Annales françaises d'anesthèsie et de rèanimation
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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
[Patient dissatisfaction with postoperative pain: what are the main reasons?].
Patient satisfaction regarding postoperative pain management (POPM) is not always correlated with pain level relief. ⋯ There is a relationship between patient dissatisfaction and the lack of attention for POPM by surgeons and the lack of postoperative visit by the anaesthesiologist. A postoperative visit by a team of anaesthesia nurses should improve patient satisfaction with POPM.
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Ann Fr Anesth Reanim · May 2009
[Acetaminophene-induced hypotension in intensive care unit: a prospective study].
The aim of this study was to evaluate the incidence of paracetamol-induced hypotension in intensive care unit (ICU). The secondary end-point was the description of pathophysiologic phenomenon during this hypotension and risk factors. ⋯ In this cohort of ICU patients, hypotension incidence was higher than reported in drug legal mentions. Immunoallergic phenomenon was excluded. Brain injury and sepsis seems to be risk factors.
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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.