Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jan 2008
Review[Occupational hazards related to the practice of anaesthesia].
To evaluate the occupational hazards related to the practice of anaesthesia and to give the preventing measures related to these risks. ⋯ Toxicity of anaesthetic gases, occupational blood exposure, exposure to ionizing radiations, latex allergy, electrification and the risk of explosion in the operating room are well identified professional risks of anaesthesia. Measures have been implemented to reduce their incidence. Two risks are increasingly recognized: drug-addiction and burnout. Early tracking, the improvement of working conditions and a better professional recognition are the best way to prevent them.
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Ann Fr Anesth Reanim · Jan 2008
[Evaluation of synthetic glue for the fixation of continuous peripheral nerve catheters].
Accidental dislodgement of continuous peripheral nerve catheters remains a frequent problem that causes failure of postoperative analgesia. We have assessed the use of new synthetic glue (Mastisol) to secure and maintain catheters in the correct position among 60 patients. ⋯ No nervous or infectious complications were observed. This technique offers a simple, complementary method to secure peripheral nerve catheters.
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The aims of this review are to point out the determinants of oxygen saturation of the haemoglobin of mixed venous blood (SvO(2)), to specify the correlations existing between SvO(2) and central venous saturation in superior vena cava (ScvO(2)), to determine and finally to locate the current place of venous oximetry in clinical practice. ⋯ The management of patients in critical states with therapeutic goals integrating the monitoring of venous oximetry may reduce the morbidity and mortality of patients undergoing major surgery or hospitalised in the intensive care unit.