opératoire pour les urgences obstétricales tandis que les urgences gynécologiques étaient dominées parles métrorragies du premier trimestre. La majorité de nos patientes ont eu une consultation pré-anesthésique. L'ALR par rachianesthésie était le schéma anesthésique le plus réalisé. La létalité maternelle était de 0,005. Pour la mère, la tranche d'âge [30-45 ans], la provenance, les syndromes hémorragiques, les classes ASA III et IV, les longs délais de transfusion et de prise en charge au bloc ont constitué des facteurs de mauvais pronostics. (P≤0,05)Pour le fœtus, les syndromes hémorragiques et l'anesthésie générale constituaient les facteurs de mauvais pronostics. (P≤0,05). CONCLUSION: La rachianesthésie était le schéma anesthésique le plus utilisé.

[Not Available]. / L'engelure causée par le butane commercial au cours d'un accident industriel.

Cold burns are still exceptional in sub-Saharan Africa. However, the promotion of a wider use of domestic gas (commercial butane) has led to the growth of petrochemical industries. As a consequence, there is an increased risk of the occurrence of such burns (referred to as frostbite). We report a case of a cold burn injury caused by liquefied petroleum gas (LPG) in the workplace. The diagnosis of severity and management later complicated the local evolution. Compliance with safety measures in factories remains the main means of preventing this rarely seen type of burn.