Clinical management of established pre-eclampsia and gestational hypertension: an anaesthetist’s perspective
Identifieur interne : 000748 ( Istex/Corpus ); précédent : 000747; suivant : 000749Clinical management of established pre-eclampsia and gestational hypertension: an anaesthetist’s perspective
Auteurs : Stephen P. GattSource :
- Best Practice & Research Clinical Obstetrics & Gynaecology [ 1521-6934 ] ; 1999.
English descriptors
- KwdEn :
- Teeft :
- American college, American journal, Anaesthesia, Anaesthetist, Analgesia, Blood pressure, British journal, Caesarean, Caesarean section, Canadian anaesthetists, Cardiac output, Central venous pressure, Chronic hypertension, Clinical management, Coagulation, Eclampsia, Eclampsia trial, Endotracheal intubation, Epidural, Epidural anaesthesia, Epidural analgesia, Gatt, Gatt figure, General anaesthesia, Gynecology, Hours postpartum, Hypertension, Intensive care unit, Intracranial pressure, Intravascular coagulation, Intubation, Invasive monitoring, Liver enzymes, Lower risk, Magnesium, Magnesium sulphate, Obstetrics, Oedema, Platelet, Platelet count, Platelet counts, Pressor, Pressor responses, Pulmonary artery catheter, Pulmonary artery catheterisation, Pulmonary capillary wedge pressure, Pulmonary oedema, Regional anaesthesia, Risk factors, Seizure prophylaxis, Severe hypertension, Society journal, Sydney hospital, Thrombocytopenia, Tracheal intubation, Uteroplacental blood.
Abstract
Abstract: Expert and aggressive pre-operative preparation of the woman with severe pre-eclampsia will ultimately determine her intraoperative outcome. Such considerations as the effect of endotracheal manipulation on intracranial pressure, of thrombocytopenia on the potential to produce a compressive epidural haematoma following epidural or combined spinal–epidural neuraxial block and of adequacy of invasive monitoring for Caesarean section loom large in the eyes of an anaesthetist preparing such a patient for surgery. Time spent pre-operatively in fluid volume optimization, in assessment of ventricular function, filling pressures and systemic vascular resistance, on aspiration pneumonitis and seizure prophylaxis, on control of hypertension, on correction of coagulopathy and on attenuation of pressor responses is time well spent and will have profound effects on the peri-operative course. The choice of agents and techniques for control of hypertension and reduction of vascular resistance, for induction and maintenance of general anaesthesia, for eclampsia prophylaxis and for regional anaesthesia or analgesia for operative or spontaneous delivery is, likewise, important and, at times, problematic.
Url:
DOI: 10.1053/beog.1999.0008
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ISTEX:BD06CD1B97ED2C52A17AB285AB8CB4DD9AF64D46Le document en format XML
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Gatt SMOM OAM; MD, LRCP, MRCS, FFARACS, FANZCA, FFICANZCA</name><affiliations><json:string>Division of Anaesthesia and Intensive Care, Prince of Wales Hospital, Sydney Children’s Hospital, Prince Henry Hospital, Royal South Sydney Hospital, Randwick, New South Wales, AustraliaRoyal Hospital for Women, Randwick, New South Wales, AustraliaUniversity of New South Wales, Kensington, New South Wales, Australia</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>acute renal failure</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>anaesthesia, general</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>anaesthesia, regional</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>anticonvulsive agent</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>chronic hypertension</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>eclampsia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>magnesium sulphate</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>phenytoin</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>pre-eclampsia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>pregnancy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>pregnancy induced hypertension</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>proteinuria</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>vasospasm</value></json:item></subject><arkIstex>ark:/67375/6H6-KWGN9CJ8-K</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>Full-length article</json:string></originalGenre><abstract>Abstract: Expert and aggressive pre-operative preparation of the woman with severe pre-eclampsia will ultimately determine her intraoperative outcome. Such considerations as the effect of endotracheal manipulation on intracranial pressure, of thrombocytopenia on the potential to produce a compressive epidural haematoma following epidural or combined spinal–epidural neuraxial block and of adequacy of invasive monitoring for Caesarean section loom large in the eyes of an anaesthetist preparing such a patient for surgery. Time spent pre-operatively in fluid volume optimization, in assessment of ventricular function, filling pressures and systemic vascular resistance, on aspiration pneumonitis and seizure prophylaxis, on control of hypertension, on correction of coagulopathy and on attenuation of pressor responses is time well spent and will have profound effects on the peri-operative course. The choice of agents and techniques for control of hypertension and reduction of vascular resistance, for induction and maintenance of general anaesthesia, for eclampsia prophylaxis and for regional anaesthesia or analgesia for operative or spontaneous delivery is, likewise, important and, at times, problematic.</abstract><qualityIndicators><refBibsNative>false</refBibsNative><abstractWordCount>164</abstractWordCount><abstractCharCount>1215</abstractCharCount><keywordCount>13</keywordCount><score>7.193</score><pdfWordCount>3225</pdfWordCount><pdfCharCount>21644</pdfCharCount><pdfVersion>1.2</pdfVersion><pdfPageCount>11</pdfPageCount><pdfPageSize>612 x 792 pts (letter)</pdfPageSize></qualityIndicators><title>Clinical management of established pre-eclampsia and gestational hypertension: an anaesthetist’s perspective</title><pmid><json:string>10746095</json:string></pmid><pii><json:string>S1521-6934(99)90008-1</json:string></pii><genre><json:string>research-article</json:string></genre><host><title>Best Practice & Research Clinical Obstetrics & Gynaecology</title><language><json:string>unknown</json:string></language><publicationDate>1999</publicationDate><issn><json:string>1521-6934</json:string></issn><pii><json:string>S1521-6934(00)X0010-7</json:string></pii><volume>13</volume><issue>1</issue><pages><first>95</first><last>105</last></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>1999</json:string></date><geogName></geogName><orgName><json:string>The International Multicentre</json:string><json:string>Wales Hospital, Sydney Children</json:string><json:string>Royal South Sydney Hospital, Randwick, New South Wales, Australia Senior Staff Specialist Royal Hospital for Women, Randwick, New South Wales, Australia Senior Lecturer</json:string><json:string>American Journal of Obstetrics and Gynecology</json:string><json:string>Anaesthesia University</json:string><json:string>Australia Expert</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Henry Hospital</json:string><json:string>The</json:string><json:string>Prince</json:string><json:string>S. 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Gatt</json:string></persName><placeName><json:string>Wales</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Allen et al, 1991</json:string><json:string>Sise et al, 1981</json:string><json:string>Mallampati et al, 1985</json:string><json:string>Hodgkinson et al</json:string><json:string>Macdonald, 1991</json:string><json:string>Cotton et al, 1985</json:string><json:string>Chesley, 1985</json:string><json:string>Easterling et al, 1990</json:string><json:string>Wasserstrum et al, 1986</json:string><json:string>Eclampsia Trial Collaborative Group, 1995</json:string><json:string>Clark et al, 1988</json:string><json:string>Gatt, 1992</json:string><json:string>Elliott et al, 1979</json:string><json:string>Groenendijk et al, 1984</json:string><json:string>Cotton et al</json:string><json:string>Barker and Callender, 1991</json:string><json:string>Gabert and Miller, 1985</json:string><json:string>Crosby, 1991</json:string><json:string>Redman et al, 1978</json:string><json:string>Neiger et al, 1991</json:string><json:string>Bernheim, 1997</json:string><json:string>Pritchard et al, 1984</json:string><json:string>Schindler et al, 1990</json:string><json:string>Liu et al, 1986</json:string><json:string>De Boer et al, 1991</json:string><json:string>Gallery et al, 1981</json:string><json:string>Clark et al, 1985</json:string><json:string>Newsome et al</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/6H6-KWGN9CJ8-K</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - obstetrics & gynecology</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - obstetrics & reproductive medicine</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Obstetrics and Gynaecology</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - General Medicine</json:string></scopus><inist><json:string>1 - sciences appliquees, technologies et medecines</json:string><json:string>2 - sciences biologiques et medicales</json:string><json:string>3 - sciences medicales</json:string><json:string>4 - anesthesie. reanimation. transfusion. therapie cellulaire et therapie genique</json:string></inist></categories><publicationDate>1999</publicationDate><copyrightDate>1999</copyrightDate><doi><json:string>10.1053/beog.1999.0008</json:string></doi><id>BD06CD1B97ED2C52A17AB285AB8CB4DD9AF64D46</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/BD06CD1B97ED2C52A17AB285AB8CB4DD9AF64D46/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/BD06CD1B97ED2C52A17AB285AB8CB4DD9AF64D46/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/BD06CD1B97ED2C52A17AB285AB8CB4DD9AF64D46/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Clinical management of established pre-eclampsia and gestational hypertension: an anaesthetist’s perspective</title><respStmt><resp>Références bibliographiques récupérées via GROBID</resp><name resp="ISTEX-API">ISTEX-API (INIST-CNRS)</name></respStmt></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>©1999 Harcourt Publishers Ltd</p></availability><date>1999</date></publicationStmt><notesStmt><note>Received 1999, Accepted 2000</note><note type="content">Section title: Regular Article</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Clinical management of established pre-eclampsia and gestational hypertension: an anaesthetist’s perspective</title><author xml:id="author-0000"><persName><forename type="first">Stephen P.</forename><surname>Gatt</surname></persName><roleName type="degree">SMOM OAM; MD, LRCP, MRCS, FFARACS, FANZCA, FFICANZCA</roleName><note type="biography">Head, Program Director of the Acute Services Programme, Senior Staff Specialist, Senior Lecturer in Anaesthesia</note><affiliation>Head, Program Director of the Acute Services Programme, Senior Staff Specialist, Senior Lecturer in Anaesthesia</affiliation><affiliation>Division of Anaesthesia and Intensive Care, Prince of Wales Hospital, Sydney Children’s Hospital, Prince Henry Hospital, Royal South Sydney Hospital, Randwick, New South Wales, AustraliaRoyal Hospital for Women, Randwick, New South Wales, AustraliaUniversity of New South Wales, Kensington, New South Wales, Australia</affiliation></author><idno type="istex">BD06CD1B97ED2C52A17AB285AB8CB4DD9AF64D46</idno><idno type="DOI">10.1053/beog.1999.0008</idno><idno type="PII">S1521-6934(99)90008-1</idno></analytic><monogr><title level="j">Best Practice & Research Clinical Obstetrics & Gynaecology</title><title level="j" type="abbrev">YBEOG</title><idno type="pISSN">1521-6934</idno><idno type="PII">S1521-6934(00)X0010-7</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1999"></date><biblScope unit="volume">13</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="95">95</biblScope><biblScope unit="page" to="105">105</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1999</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Expert and aggressive pre-operative preparation of the woman with severe pre-eclampsia will ultimately determine her intraoperative outcome. Such considerations as the effect of endotracheal manipulation on intracranial pressure, of thrombocytopenia on the potential to produce a compressive epidural haematoma following epidural or combined spinal–epidural neuraxial block and of adequacy of invasive monitoring for Caesarean section loom large in the eyes of an anaesthetist preparing such a patient for surgery. Time spent pre-operatively in fluid volume optimization, in assessment of ventricular function, filling pressures and systemic vascular resistance, on aspiration pneumonitis and seizure prophylaxis, on control of hypertension, on correction of coagulopathy and on attenuation of pressor responses is time well spent and will have profound effects on the peri-operative course. The choice of agents and techniques for control of hypertension and reduction of vascular resistance, for induction and maintenance of general anaesthesia, for eclampsia prophylaxis and for regional anaesthesia or analgesia for operative or spontaneous delivery is, likewise, important and, at times, problematic.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>acute renal failure</term></item><item><term>anaesthesia, general</term></item><item><term>anaesthesia, regional</term></item><item><term>anticonvulsive agent</term></item><item><term>chronic hypertension</term></item><item><term>eclampsia</term></item><item><term>magnesium sulphate</term></item><item><term>phenytoin</term></item><item><term>pre-eclampsia</term></item><item><term>pregnancy</term></item><item><term>pregnancy induced hypertension</term></item><item><term>proteinuria</term></item><item><term>vasospasm</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1999">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2017-09-30">References added</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/BD06CD1B97ED2C52A17AB285AB8CB4DD9AF64D46/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier converted-article found"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla" xml:lang="en"><item-info><jid>YBEOG</jid><aid>90008</aid><ce:pii>S1521-6934(99)90008-1</ce:pii><ce:doi>10.1053/beog.1999.0008</ce:doi><ce:copyright type="full-transfer" year="1999">Harcourt Publishers Ltd</ce:copyright></item-info><head><ce:dochead><ce:textfn>Regular Article</ce:textfn></ce:dochead><ce:title>Clinical management of established pre-eclampsia and gestational hypertension: an anaesthetist’s perspective</ce:title><ce:author-group><ce:author><ce:given-name>Stephen P.</ce:given-name><ce:surname>Gatt</ce:surname><ce:degrees>SMOM OAM; MD, LRCP, MRCS, FFARACS, FANZCA, FFICANZCA</ce:degrees><ce:roles>Head, Program Director of the Acute Services Programme, Senior Staff Specialist, Senior Lecturer in Anaesthesia</ce:roles></ce:author><ce:affiliation><ce:textfn>Division of Anaesthesia and Intensive Care, Prince of Wales Hospital, Sydney Children’s Hospital, Prince Henry Hospital, Royal South Sydney Hospital, Randwick, New South Wales, Australia</ce:textfn></ce:affiliation><ce:affiliation><ce:textfn>Royal Hospital for Women, Randwick, New South Wales, Australia</ce:textfn></ce:affiliation><ce:affiliation><ce:textfn>University of New South Wales, Kensington, New South Wales, Australia</ce:textfn></ce:affiliation></ce:author-group><ce:miscellaneous>Received 1999, Accepted 2000</ce:miscellaneous><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para>Expert and aggressive pre-operative preparation of the woman with severe pre-eclampsia will ultimately determine her intraoperative outcome. Such considerations as the effect of endotracheal manipulation on intracranial pressure, of thrombocytopenia on the potential to produce a compressive epidural haematoma following epidural or combined spinal–epidural neuraxial block and of adequacy of invasive monitoring for Caesarean section loom large in the eyes of an anaesthetist preparing such a patient for surgery. Time spent pre-operatively in fluid volume optimization, in assessment of ventricular function, filling pressures and systemic vascular resistance, on aspiration pneumonitis and seizure prophylaxis, on control of hypertension, on correction of coagulopathy and on attenuation of pressor responses is time well spent and will have profound effects on the peri-operative course.</ce:simple-para><ce:simple-para>The choice of agents and techniques for control of hypertension and reduction of vascular resistance, for induction and maintenance of general anaesthesia, for eclampsia prophylaxis and for regional anaesthesia or analgesia for operative or spontaneous delivery is, likewise, important and, at times, problematic.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords><ce:section-title>Keywords</ce:section-title><ce:keyword><ce:text>acute renal failure</ce:text></ce:keyword><ce:keyword><ce:text>anaesthesia, general</ce:text></ce:keyword><ce:keyword><ce:text>anaesthesia, regional</ce:text></ce:keyword><ce:keyword><ce:text>anticonvulsive agent</ce:text></ce:keyword><ce:keyword><ce:text>chronic hypertension</ce:text></ce:keyword><ce:keyword><ce:text>eclampsia</ce:text></ce:keyword><ce:keyword><ce:text>magnesium sulphate</ce:text></ce:keyword><ce:keyword><ce:text>phenytoin</ce:text></ce:keyword><ce:keyword><ce:text>pre-eclampsia</ce:text></ce:keyword><ce:keyword><ce:text>pregnancy</ce:text></ce:keyword><ce:keyword><ce:text>pregnancy induced hypertension</ce:text></ce:keyword><ce:keyword><ce:text>proteinuria</ce:text></ce:keyword><ce:keyword><ce:text>vasospasm</ce:text></ce:keyword></ce:keywords></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Clinical management of established pre-eclampsia and gestational hypertension: an anaesthetist’s perspective</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Clinical management of established pre-eclampsia and gestational hypertension: an anaesthetist’s perspective</title></titleInfo><name type="personal"><namePart type="given">Stephen P.</namePart><namePart type="family">Gatt</namePart><namePart type="termsOfAddress">SMOM OAM; MD, LRCP, MRCS, FFARACS, FANZCA, FFICANZCA</namePart><affiliation>Division of Anaesthesia and Intensive Care, Prince of Wales Hospital, Sydney Children’s Hospital, Prince Henry Hospital, Royal South Sydney Hospital, Randwick, New South Wales, AustraliaRoyal Hospital for Women, Randwick, New South Wales, AustraliaUniversity of New South Wales, Kensington, New South Wales, Australia</affiliation><description>Head, Program Director of the Acute Services Programme, Senior Staff Specialist, Senior Lecturer in Anaesthesia</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1999</dateIssued><copyrightDate encoding="w3cdtf">1999</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract lang="en">Abstract: Expert and aggressive pre-operative preparation of the woman with severe pre-eclampsia will ultimately determine her intraoperative outcome. Such considerations as the effect of endotracheal manipulation on intracranial pressure, of thrombocytopenia on the potential to produce a compressive epidural haematoma following epidural or combined spinal–epidural neuraxial block and of adequacy of invasive monitoring for Caesarean section loom large in the eyes of an anaesthetist preparing such a patient for surgery. Time spent pre-operatively in fluid volume optimization, in assessment of ventricular function, filling pressures and systemic vascular resistance, on aspiration pneumonitis and seizure prophylaxis, on control of hypertension, on correction of coagulopathy and on attenuation of pressor responses is time well spent and will have profound effects on the peri-operative course. The choice of agents and techniques for control of hypertension and reduction of vascular resistance, for induction and maintenance of general anaesthesia, for eclampsia prophylaxis and for regional anaesthesia or analgesia for operative or spontaneous delivery is, likewise, important and, at times, problematic.</abstract><note>Received 1999, Accepted 2000</note><note type="content">Section title: Regular Article</note><subject lang="en"><genre>Keywords</genre><topic>acute renal failure</topic><topic>anaesthesia, general</topic><topic>anaesthesia, regional</topic><topic>anticonvulsive agent</topic><topic>chronic hypertension</topic><topic>eclampsia</topic><topic>magnesium sulphate</topic><topic>phenytoin</topic><topic>pre-eclampsia</topic><topic>pregnancy</topic><topic>pregnancy induced hypertension</topic><topic>proteinuria</topic><topic>vasospasm</topic></subject><relatedItem type="host"><titleInfo><title>Best Practice & Research Clinical Obstetrics & Gynaecology</title></titleInfo><titleInfo type="abbreviated"><title>YBEOG</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">199903</dateIssued></originInfo><identifier type="ISSN">1521-6934</identifier><identifier type="PII">S1521-6934(00)X0010-7</identifier><part><date>199903</date><detail type="volume"><number>13</number><caption>vol.</caption></detail><detail type="issue"><number>1</number><caption>no.</caption></detail><extent unit="issue-pages"><start>1</start><end>159</end></extent><extent unit="pages"><start>95</start><end>105</end></extent></part></relatedItem><identifier type="istex">BD06CD1B97ED2C52A17AB285AB8CB4DD9AF64D46</identifier><identifier type="ark">ark:/67375/6H6-KWGN9CJ8-K</identifier><identifier type="DOI">10.1053/beog.1999.0008</identifier><identifier type="PII">S1521-6934(99)90008-1</identifier><accessCondition type="use and reproduction" contentType="copyright">©1999 Harcourt Publishers Ltd</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-HKKZVM7B-M">elsevier</recordContentSource><recordOrigin>Harcourt Publishers Ltd, ©1999</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/BD06CD1B97ED2C52A17AB285AB8CB4DD9AF64D46/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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