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Anaesthesia, Critical Care & Pain Medicine

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https://www.readbyqxmd.com/read/29660502/the-place-of-fibrinogen-concentrates-in-the-management-of-perioperative-bleeding-a-position-paper-from-the-francophone-working-group-on-perioperative-hemostasis-gihp
#1
REVIEW
Charles Marc Samama, Brigitte Ickx, Yves Ozier, Annick Steib, Sophie Susen, Anne Godier
The consumption of fibrinogen concentrates has been increasing steadily for several years in surgery, trauma and obstetrics. However, data from the literature are conflicting. The French Working Group on Perioperative Haemostasis (GIHP) proposes a position paper based on a narrative review of the literature, and addresses the following questions: - What is the exact role of fibrinogen in haemostasis? - Which rational support for the use of perioperative fibrinogen? - Which thrombotic risk? - What are the most recent professional recommendations on the use of fibrinogen concentrates? Then, evidence-based recommendations are proposed: 1 - It is suggested not to administer prophylactic FC to prevent haemorrhage...
April 13, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29630940/ultrasound-guided-bilateral-erector-spinae-block-could-provide-effective-postoperative-analgesia-in-laparoscopic-cholecystectomy-in-paediatric-patients
#2
LETTER
Can Aksu, Yavuz Gürkan
No abstract text is available yet for this article.
April 6, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29627431/the-efficacy-of-ultrasound-guided-type-i-and-type-ii-pectoral-nerve-blocks-for-postoperative-analgesia-after-breast-augmentation-a-prospective-randomised-study
#3
Omer Karaca, Huseyin U Pınar, Enver Arpacı, Rafi Dogan, Oya Y Cok, Ali Ahiskalioglu
PURPOSE: The present study was planned to evaluate the efficacy and safety of ultrasound-guided Pecs I and II blocks for postoperative analgesia after sub-pectoral breast augmentation. METHODS: Fifty-four adult female patients undergoing breast augmentation were randomly divided into two groups: the control group (Group C, n = 27) who were not subjected to block treatment and Pecs group (Group P, n = 27) who received Pecs I (bupivacain 0.25%, 10mL) and Pecs II (bupivacain 0...
April 5, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29627430/transverse-subglottic-diameter-assessment-in-the-third-gestation-trimester-preeclampsia-versus-control
#4
LETTER
Olivier Belin, Fabien Espitalier, Francis Remerand, Franck Perrotin, Marc Laffon
No abstract text is available yet for this article.
April 5, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29605459/postoperative-analgesic-efficacy-of-ultrasound-guided-ilioinguinal-iliohypogastric-nerve-block-compared-with-medial-transverse-abdominis-plane-block-in-inguinal-hernia-repair-a-prospective-randomised-trial
#5
Nidhi Bhatia, Indu Mohini Sen, Banashree Mandal, Ankita Batra
PURPOSE: Analgesic efficacy of ultrasound-guided transverse abdominis plane block, administered a little more medially, just close to theorigin of the transverse abdominis muscle has not yet been investigated in patients undergoing unilateral inguinal hernia repair. We hypothesised that medial transverse abdominis plane block would provide comparable postoperative analgesia to ilioinguinal-iliohypogastric nerve block in inguinal hernia repair patients. METHODS: This prospective, randomised trial was conducted in 50 ASA I and II male patients ≥ 18 years of age...
March 29, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29578079/extracorporeal-life-support-for-refractory-cardiogenic-shock-an-efficient-system-support-of-peripheral-organs-more-than-real-ventricular-assist-device%C3%A2
#6
EDITORIAL
Alexandre Ouattara, Alain Rémy, Astrid Quessard
No abstract text is available yet for this article.
March 22, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29578078/spinal-anaesthesia-what-is-old-what-are-the-new-trends
#7
EDITORIAL
Philippe Cuvillon, Issam Tanoubi
No abstract text is available yet for this article.
March 22, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29578077/how-can-we-best-organise-communication-with-patients-families
#8
EDITORIAL
Jean-Pierre Quenot, Nicolas Meunier-Beillard, Fiona Ecarnot, Auguste Dargent, Jean-Philippe Rigaud
No abstract text is available yet for this article.
March 22, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29578076/erratum-to-intubation-and-extubation-of-the-icu-patient
#9
H Quintard, E l'Her, J Pottecher, F Adnet, J-M Constantin, A De Jong, P Diemunsch, R Fesseau, A Freynet, C Girault, C Guitton, Y Hamonic, E Maury, A Mekontso-Dessap, F Michel, P Nolent, S Perbet, G Prat, A Roquilly, K Tazarourte, N Terzi, A W Thille, M Alves, E Gayat, L Donetti
No abstract text is available yet for this article.
March 22, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29572101/impact-of-connecting-continuous-renal-replacement-therapy-to-the-extracorporeal-membrane-oxygenation-circuit
#10
Christian de Tymowski, Mathieu Desmard, Brice Lortat-Jacob, Quentin Pellenc, Soleiman Alkhoder, Arezki Alouache, Benedicte Fritz, Philippe Montravers, Augustin Pascal
Purpose Continuous veno-venous haemofiltration (CVVH) directly connected to extracorporeal membrane oxygenation (ECMO) may ensure better blood flow and allow prolonged circuit life. The objective of this study was to assess circuit life of CVVH connected to ECMO and to a dialysis catheter. Materials and Methods In this prospective observational study, patients receiving CVVH via ECMO were compared to time-matched patients receiving CVVH via a conventional dialysis catheter. CVVH circuit life and the safety and efficacy of the two CVVH procedures were analysed...
March 20, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29572100/glycaemic-control-in-diabetic-patient-towards-a-global-care-of-glycaemia
#11
EDITORIAL
Julien Amour, Judy Kersten
No abstract text is available yet for this article.
March 20, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29572099/a-ten-year-analysis-of-the-reasons-for-death-following-ambulatory-surgery-nine-closed-claims-declared-to-sham-insurance
#12
A Theissen, F Fuz, M Bouregba, M Autran, M Beaussier
INTRODUCTION: The constant development of ambulatory surgery (AS) raises the problem of monitoring patients after discharge and the risk of death in the case of delays in the management of a serious complication. PATIENTS AND METHODS: The aim of this retrospective study was to describe the deaths observed within the 30-day period following AS declared to the SHAM insurance (Société Hospitalière d'Assurance Mutuelle) over the last 10 years. RESULTS: During the study period 33,962 claims were surgery-related and 11 were for deaths after AS...
March 20, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29567130/perioperative-management-of-patients-with-coronary-artery-disease-undergoing-non-cardiac-surgery-summary-from-the-french-society-of-anaesthesia-and-intensive-care-2017-meeting
#13
REVIEW
Jean-Luc Fellahi, Anne Godier, Deborah Benchetrit, Francis Berthier, Guillaume Besch, Thomas Bochaton, Eric Bonnefoy-Cudraz, Pierre Coriat, Etienne Gayat, Alex Hong, Sophie Jenck, Arthur Le Gall, Dan Longrois, Anne-Céline Martin, Sébastien Pili-Floury, Vincent Piriou, Sophie Provenchère, Bertrand Rozec, Emmanuel Samain, Rémi Schweizer, Valérie Billard
This review summarises the specific stakes of preoperative, intraoperative, and postoperative periods of patients with coronary artery disease undergoing non-cardiac surgery. All practitioners involved in the perioperative management of such high cardiac risk patients should be aware of the modern concepts expected to decrease major adverse cardiac events and improve short- and long-term outcomes. A multidisciplinary approach via a functional heart team including anaesthesiologists, cardiologists and surgeons must be encouraged...
March 19, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29559408/review-of-hyperglycaemia-definitions-and-pathophysiology
#14
Gaëlle Cheisson, Sophie Jacqueminet, Emmanuel Cosson, Carole Ichai, Anne-Marie Leguerrier, Bogdan Nicolescu-Catargi, Alexandre Ouattara, Igor Tauveron, Paul Valensi, Dan Benhamou
Diabetes mellitus is defined by chronic elevation of blood glucose linked to insulin resistance and/or insulinopaenia. Its diagnosis is based on a fasting blood-glucose level of ≥1.26g/L or, in some countries, a blood glycated haemoglobin (HbA1c) level of >6.5%. Of the several forms of diabetes, type-2 diabetes (T2D) is the most common and is found in patients with other risk factors. In contrast, type-1 diabetes (T1D) is linked to the auto-immune destruction of β-pancreatic cells, leading to insulinopaenia...
March 17, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29559407/comparison-of-the-acoustic-windows-for-the-thoracic-paramedian-epidural-approach-after-shoulder-rotation-the-lateral-decubitus-versus-the-sitting-position
#15
Hyo-Jin Byon, Sung-Jun Hong, Dae-Yu Kim, Joo-Hyeon O, In-Gon Lee, Dong-Ho Seo, Gyoung-A Heo, Hyunzu Kim
BACKGROUND: The aim of this study was to compare the mean lengths of the posterior longitudinal ligament (PLL) as the acoustic window during the thoracic paramedian epidural approach after shoulder rotation, while subjects were in the lateral decubitus or in the sitting position. METHODS: Thirty-two adult male volunteers were placed in the right decubitus position or sitting position on a horizontal operating table. To obtain an optimal ultrasound view for the PLL on the right side, thoracic spinal ultrasonography was performed at the T6/7 interspace using the paramedian oblique sagittal plane...
March 17, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29559406/working-party-approved-by-the-french-society-of-anaesthesia-and-intensive-care-medicine-sfar-and-the-french-society-for-the-study-of-diabetes-sfd
#16
Gaëlle Cheisson, Sophie Jacqueminet, Emmanuel Cosson, Carole Ichai, Anne-Marie Leguerrier, Bogdan Nicolescu-Catargi, Alexandre Ouattara, Igor Tauveron, Paul Valensi, Dan Benhamou
In diabetic patients undergoing surgery, we recommend assessing glycaemic control preoperatively by assessing glycated haemoglobin (HbA1c) levels and recent capillary blood sugar (glucose) levels, and to adjust any treatments accordingly before surgery, paying particular attention to specific complications of diabetes. Gastroparesis creates a risk of stasis and aspiration of gastric content at induction of anaesthesia requiring the use of a rapid sequence induction technique. Cardiac involvement can be divided into several types...
March 17, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29559211/tracheotomy-in-the-intensive-care-unit-guidelines-from-a-french-expert-panel-the-french-intensive-care-society-and-the-french-society-of-anaesthesia-and-intensive-care-medicine
#17
Jean-Louis Trouillet, Olivier Collange, Fouad Belafia, François Blot, Gilles Capellier, Eric Cesareo, Jean-Michel Constantin, Alexandre Demoule, Jean-Luc Diehl, Pierre-Grégoire Guinot, Franck Jegoux, Erwan L'Her, Charles-Edouard Luyt, Yazine Mahjoub, Julien Mayaux, Hervé Quintard, François Ravat, Sébastien Vergez, Julien Amour, Max Guillot
Tracheotomy is widely used in intensive care units, albeit with great disparities between medical teams in terms of frequency and modality. Indications and techniques are, however, associated with variable levels of evidence based on inhomogeneous or even contradictory literature. Our aim was to conduct a systematic analysis of the published data in order to provide guidelines. We present herein recommendations for the use of tracheotomy in adult critically ill patients developed using the grading of recommendations assessment, development and evaluation (GRADE) method...
March 17, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29555548/working-party-approved-by-the-french-society-of-anaesthesia-and-intensive-care-medicine-sfar-and-the-french-society-for-the-study-of-diabetes-sfd
#18
Gaëlle Cheisson, Sophie Jacqueminet, Emmanuel Cosson, Carole Ichai, Anne-Marie Leguerrier, Bogdan Nicolescu-Catargi, Alexandre Ouattara, Igor Tauveron, Paul Valensi, Dan Benhamou
Follow on from continuous intravenous administration of insulin with an electronic syringe (IVES) is an important element in the postoperative management of a diabetic patient. The basal-bolus scheme is the most suitable taking into account the nutritional supply and variable needs for insulin, reproducing the physiology of a normal pancreas: (i) slow (long-acting) insulin (= basal) which should immediately take over from IVES insulin simulating basal secretion; (ii) ultra-rapid insulin to simulate prandial secretion (= bolus for the meal); and (iii) correction of possible hyperglycaemia with an additional ultra-rapid insulin bolus dose...
March 16, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29555547/working-party-approved-by-the-french-society-of-anaesthesia-and-intensive-care-medicine-sfar-and-the-french-society-for-the-study-of-diabetes-sfd
#19
Cheisson Gaëlle, Jacqueminet Sophie, Cosson Emmanuel, Ichai Carole, Leguerrier Anne-Marie, Nicolescu-Catargi Bogdan, Ouattara Alexandre, Tauveron Igor, Valensi Paul, Benhamou Dan
Perioperative hyperglycaemia (>1.80g/L or 10 mmol/L) increases morbidity (particularly due to infection) and mortality. Hypoglycaemia can be managed in the perioperative period by decreasing blood sugar levels with insulin between 0.90 and 1.80g/l but it may occur more frequently when the goal is strict normoglycaemia. We propose continuous administration of insulin therapy via an electronic syringe (IVES) in type-1 diabetes (T1D) and type-2 diabetes (T2D) patients if required or in cases of stress hyperglycaemia...
March 16, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29555546/specific-situations
#20
Gaëlle Cheisson, Sophie Jacqueminet, Emmanuel Cosson, Carole Ichai, Anne-Marie Leguerrier, Bogdan Nicolescu-Catargi, Alexandre Ouattara, Igor Tauveron, Paul Valensi, Dan Benhamou
Ambulatory surgery can be carried out in diabetic patients. By using a strict organisational and technical approach, the risk of glycaemic imbalance is minimised, allowing the patients to return to their previous way of life more quickly. Taking into account the context of ambulatory surgery, with a same day discharge, the aims are to minimise the changes to antidiabetic treatment, to maintain adequate blood sugar control and to resume oral feeding as quickly as possible. The preoperative evaluation is the same as for a hospitalised patient and recent glycaemic control (HbA1c) is necessary...
March 16, 2018: Anaesthesia, Critical Care & Pain Medicine
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