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Anaesthesia, Critical Care & Pain Medicine

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https://www.readbyqxmd.com/read/28790011/management-of-septic-shock-in-an-intermediate-care-unit
#1
Eric Meaudre, Cédric Nguyen, Claire Contargyris, Ambroise Montcriol, Erwan d'Aranda, Pierre Esnault, Mourad Bensalah, Bertrand Prunet, Julien Bordes, Philippe Goutorbe
BACKGROUND: While guidelines advocate goal-directed resuscitation based on timed bundles, the management of SS outside an ICU setting has been poorly studied in intermediate care units (IMCU). PATIENTS AND METHOD: We reviewed all cases of septic shock patients admitted to our IMCU between January 2013 and June 2014. The characteristics of sepsis, compliance of bundles, and outcomes were collected. The IMCU population was compared with the SS patients admitted to the ICU during the same period...
August 5, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28790010/eye-protection-in-anaesthesia-and-intensive-care
#2
Hawa Keita, Jean-Michel Devys, Jacques Ripart, Marie Frost, Frédérique Boutin, Claude Guérin, Dominique Fletcher
No abstract text is available yet for this article.
August 5, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28790009/impact-of-a-visual-aid-on-discordance-between-physicians-and-family-members
#3
Gabrielle Burelli, Chloé Berthelier, Hélène Vanacker, Léonard Descaillot, Bénédicte Philippon-Jouve, Xavier Fabre, Mahmoud Kaaki, Jean-Charles Chakarian, Alexandre Domine, Pascal Beuret
OBJECTIVE: This study aimed to evaluate the impact of a visual aid on the discordance about prognosis between physicians and family members. METHODS: The study was performed in a general intensive care department with two 6-bed units. In the unit A, family members could consult a visual aid depicting day by day the evolution of global, hemodynamic, respiratory, renal and neurological conditions of the patient on a 10 point scale. In the unit B, they only received oral medical information...
August 5, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28756332/central-venous-catheter-placement-during-extracorporeal-membrane-oxygenation-therapy
#4
LETTER
Lucile Picard, Chamsedine Cherait, Ophélie Constant, Boris Boulanger, Amandine Dorget, Dominique Vodovar, Antonio Fiore, Hakim Haouache, Gilles Dhonneur, Nicolas Mongardon
Extra-Corporeal Membrane Oxygenation (ECMO) has become increasingly used for rescue therapy of severe cardiac or/and respiratory failures. If a central venous catheter is mandatory for managing these critically ill patients, its insertion during emergent ECMO implantation exposes to unique mechanical complications. We report the case of ECMO implementation for refractory cardiac arrest, complicated with guidewire suctioning into ECMO circuit. Through the analysis of this guidewire embolism, we propose to discuss some technical points regarding the ideal time and site of insertion as well as precautions that should be assessed before inserting the central venous catheter in patients treated with ECMO, in order to limit the potential life-threatening complications...
July 26, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28756331/association-between-augmented-renal-clearance-and-clinical-failure-of-antibiotic-treatment-in-brain-injured-patients-with-ventilator-acquired-pneumonia-a-preliminary-study
#5
Cédric Carrie, Merry Bentejac, Vincent Cottenceau, Françoise Masson, Laurent Petit, Jean François Cochard, François Sztark
OBJECTIVES: This preliminary study aimed to determine whether augmented renal clearance (ARC) impacts negatively on the clinical outcome in traumatic brain-injured patients (TBI) treated for a first episode of ventilator-acquired pneumonia (VAP). METHODS: During a 5-year period, all TBI patients who had developed VAP were retrospectively reviewed to assess variables associated with clinical failure in multivariate analysis. Clinical failure was defined as an impaired clinical response with a need for escalating antibiotics during treatment and/or within 15 days after the end-of-treatment...
July 26, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28756330/does-perfusion-pressure-offer-more-brain-protection-than-hemoglobin-level-a-case-of-aortic-injury-during-laparoscopic-bariatric-surgery
#6
LETTER
Ahed Zeidan, Osamah Al-Sanea, Sameh Baryan
No abstract text is available yet for this article.
July 26, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28756329/ventilation-for-thoracic-surgery-in-the-newborn-don-t-forget-high-frequency-oscillatory-ventilation
#7
LETTER
Charlotte Rémond, Chloé Alliana, Karin Jonckheer, Jean-François Lecompte, François de la Brière
No abstract text is available yet for this article.
July 26, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28756328/comparison-of-three-stimulation-sites-on-the-pupillary-dilation-reflex-amplitude-evoked-by-a-standardized-noxious-test
#8
Florian Roquet, Laila Guezoulialail, Bozena Wachowska, Iulia Balcan, Philippe Montravers, Dan Longrois, Jean Guglielminotti
No abstract text is available yet for this article.
July 26, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28756327/axillary-nerve-block-for-a-wrist-fracture-in-a-patient-with-facioscapulohumeral-landouzy-dejerine-disease
#9
LETTER
Mostafa Mazboudi, Samy Figueiredo, Bausard Latrech, Dan Benhamou
No abstract text is available yet for this article.
July 26, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28705759/implementation-of-an-electronic-checklist-in-the-icu-association-with-improved-outcome
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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/28780988/postoperative-neurosurgery-complication-in-2017-a-new-window-to-take-into-account-surgical-ischaemic-events
#18
EDITORIAL
C Bombled, A André, A Jacquens, F Clarençon, V Degos
No abstract text is available yet for this article.
August 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28629827/debriefing-values-in-high-fidelity-simulation
#19
EDITORIAL
Antonia Blanié, Morgan Le Guen
No abstract text is available yet for this article.
August 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28428021/a-pilot-study-of-mechanical-chest-compression-with-the-lifeline-arm-device-during-simulated-cardiopulmonary-resuscitation-reply
#20
LETTER
Jean Cotte
No abstract text is available yet for this article.
August 2017: Anaesthesia, Critical Care & Pain Medicine
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