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Anaesthesia, Critical Care & Pain Medicine

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https://www.readbyqxmd.com/read/27913269/the-structure-organisation-and-perioperative-management-of-ambulatory-surgery-and-anaesthesia-in-france-methodology-of-the-sfar-opera-study
#1
Pierre Albaladejo, Frédéric Aubrun, Charles-Marc Samama, Laurent Jouffroy, Marc Beaussier, Dan Benhamou, Pauline Romegoux, Kristina Skaare, Jean Luc Bosson, Claude Ecoffey
The organization of health care establishments and perioperative care are essential for ensuring the quality of care and safety of patients undergoing outpatient surgery. In order to correctly inventory these organizations and practices, in 2013-2014, the French Society of Anaesthesia and Intensive Care organized an extensive practical survey in French ambulatory surgery units entitled the "OPERA" study (Organisation PERiopératoire de l'anesthésie en chirurgie Ambulatoire). From among all of the ambulatory surgery centres listed by the Agences Régionales de Santé [Regional Health Agencies, France], 206 public and private centres were randomly selected...
November 29, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27913268/haemodialysis-catheters-in-the-intensive-care-unit
#2
Laetitia Huriaux, Paul Costille, Hervé Quintard, Didier Journois, John A Kellum, Thomas Rimmelé
No abstract text is available yet for this article.
November 29, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27913267/a-comparison-between-intravascular-and-traditional-cooling-for-inducing-and-maintaining-temperature-control-in-patients-following-cardiac-arrest-traditional-or-modern-therapeutic-hypothermia-after-cardiac-arrest
#3
Jeremy Rosman, Maxime Hentzien, Moustapha Dramé, Vincent Roussel, Bernard Just, Damien Jolly, Philippe Mateu
: Therapeutic temperature control has been widely used during the last decade to improve clinical outcomes. We conducted this retrospective observational study to compare traditional cooling with endovascular cooling in post-cardiac arrest comatose survivors and to compare results with current guidelines. PATIENTS AND METHODS: All patients admitted to our ICU for cardiac arrest and for whom temperature control was performed were included. Traditional cooling included cold infusions, ice packs and cooling blankets...
November 29, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27890851/protective-ventilation-during-cardiac-surgery-more-than-tidal-volume
#4
LETTER
Benoît Courteille, Jennifer Brunet, Alexandre Ouattara, François Stéphan, Jean-Louis Gérard, Emmanuel Lorne, Marc-Olivier Fischer
No abstract text is available yet for this article.
November 24, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27890850/cheyne-stokes-respiration-implications-for-anaesthesiologists
#5
LETTER
Philippe Ariès, Marc Danguy des Déserts, Ba Vinh Nguyen, Mehdi Ould-Ahmed
No abstract text is available yet for this article.
November 24, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27876559/non-dominant-hand-quicker-to-insert-peripheral-venous-catheters-under-echographic-guidance-a-randomized-trial
#6
Lucas Durand-Bailloud, Ludwig-Serge Aho, Georges Savoldelli, Fiona Ecarnot, Claude Girard, Mehdi Benkhadra
BACKGROUND: Ultrasound guidance for venous catheter placement requires the use of both hands. An accurate and stable ultrasound image is fundamental for obtaining good quality images, consequently permitting accurate needle placement. We hypothesized that the dominant hand could be used to perform echography, leaving the non-dominant hand available for peripheral venous catheter (PVC) insertion. METHODS: Prospective, open-label, randomized, crossover study. Group 1 inserted the PVC with the dominant hand, and held the probe with the non-dominant hand in a first series of 20 insertions, and vice-versa in a second series of 20 insertions performed 11 days later...
November 19, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27867135/comparison-of-capillary-and-arterial-lactate-levels-in-patients-with-shock
#7
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...
November 17, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27867134/residual-anxiety-after-high-fidelity-simulation-in-anaesthesiology-an-observational-prospective-pilot-study
#8
Jean-Noël Evain, Lana Zoric, Laurent Mattatia, Olivier Picard, Jacques Ripart, Philippe Cuvillon
BACKGROUND: High fidelity simulation (HFS) in anaesthesiology intentionally provides stress on students, but anxiety may be detrimental if it goes on through debriefing. The primary goal of this study was to estimate the proportion of students with significant anxiety remaining after debriefing (Residual Anxiety: RA). Secondary goals were to evaluate the instructors' ability to estimate students' RA and to identify potential risk factors for high RA. SUBJECTS AND METHODS: Following IRB approval and informed consent, data from a cohort of subjects were prospectively collected by an independent expert...
November 17, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27867133/fiberoptic-bronchoscopy-and-remifentanil-target-controlled-infusion-in-critically-ill-patients-with-acute-hypoxaemic-respiratory-failure-a-descriptive-study
#9
Saïda Rezaiguia-Delclaux, Florent Laverdure, Talna Kortchinsky, Léa Lemasle, Audrey Imbert, François Stéphan
INTRODUCTION: Sedation optimizes patient comfort and ease of execution during fiberoptic bronchoscopy (FOB). Our objective was to describe the safety and efficacy of remifentanil-TCI during FOB in non-intubated, hypoxaemic, thoracic-surgery ICU patients. METHODS: Consecutive spontaneously breathing adults requiring FOB after thoracic surgery were included if they had hypoxaemia (PaO2/FiO2 < 300mmHg or need for non-invasive ventilation [NIV]) and prior FOB failure under topical anaesthesia...
November 17, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27867132/learning-curve-for-real-time-ultrasound-guided-percutaneous-tracheostomy
#10
Sandra Petiot, Pierre-Grégoire Guinot, Momar Diouf, Elie Zogheib, Hervé Dupont
OBJECTIVES: The objective of this study was to demonstrate and quantify the ultrasound-guided percutaneous tracheostomy (UPDT) learning curve in a single team since the first UPDT. STUDY DESIGN AND PATIENTS: This was a cohort of all consecutive patients undergoing UPDT in the Amiens teaching hospital surgical intensive care unit between 2010 and 2014. METHODS: The learning process was evaluated according to three aspects: duration of the various steps involved in UPDT, incidence of consecutive complications, and procedure difficulty...
November 17, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27856390/a-comparison-of-balanced-and-unbalanced-crystalloid-solutions-in-surgery-patient-outcomes
#11
Tomas Kuca, Michael B Butler, Mete Erdogan, Robert S Green
INTRODUCTION: The objective of this study was to evaluate adverse patient outcomes associated with the choice of intravenous fluid administered during general anaesthesia. METHODS: This study was a retrospective chart review of vascular surgery patients at a Canadian tertiary care hospital. Patients were separated into three groups: those who were intraoperatively administered normal saline (NS), balanced crystalloids, or a combination of both solutions. Multivariate analysis was performed to determine association between volume of each fluid type administered and adverse outcomes including in-hospital mortality, prolonged intensive care unit admission, vasopressor requirement, ventilator requirement, hemodialysis requirement, and a composite endpoint of any of these adverse events occurring...
November 14, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27744107/a-targeted-remifentanil-administration-protocol-based-on-the-analgesia-nociception-index-during-vascular-surgery
#12
Georges Daccache, Edouard Caspersen, Michel Pegoix, Kelly Monthé-Sagan, Ludovic Berger, Dominique Fletcher, Jean-Luc Hanouz
BACKGROUND: The intraoperative modulation of opioids continues to be based on clinical signs. This may result in adverse events such as sympathetic reactivity or opioid induced hyperalgesia. Recently, the Analgesia/Nociception Index (ANI), a non-invasive 0-100 index derived from heart rate variability analysis, has been proposed for nociception assessment. However, the ability of the ANI to adequately guide intraoperative opioid administration has never been demonstrated. We designed a prospective study to evaluate the ability of the ANI to guide remifentanil administration in vascular surgery...
October 12, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27720982/a-trans-atlantic-high-fidelity-mannequin-based-telesimulation-experience
#13
Anne Beissel, Marc Lilot, Christian Bauer, Keith Beaulieu, Christopher Hanacek, Olivier Desebbe, Maxime Cannesson, Jean-Jacques Lehot, Cameron Ricks
No abstract text is available yet for this article.
October 6, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27720981/bicarbonate-buffered-ropivacaine-mepivacaine-solution-for-medial-caruncle-anaesthesia
#14
Gilles Guerrier, David Boutboul, Cedric Chanat, Charles Marc Samama, Christophe Baillard
BACKGROUND: To compare self-reported pain during injection of plain versus alkalinised 0.75% ropivacaine - 2% mepivacaine solution for anaesthesia performed at the medial caruncle site for eye surgery. METHODS: This prospective, monocentric, double blind, randomised, controlled trial involved 40 consecutive patients who received either a standard local anaesthetic solution (0.75% ropivacaine 5ml and 2% mepivacaine 5ml with a pH of 5.9), or an alkalinised solution composed with a pH-adjusted solution of 7...
October 6, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27717899/postoperative-complications-after-craniotomy-for-brain-tumour-surgery
#15
Laurent Lonjaret, Marine Guyonnet, Emilie Berard, Marc Vironneau, Françoise Peres, Sandrine Sacrista, Anne Ferrier, Véronique Ramonda, Corine Vuillaume, Franck Emmanuel Roux, Olivier Fourcade, Thomas Geeraerts
INTRODUCTION: After elective craniotomy for brain tumour surgery, patients are usually admitted to an intensive care unit (ICU) for monitoring. Our goal was to evaluate the incidence and timing of neurologic and non-neurologic postoperative complications after brain tumour surgery, to determine factors associated with neurologic events and to evaluate the timing and causes of ICU readmission. PATIENTS AND METHODS: This prospective, observational and analytic study enrolled 188 patients admitted to the ICU after brain tumour surgery...
October 4, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27717898/predicting-postoperative-morphine-consumption-in-children
#16
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 post-operative 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...
October 4, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27717897/comparison-of-learning-outcomes-between-learning-roles-spectator-and-actor-during-an-immersive-simulation
#17
LETTER
Antonia Blanié, Philippe Roulleau, Claire Mengelle, Dan Benhamou
No abstract text is available yet for this article.
October 4, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27671980/spinal-bupivacaine-and-clonidine-for-orthopaedic-and-general-paediatric-surgery-in-remote-location
#18
Marc E Gentili, Jean-Noël Ligier, Jacques Dermer, Jean-Christian Sleth
No abstract text is available yet for this article.
September 23, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27671979/postoperative-complications-following-neonatal-and-infant-surgery-common-events-and-predictive-factors
#19
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...
September 23, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27671978/pulmonary-embolism-of-cement-after-knee-prosthesis-replacement
#20
Patrice Talec, Mélanie Fromentin, Charles-Marc Samama
No abstract text is available yet for this article.
September 23, 2016: Anaesthesia, Critical Care & Pain Medicine
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