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Anaesthesia, Critical Care & Pain Medicine

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https://www.readbyqxmd.com/read/28705759/implementation-of-an-electronic-checklist-in-the-icu-association-with-improved-outcome
#1
Gary Duclos, Sophie Medam, François Antonini, Djamel Mokart, Véronique Paone, Marie Hélène Po, Coralie Vigne, Emmanuelle Hammad, Frédéric Potié, Claude Martin, Laurent Zieleskiewicz, Marc Leone
OBJECTIVE: To assess the impact of an electronic checklist during the morning rounds on ventilator-associated pneumonia (VAP) in the intensive care unit (ICU). PATIENTS AND METHODS: We conducted a retrospective, before/after study in a single ICU of a university hospital. A systematic electronic checklist focusing on guidelines adherence was introduced in January 2012. From January 2008 to June 2014, we screened patients with ICU stay durations of at least 48hours...
July 10, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28694228/impact-factor-an-assessment-tool-for-journals-or-for-scientists
#2
EDITORIAL
K Slim, A Dupré, B Le Roy
No abstract text is available yet for this article.
July 7, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28694227/management-of-a-cardiac-shock-in-an-austere-military-environment-northern-niger
#3
LETTER
S-P Corcostegui, E Dulaurent, A Luft
No abstract text is available yet for this article.
July 7, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28694226/repeated-failure-with-regional-blocks-technical-problem-or-resistance-to-local-anesthetics
#4
LETTER
David Leconte, Romain Lemarchand, Cécile Petitjean, Marc E Gentili
No abstract text is available yet for this article.
July 7, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28694225/dynamic-arterial-elastance-obtained-using-arterial-signal-does-not-predict-an-increase-in-arterial-pressure-after-a-volume-expansion-in-the-operating-room
#5
Romain Lanchon, Karine Nouette-Gaulain, Laurent Stecken, Musa Sesay, Jean-Yves Lefrant, Matthieu Biais
INTRODUCTION: Dynamic arterial elastance (Eadyn) is defined as the ratio between pulse pressure variations (PPV) and stroke volume variations (SVV). Eadyn has been proposed to predict an increase in mean arterial pressure (MAP) after volume expansion with conflicting results. The aim of the present study was to test the reliability of Eadyn in hypotensive patients (MAP<65mmHg) in the operating room (OR). PATIENTS AND METHODS: The study pooled data from 51 patients...
July 7, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28694224/from-universal-postoperative-pain-recommendations-to-procedure-specific-pain-management
#6
EDITORIAL
Helene Beloeil, Francis Bonnet
No abstract text is available yet for this article.
July 7, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28688998/targeted-temperature-management-in-the-icu-guidelines-from-a-french-expert-panel
#7
Alain Cariou, Jean-Francois Payen, Karim Asehnoune, Gerard Audibert, Astrid Botte, Olivier Brissaud, Guillaume Debaty, Sandrine Deltour, Nicolas Deye, Nicolas Engrand, Gilles Francony, Stéphane Legriel, Bruno Levy, Philippe Meyer, Jean-Christophe Orban, Sylvain Renolleau, Bernard Vigue, Laure De Saint Blanquat, Cyrille Mathien, Lionel Velly
Over the recent period, the use of induced hypothermia has gained an increasing interest for critically ill patients, in particular in brain-injured patients. The term "targeted temperature management" (TTM) has now emerged as the most appropriate when referring to interventions used to reach and maintain a specific level temperature for each individual. TTM may be used to prevent fever, to maintain normothermia, or to lower core temperature. This treatment is widely used in intensive care units, mostly as a primary neuroprotective method...
July 5, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28648752/physiological-and-self-assessed-psychological-stress-induced-by-a-high-fidelity-simulation-course-among-third-year-anaesthesia-and-critical-care-residents-an-observational-study
#8
Pr Thomas Geeraerts
INTRODUCTION: The use of high-fidelity simulators in Medicine can improve knowledge, behavior and practice but may be associated with significant stress. Our objective was to measure physiological and psychological self-assessed intensity of stress before and after a planned simulation training session among third year anesthesia and critical care residents. METHODS: A convenience sample of 27 residents participating in a simulation training course was studied. Stress was evaluated by self-assessment using a numerical scale and by salivary amylase concentration before and after the session...
June 22, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28629827/debriefing-values-in-high-fidelity-simulation
#9
EDITORIAL
Antonia Blanié, Morgan Le Guen
No abstract text is available yet for this article.
June 16, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28546129/transient-neurologic-symptoms-after-intrathecal-injection-of-ropivacaine-through-a-dural-tap-during-an-attempted-epidural-for-labour-pain-relief
#10
LETTER
A Blanie, S Figueiredo, G Lorre, D Benhamou
No abstract text is available yet for this article.
May 22, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28546128/predictive-factors-of-intraoperative-cell-salvage-during-pediatric-scoliosis-surgery-cell-saver-during-scoliosis-surgery-in-children
#11
Daphné Michelet, Florence Julien-Marsollier, Julie Hilly, Thierno Diallo, Christophe Vidal, Souhayl Dahmani
INTRODUCTION: blood saving strategy during spinal surgery in children often includes recombinant erythropoietin (rEPO) and antifibrinolytic therapapy (AFT). The aim of this study was to investigate the efficacy of intraoperative blood salvage in decreasing homologous blood transfusion. MATERIAL AND METHODS: using the prospective data from patients operated during a one year period for scoliosis correction, we calculate the predictable hematocrit at day postoperative 1 without the use of blood salvage and compare it to the target hematocrit transfusion according to patient's status...
May 22, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28647080/are-capillary-and-arterial-lactates-interchangeable
#12
EDITORIAL
François Dépret, Matthieu Legrand
No abstract text is available yet for this article.
June 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28323235/hypercarbia-complicating-endoscopic-sphincterotomy
#13
LETTER
Marc-E Gentili, Aurélien Colleu, Sébastien Lemière, Jean-Yves Robert
No abstract text is available yet for this article.
June 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28238936/guidelines-on-smoking-management-during-the-perioperative-period
#14
Sébastien Pierre, Caroline Rivera, Béatrice Le Maître, Anne-Marie Ruppert, Hervé Bouaziz, Nathalie Wirth, Jacques Saboye, Alain Sautet, Alain Charles Masquelet, Jean-Jacques Tournier, Yves Martinet, Benoît Chaput, Bertrand Dureuil
Smoking is a public health problem of particular importance during the perioperative period, since it exposes patients scheduled for surgery to risk increases of 20% in hospital mortality and 40% in major postoperative complications. In addition, current smoking increases almost all specific surgical complications. The perioperative period offers a genuine opportunity for smoking cessation. The rate of preoperative smoking cessation can be increased significantly by offering behavior management and the prescription of a nicotine substitute before any scheduled surgical intervention...
June 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28153547/saving-money-an-ideal-driver-for-improved-perioperative-care
#15
EDITORIAL
T E F Abbott, R M Pearse
No abstract text is available yet for this article.
June 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28109937/are-pain-and-ponv-so-predominant-in-ambulatory-surgery-survey-of-call-on-d1-in-11-104-patients
#16
LETTER
Eric Bourgeois, Anouchka Cousin, Céline Chatel, Marc Edouard Gentili
No abstract text is available yet for this article.
June 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28096064/evaluation-of-financial-burden-following-complications-after-major-surgery-in-france-potential-return-after-perioperative-goal-directed-therapy
#17
Alain Landais, Morgane Morel, Jacques Goldstein, Jerôme Loriau, Annie Fresnel, Corinne Chevalier, Gilles Rejasse, Pascal Alfonsi, Claude Ecoffey
OBJECTIVE: Perioperative goal-directed therapy (PGDT) has been demonstrated to improve postoperative outcomes and reduce the length of hospital stays. The objective of our analysis was to evaluate the cost of complications, derived from French hospital payments, and calculate the potential cost savings and length of hospital stay reductions. METHODS: The billing of 2388 patients who underwent scheduled high-risk surgery (i.e. major abdominal, gynaecologic, urological, vascular, and orthopaedic interventions) over three years was retrospectively collected from three French hospitals (one public-teaching, one public, and one private hospital)...
June 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27867135/comparison-of-capillary-and-arterial-lactate-levels-in-patients-with-shock
#18
Olivier Collange, Vincent Garcia, Michel Kindo, Nicolas Meyer, Thomas Lavaux, Paul Michel Mertes, Girish P Joshi, Pierre Diemunsch
OBJECTIVE: Several guidelines recommend point-of-care lactate measurements for therapeutic decision-making in patients with shock. The aim of the study was to validate capillary lactate measurements with a bedside micromethod in patients with shock. STUDY DESIGN: Prospective observational study. PATIENTS AND MEASUREMENTS: Capillary lactate levels measured by a micromethod (CAPI) and arterial lactate levels measured by a standard laboratory method (ARTs) were simultaneously and repeatedly assayed in consecutive ICU patients with shock...
June 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27717898/predicting-postoperative-morphine-consumption-in-children
#19
Vilnis Silins, Christopher Brasher, Freedom Antus, Daphné Michelet, Julie Hilly, Robert Grace, Souhayl Dahmani
BACKGROUND: Morphine is the most commonly used postoperative analgesic for moderate to severe pain in paediatric patients, but there is little research into predictive factors correlating with postoperative morphine consumption. METHODS: All patients undergoing surgery who received morphine postoperatively over eight months were prospectively enrolled. Data analysed included total morphine consumption to day 3, age, weight, type of surgery, ASA status, preoperative opioid administration, predicted postoperative pain intensity (according to French Society of Anaesthesiology and Intensive Care classification) and surgery duration...
June 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27671979/postoperative-complications-following-neonatal-and-infant-surgery-common-events-and-predictive-factors
#20
Daphné Michelet, Christopher Brasher, Houssam Ben Kaddour, Thierno Diallo, Rachida Abdat, Serge Malbezin, Arnaud Bonnard, Souhayl Dahmani
BACKGROUND: Data on major non-surgical postoperative complications following neonatal and infant surgery is lacking. The goal of the present study was to describe common major complications and their predictive factors. MATERIAL AND METHODS: The study consisted of a retrospective review of medical charts of patients less than 6months of age operated in our institution over one calendar year, excluding herniorraphy surgery. The data collected included demographics, preoperative ICU bed status, ASA status, a history of cardiac malformation, hyaline membrane disease (HMD) or necrotizing enterocolitis (NEC), preoperative haemoglobin, emergent surgery status, surgery type and duration, duration of anaesthesia and the need for intraoperative fluid boluses...
June 2017: Anaesthesia, Critical Care & Pain Medicine
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