Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Nov 2011
Review[Epidemiology of war injuries, about two conflicts: Iraq and Afghanistan].
Since March 2003, military operations in Iraq "Operation Iraqi Freedom" (OIF) and in Afghanistan "Operation Enduring Freedom" (OEF), have made many wounded and killed in action (KIA). This article proposes to highlight the specific epidemiology of combat casualties, met in these both non-conventional and asymmetric conflicts. Personal protective equipments, Kevlar helmet and body armor, proved their efficiency in changing features of war injuries. ⋯ This analysis concluded that during modern conflicts, most injuries are caused by explosive devices; injuries are more severe and interestingly more specifically the head region and extremities than the trunk. Hemorrhage is the first cause of death, leading to the concept of avoidable death. Specific databases focused on mechanisms and severity of injuries, diagnostic and treatment difficulties, outcomes can guide research programs to improve war injuries prevention and treatment.
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Ann Fr Anesth Reanim · Nov 2011
Multicenter Study[Reporting of muscle relaxant effects in anaesthesia files concerning visceral surgery - a observational and multicenter study].
To report any item documenting the peroperative muscle relaxant effects management in anaesthesia files issued from visceral surgery processes. ⋯ In the studied collection, the traceability of the peranaesthetic curarization management appears variable on both qualitative and quantitative levels. The emergence of a dedicated guideline - defining the criteria for producing a good documentation of the muscle relaxant use - becomes necessary to secure these practices for all physicians using muscle relaxants.
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Ann Fr Anesth Reanim · Nov 2011
Case Reports[Extremely prolonged neuromuscular block after a single dose of rocuronium].
Postoperative curarization in patients has been established. Nevertheless, extremely prolonged neuromuscular blockades are rare. We report the case of a prolonged neuromuscular blockade (lasting 10 hours) following a single dose of rocuronium, in an elderly patient with severe renal failure. We have studied the possible causes of prolonged curarization, and discussed the interest of the use of sugammadex in such cases.
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Ann Fr Anesth Reanim · Nov 2011
[Proton pump inhibitors: impact of professional practice evaluation on prescriptions pertinence].
To improve the quality of proton pump inhibitors (PPI) prescription in an orthopaedic department. ⋯ This study confirmed the interest of professional practice evaluation protocols to improve PPI prescription. A strong implication of all medical staff members is mandatory to maintain such benefits over time.
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Ann Fr Anesth Reanim · Nov 2011
French survey on current use of ultrasound in the critical care unit: ECHOREA.
Over the last ten years, ultrasound became standard procedure in the intensive care unit (ICU). ⋯ Ultrasound, and particularly echocardiography, has taken on a more prominent role in the routine assessment of critically ill patients. The availability of equipment and of training has increased over the last ten years, but the demand for training in this area remains strong. This French survey confirms this technique became the "extension of the hand" of the intensivist in ICU.