Deep Neuromuscular Blockade Improves Surgical Conditions During Gynecological Laparoscopy

Obtaining an appropriate laparoscopic workspace depends on several factors related to the patient (i.e., weight and abdominal compliance) and the procedure (i.e., body’s position, depth of anesthesia and intra-abdominal (IA) pressure). Among them, a deep neuromuscular blockade (NMB) contributes to provide the surgeon with better operating conditions. This chapter discusses the interests and challenges of muscle relaxation during gynecological laparoscopy. The introduction of sugammadex into clinical practice provides the opportunity to modify the management of neuromuscular blockade to improve the surgical conditions during laparoscopy as well as the safety of the patients. The maintenance of a rocuronium-induced deep neuromuscular block from the trocar insertion until the end of laparoscopy is no longer incompatible with rapid recovery and awakening in optimal conditions. Neuromuscular transmission (NMT) monitoring is the key to adequate management and should be used in all cases. Objective measurements allow for excellent intubation and surgical conditions, the definition of thresholds and doses for the administration of reversal agents, and the exclusion of residual blockade prior to the patient extubation

Search for supersymmetry with a dominant R-parity violating LQDbar couplings in e+e- collisions at centre-of-mass energies of 130GeV to 172 GeV

A search for pair-production of supersymmetric particles under the assumption that R-parity is violated via a dominant LQDbar coupling has been performed using the data collected by ALEPH at centre-of-mass energies of 130-172 GeV. The observed candidate events in the data are in agreement with the Standard Model expectation. This result is translated into lower limits on the masses of charginos, neutralinos, sleptons, sneutrinos and squarks. For instance, for m_0=500 GeV/c^2 and tan(beta)=sqrt(2) charginos with masses smaller than 81 GeV/c^2 and neutralinos with masses smaller than 29 GeV/c^2 are excluded at the 95% confidence level for any generation structure of the LQDbar coupling.Comment: 32 pages, 30 figure

Contribution à l'étude de la prolifération cellulaire dans l'épithélium de la vésicule biliaire

Doctorat en sciences médicalesinfo:eu-repo/semantics/nonPublishe

Fractures du col du fémur et prothèses totales de hanches

SCOPUS: sh.jinfo:eu-repo/semantics/publishe

Sémiologie orthopédique

MEDE4S, MEDI-G-406info:eu-repo/semantics/published

Sémiologie orthopédique

MED4 - CHIR015info:eu-repo/semantics/published

Bien placer une traction trans-osseuse.

The author reports on the general principles of bone traction, then describes very precisely the technical steps of the installation of traction. Many useful technical tips are given, and different locations are described.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

L'examen clinique du genou

The clinical examination of the knee is very important. After listining to the patient, one asks him various questions and one performs the clinical examination. After that only it is possible to choose the best examinations to be done, if necessary. The various aspects of the interrogation and the clinical examination are discribed according to the different structures of the knee which may be injuried.SCOPUS: ar.jinfo:eu-repo/semantics/publishe