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| 1 | Management of digestive bleeding related to portal hypertension in cirrhotic patients:A French multicenter cross-sectional practice survey显示文摘AIM: To investigate the conformity of management practices of gastrointestinal hemorrhage in cirrhotic patients with relevant guidelines. METHODS: A questionnaire on the management of digestive bleeding was completed for all consecutive cirrhotic patients admitted to 31 French hospitals. RESULTS: One hundred and twenty-six bleeding events were recorded. It was the first bleeding episode in 79 patients (63%), of whom 40 (51%) had a prior diagnosis of cirrhosis and 25 (32%) had previously undergone an endoscopy. The bleeding episode was a recurrence in 46 patients (37%). The median time between onset and admission was 4 h, but exceeded 12 h in 42% of cases. There was an agreement between centers forearly vasoactive drug administration (87% of cases), association with ligation (42%) more often than sclerosis (21%) at initial endoscopy, and antibiotic prophylaxis (64%). By contrast, prescription of beta-blockade alone or in combination (0 to 100%, P = 0.003) for secondary prophylaxis and lactulose (26% to 86%, P = 0.04), differed among centers. CONCLUSION: In French hospitals, management of bleeding related to portal hypertension in cirrhotic patients is generally in keeping with the consensus. Broad variability still remains concerning beta-blockade use for secondary prophylaxis. Screening for esophageal varices, the use of antibiotic prophylaxis and patients information need to be improved. | Pierre Ingrand Jérme Gournay Pierre Bernard Frédéric Oberti Brigitte Bernard-Chabert Arnault Pauwels Philippe Renard Eric Bartoli Jean-Franois Cadranel Jean-Claude Barbare Isabelle Ingrand Michel Beauchant | 2006 | World Journal of Gastroenterology2006，12，48： | 4 |
| 2 | Sleep and vigilance disorders in pregnancy显示文摘 | Neau J P Texier B Ingrand P | 2009 | Eur Neurol2009，62，1： | 1 |
| 3 | Perioperative manage- ment of the morbidly obese adolescent with heart failure undergoing bariatrie surgery显示文摘 | Maxwell BG Ingrande J Rosenthal DN | 2012 | Paediatr Anaesth2012，22，5： | 1 |
| 4 | Sleep and vigilance disorders inpregnancy显示文摘 | Neau J P Texier B Ingrand P | 2009 | Eur Neurol2009，62，1： | 1 |
| 5 | Lean body weight scalar for the anesthetic induction dose of propofol in mor- bidly obese subjects 显示文摘 | INGRANDE J BRODSKY J B LEMMENS H J M | 2011 | Anesth Analg2011，113，1： | 1 |
| 6 | Analysis of steroid hormones in effluents of wastewater treatment plants by liquid chromatography-tandem mass spectrometry显示文摘 | Ingrand V Herry G Beausse J | 2003 | J Chromatogr A2003，1020，1： | 1 |
| 7 | Dose adjustment of anaesthetics inthe morbidly obese 显示文摘 | Ingrande J Lemmens HJM | 2010 | British Journal of Anaesthesia2010，，： | 1 |
| 8 | Lean body weight scalar for the anesthetic induction dose of propofol in morbidly obese subjects显示文摘 | Ingrande J Brodsky JB Lemmens HJ | 2011 | Anesth Analg2011，113，1： | 1 |
| 9 | Lean bodyweight scalar for the anesthetic induction dose of propofol in morbidly obese subjects显示文摘 | Ingrande J Brodsky J B Lemmens H J | | 0，，01： | 1 |
| 10 | Dose adjustment of anaesthetics in the morbidly obese显示文摘 | INGRANDE J LEMMENS H J | 2010 | Br J Anaesth2010，105，1： | 1 |
| 11 | Sleep and vigilance disor- ders in pregnancy显示文摘 | Neau J P Texier B Ingrand P | 2009 | Eur Neurol2009，62，1： | 1 |
| 12 | Functional recovery and soc ia I outcome after cerebral infarction in young adults显示文摘 | Neau J P Ingrand P Mouille Brachet C | 1998 | Cerebralvasc Dis1998，8，5： | 1 |
| 13 | Recurrent intracerebral hemorrhage显示文摘 | Neau J P Ingrand P Couderq C | 1997 | Neurology1997，49，1： | 1 |
| 14 | Lean body weight scalar for the anesthetic induction dose of propofol in morbidly obese subjects 显示文摘 | Ingrande J Brodsky JB Lemmens HJ | 2011 | Anesth Analg2011，113，： | 1 |
| 15 | Dose adjustment of anaesthetics in the morbidly obese显示文摘 | Ingrande J Lemmens HJ | 2010 | Br J Anacsth2010，1051，： | 1 |
| 16 | Dose adjustment of anaesthetics inthe morbidly obese 显示文摘 | Ingrande J Lemmens HJ | 2010 | Br J Anaesth2010，105，1： | 1 |
| 17 | Anesthetic pharmacology and the morbidly obese patient 显示文摘 | INGRANDE J LEMMENS H J | 2013 | Curr Anesthesiol Rep2013，3，1： | 1 |
| 18 | Functional recovery and soc ia 1 outcome after cerebral infarction in young adults 显示文摘 | Neau J P Ingrand P Mouille Brachet C | 1998 | Cerebralvasc Dis1998，8，5： | 1 |
| 19 | Lean body weight scalar forthe anesthetic induction dose of propofol in morbidly obese subjects显示文摘 | Ingrande J Brodsky JB Lemmens HJ | 2011 | Anesth Analg2011，113，1： | 1 |
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