Annales françaises d'anesthèsie et de rèanimation
-
Ann Fr Anesth Reanim · Jan 2000
Comparative Study[The effect of "seniorization" on the prescription of biological tests in an admissions and emergency service].
This prospective study compared the prescriptions of biological tests (PBT) for patients admitted to an Emergency medical service (EMS) of a University hospital, according as to whether the staff consisted either of medical residents only (study period P1) or of residents trained in emergency medicine and continuously supervised by a senior specialist (study period P2). During the one-month study periods, a total of 5,948 patients were admitted (2,781 during P1 and 3,167 during P2 respectively). Between P1 and P2 the rate of PBT decreased by 38.8% (P < 0.0001), the mean expenses for PBT per patient by 13.8% (P < 0.0001) and the total expenses by 53.4%. Teaching and training of residents in emergency medicine and supervision by a senior specialist improve the quality of care and decrease health care cost.
-
Ann Fr Anesth Reanim · Jan 2000
Multicenter Study[Surveillance of nosocomial infections related to anesthesia. A multicenter study].
To determine incidence rate, main characteristics and risk factors of nosocomial infections associated with anesthesia (NIAA). ⋯ This first prospective survey of NIAA confirmed that nosocomial infections are a real problem in the practice of anaesthesia and the necessity to use preventive measures. A survey with a larger sample size would allow to specify the respective part of the various risk factors and to develop a risk index.
-
Ann Fr Anesth Reanim · Jan 2000
Comparative Study[Performance studies of 6 new anesthesia ventilators: bench tests].
To assess the pneumatic performances of six new anaesthesia ventilators. ⋯ Recent technological progress has improved pneumatic performance of anaesthesia ventilators and the marketed models are more homogeneous at present. Ergonomics and training for the use of the machine are becoming major criteria for the global assessment and the choice of a ventilator.
-
Ann Fr Anesth Reanim · Jan 2000
Comparative Study[Postoperative mortality a university Department of General Surgery: incidence of cardiac-related deaths].
To evaluate the incidence of cardiac deaths following noncardiac nonvascular surgery. ⋯ This study suggests that cardiac morbidity is a rare cause of death after noncardiac nonvascular surgery.
-
Ann Fr Anesth Reanim · Jan 2000
Case Reports[Acute pulmonary edema associated with the use of beta2-mimetic tocolytic agents].
A case of severe pulmonary oedema during beta2-adrenergic agonist tocolytic therapy (salbutamol) in a pregnant woman admitted for preterm labor at 32 weeks of amenorrhoea is reported. Echocardiography and haemodynamic investigations did not show any left ventricular systolic or diastolic dysfunction. ⋯ The diagnosis is considered in pregnant patients presenting with respiratory distress, associated with or following tocolytic therapy. Anaesthetic management of patients treated with a beta2-adrenergic agonist should take into consideration the delay between discontinuation of tocolytic therapy and anaesthetic induction, as well as volume expansion.