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Master Thesis

Étude pilote : évaluation de la surface antrale mesurée par échographie avant césarienne programmée ou hystéroscopie opératoire

Abstract : Introduction: inhalation syndrome, the difficulty of airway management, and the use of fast-acting curare are linked in France to maternal morbidity and mortality in obstetric anesthesia. Knowing precisely the "full" or "empty" status of the stomach in pregnant women would make it possible to modify the anesthetic practice, including the management of the ai rways. Material and method: pilot study, non-interventional, prospective, uni-centric. The main objective was to compare the cross section area in supine position, patients benefiting from a planned cesarean section or operative hysteroscopy. Results: 86 patients were included and analyzed. The medial cross section area in the supine position was 454.6 mm2 [303.4 - 610.1] in the caesarean section and 386.2 mm2 [314.1 - 608.5] in the hysteroscopic group (p=0.68). The Perlas score was 0 for 39% of parturients versus 62% in the hysteroscopy group (p=0.052). Discussion: the CSA medial supine and Perlas score did not differ significantly between our two populations. Patients admitted for a scheduled caesarean section who have an "empty" stomach confirmed by ultrasound could benefit, in first intention, as operating hysteroscopies, from a laryngeal mask. Conclusion: the medial CSA in supine position is not significantly different preoperatively from a scheduled cesarean section or from an operative hysteroscopy.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02502977
Contributor : Université Paris Descartes - Scd <>
Submitted on : Friday, February 5, 2021 - 2:44:43 PM
Last modification on : Wednesday, February 10, 2021 - 3:21:00 AM

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Jean Derely. Étude pilote : évaluation de la surface antrale mesurée par échographie avant césarienne programmée ou hystéroscopie opératoire. Médecine humaine et pathologie. 2018. ⟨dumas-02502977⟩

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