Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · May 2009
[Optimize the resuscitation of prehospital cardiac arrest in trauma patients: a prospective register's experience].
Describe the epidemiology and the survival of patients with traumatic cardiac arrest (CA), and compare them to those with nontraumatic CA. Highlight the weaknesses in their care and consider ways to improve their survival. ⋯ The survival of patients with prehospital traumatic CA is catastrophic and it is worse than that of patients with nontraumatic CA. However, a specific earlier and more adapted prehospital resuscitation could help improve this survival.
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Ann Fr Anesth Reanim · May 2009
Case Reports[Difficulty of regional anaesthesia catheter withdrawing due to a knot: three case reports].
We observed three cases of knots after peripheral nerve catheterism. Catheter removal was impossible and required the intervention of an anaesthetist. ⋯ The catheter removal should be included in a protocol. One solution might be the use of a network to meet all the complications that happen in continuous peripheral nerve blocks, particularly at home.
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Ann Fr Anesth Reanim · May 2009
Case Reports[Obstetric epidural analgesia: systemic analysis of an error of syringe rate programming].
We reported an error of syringe rate programming during maintenance of obstetric epidural analgesia and its systemic analysis. The epidural solution included ropivacaine and sufentanil. Despite the 60 mg ropivacaine and the 9.6 microg sufentanil doses infused in 45 minutes, no maternal systemic effect was noted. The systemic analysis of this near-miss has revealed a health care system error.