176
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Morin P, Vielpeau C, Fournier L, Denizet D. [The coxopodopatellar syndrome]. JOURNAL DE RADIOLOGIE 1985; 66:441-6. [PMID: 4045792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Characteristic features of the coxopodopatellar syndrome are patellar hypoplasia, pelvic skeletal anomalies and morphologic abnormalities of the front of foot. Fifteen cases with variable degrees of anomaly were observed in one family. Since a world-wide literature review failed to demonstrate any perfectly identical observation it was considered that this triple lesion constitutes an original syndrome worth reporting in detail.
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177
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Waskerwitz S, Fournier L, Jones P, Meier W. A comparative analysis of newborn outcome in a hospital-based birthing center. Clin Pediatr (Phila) 1985; 24:273-7. [PMID: 3987167 DOI: 10.1177/000992288502400508] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Medical records of babies born in a hospital-based birthing center were reviewed to determine whether a birthing center alternative to traditional hospital care of the newborn is safe and cost-effective. A cohort of 123 hospital-based birthing center low-risk deliveries was compared to 100 control low-risk deliveries born in the traditional setting at the medical center during the same time period. Morbidity was assessed using the Hollister Classification as reference and was based on treatment need. The analysis of the babies' status at birth, 24 hours, and 72 hours revealed no difference in immediate morbidity. Cost of hospitalization was reduced by $340.00 per cohort baby. These data suggest that this alternative can be safe and cost-effective. This study applies only to hospital-based birthing centers, because the safety of free-standing birthing centers has not been established and because screening for low risk can not eliminate morbidity.
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178
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Desmeules H, Fournier L, Tremblay PR. Systemic changes in the elderly patient and their anaesthetic implications. CANADIAN ANAESTHETISTS' SOCIETY JOURNAL 1985; 32:184-7. [PMID: 2859102 DOI: 10.1007/bf03010048] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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179
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Major D, Fournier L. [The development of P50 and 2,3-DPG during exchange-transfusion in neonates]. L'UNION MEDICALE DU CANADA 1985; 114:165-6. [PMID: 3984111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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180
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Fournier L, Major D. The effect of nitrous oxide on the oxyhaemoglobin dissociation curve. CANADIAN ANAESTHETISTS' SOCIETY JOURNAL 1984; 31:173-7. [PMID: 6423243 DOI: 10.1007/bf03015256] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
The influence of nitrous oxide on the oxyhaemoglobin dissociation curve (ODC) was studied using blood from twenty healthy patients. When the blood samples were exposed to 50 per cent N2O during the determination of the ODC, a left shift was observed and the P50 was decreased by 1.06 kPa (8 mmHg). This shift cannot be explained by temperature, pH, PCO2, or 2,3-DPG effects. Following exposure of the blood to N2O-free gases, the shift disappeared rapidly, and a normal P50 (3.46 kPa) (26 mmHg) was reobtained. In keeping with this reversibility, blood samples taken before and during 45 minutes of N2O-curare anaesthesia showed identical dissociation curves to those which had been obtained during the in vitro N2O exposure experiment.
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181
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Cloutier R, Fournier L, Levasseur L. Reversion to fetal circulation in congenital diaphragmatic hernia: a preventable postoperative complication. J Pediatr Surg 1983; 18:551-4. [PMID: 6644493 DOI: 10.1016/s0022-3468(83)80357-1] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
A review of 26 patients with congenital diaphragmatic hernia, diagnosed in the first 24 hours of life, supports the hypothesis that the postoperative fetal circulation syndrome is an iatrogenic complication, due to the rapid expansion of both lungs, when they are severely hypoplastic. This complication is preventable, when no aspiration of air from the chest cavity is done, and when no tube attached to an underwater seal is inserted. When assisted ventilation is necessary, small volumes at a rapid rate allows satisfactory gaseous exchanges, without pulmonary overinflation.
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182
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Rajatanavin R, Fournier L, DeCosimo D, Abreau C, Braverman LE. Elevated serum free thyroxine by thyroxine analog radioimmunoassays in euthyroid patients with familial dysalbuminemic hyperthyroxinemia. Ann Intern Med 1982; 97:865-6. [PMID: 7149495 DOI: 10.7326/0003-4819-97-6-865] [Citation(s) in RCA: 27] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
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183
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Ansell J, Parrilla N, King M, Fournier L, Szymanski I, Doherty P, Vander Salm T, Cutler B. Survival of autotransfused red blood cells recovered from the surgical field during cardiovascular operations. J Thorac Cardiovasc Surg 1982; 84:387-91. [PMID: 6981035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
The survival of autologous red blood cells (RBCs) collected during operation from the surgical field and processed immediately by the Haemonetics Cell Saver was compared to the survival of autologous nonprocessed RBCs obtained by venipuncture in nine patients undergoing reconstructive vascular operations and four patients undergoing coronary artery bypass. A double isotope technique (Cr-51 and In-111) was used to determine the survival of the different cell populations. Seven patients undergoing coronary artery bypass served as controls to characterize the isotopes by labeling the same population of RBCs with each radionuclide. Comparison of the data in all groups failed to show any significant difference in either the immediate or long-term survival between autotransfused (Cell Saver--processed) blood and nonprocessed RBCs. This study indicates that shed blood collected and processed at operation with the Haemonetics Cell Saver can be autotransfused and that the in vivo survival of these cells is not significantly different from the survival of nonprocessed blood.
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184
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Rajatanavian R, Fournier L, Abreau CM, Braverman LE. Free thyroxine RIA concentration (gammacoat) is spuriously elevated in blood collected in silicon-coated vacutainer tubes. J Nucl Med 1982; 23:751-2. [PMID: 7108620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
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185
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Roy C, Fournier L. [Traumatic amputation]. L' INFIRMIERE CANADIENNE 1981; 23:42-4. [PMID: 6914321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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186
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Fournier L, Major D. Comparison between a clinical short-cut method and a precise laboratory estimation of intrapulmonary shunt and A-aDO2. CANADIAN ANAESTHETISTS' SOCIETY JOURNAL 1981; 28:263-7. [PMID: 7237221 DOI: 10.1007/bf03005512] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
This study shows the application to 20 patients of a very simple formula to estimate A-aDO2 and intrapulmonary shunt, from data commonly available in patients with oxygenation disorders. The values obtained by the "clinical short cut" method and the more sophisticated one are in statistically significant correlation.
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187
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Braverman LE, Abreau CM, Brock P, Kleinmann R, Fournier L, Odstrchel G, Schoemaker HJ. Measurement of serum free thyroxine by RIA in various clinical states. J Nucl Med 1980; 21:233-9. [PMID: 6767812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
A radioimmunoassay for quantitatively measuring the serum concentration of free thyroxine is described. This method does not require equilibrium dialysis, and is rapid and reproducible. The serum values obtained by this radioimmunoassay and by equilibrium dialysis are similar in normal subjects, hyperthyroid and hypothyroid patients, pregnant women, "sick euthyroid" patients, and euthyroid patients with hereditary TBG abnormalities. The method also provides a total serum thyroxine concentration in the same assay procedure.
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188
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Lang R, Kaufmann H, Fournier L, Rieben A. [Tricipital and subscapular skinfold thickness: normal values for boys and girls between 4 and 19 1/2 years of age from Western Switzerland]. SOZIAL- UND PRAVENTIVMEDIZIN 1978; 23:251-2. [PMID: 706821 DOI: 10.1007/bf02075139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Application of profile analysis (4) to skinfold thickness (tricipital ; subscapular) experimentally shows that when data are collected under strict control of the measuring technique, the fluctuations ascribale to observers, to left or right body sides, and to replications may be almost entirely eliminated.
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189
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190
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Desmeules H, Fournier L, Tremblay PR. [Use of sodium bicarbonate in the prevention of aspiration pneumonitis]. L'UNION MEDICALE DU CANADA 1977; 106:326-9. [PMID: 855022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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191
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Fournier L, Goulet C, Waugh R, Chouinard R. Anaesthesia for separation of conjoined twins. CANADIAN ANAESTHETISTS' SOCIETY JOURNAL 1976; 23:425-31. [PMID: 947503 DOI: 10.1007/bf03005922] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
We have presented the anaesthetic technique used during the separation of two female pygopagus conjoined twins. The twins were three months old and weighed 9.2 kilograms on the day of the operation. The main problem during the operation was to evaluate blood volume lost by each patient and a close monitoring of all cardiovascular parameters was necessary to attain this aim. The little pygopagus recuperated well and left the hospital at six months old.
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192
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Awad JA, Borsanyi JP, Fournier L, Major D, Martin L. [Prolonged cardiorespiratory assistance. Effect on the type of extracorporeal derivation on cardiac output]. L'UNION MEDICALE DU CANADA 1975; 104:387-92. [PMID: 1099758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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193
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Paradis B, Fournier L. An evaluation of etiodocaine (Duranest): a new local anaesthetic agent. CANADIAN ANAESTHETISTS' SOCIETY JOURNAL 1975; 22:70-5. [PMID: 1109708 DOI: 10.1007/bf03004820] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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194
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195
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196
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197
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Desmeules H, Fournier L, Sirois GH. [The Guillain-Barre Syndrome: role of the anesthetist in the treatment of cardiovascular and respiratory complications]. CANADIAN ANAESTHETISTS' SOCIETY JOURNAL 1972; 19:290-8. [PMID: 5029042 DOI: 10.1007/bf03028295] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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198
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199
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Fournier L, Desmeules H. A self deflating cuff for arterial compression. CANADIAN ANAESTHETISTS' SOCIETY JOURNAL 1971; 18:578-80. [PMID: 5094109 DOI: 10.1007/bf03026022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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200
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Fournier L, Desmeules H, Tremblay PR, Paradis B. [Use of computers IBM-360: compilation of anesthetic data]. CANADIAN ANAESTHETISTS' SOCIETY JOURNAL 1970; 17:649-57. [PMID: 5501955 DOI: 10.1007/bf03004728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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