Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Feb 2006
Case Reports[Anaesthesia for a non cardiac surgery in a patient with an Eisenmenger syndrome. Interest of a non invasive haemodynamic monitoring].
Patients with an Eisenmenger syndrome have an instuble hemodynamic status. During a general anaesthesia, the intracardiac shunt has to maintain the correct orientation and volume, adapted to each patient, in such a condition, to avoid the risk of hypoxemia and cardiac failure. The haemodynamic monitoring with a Swan Ganz catheter could be useful. ⋯ Moreover, when the cardiac output is measured with the thermodilution technique, the right-left intra cardiac shunt volume, is not taking into account. The continuous haemodynamic monitoring, with a simplified transoesophageal echo-Doppler system, as it was done in this case, allows appreciate the real quantitative variations of the shunt. In this way the more adequate calculation of some others haemodynamic parameters, over all the total systemic vascular resistances, allows a more precise therapeutic approach.
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Ann Fr Anesth Reanim · Feb 2006
[National survey in France about continuing medical education among anaesthesiologists].
The aim of this study was to assess how French anaesthesiologists perform continuing medical education (CME). ⋯ CME is a broadly shared activity, which still remains focussed on national resources.