Annales françaises d'anesthèsie et de rèanimation
-
Ann Fr Anesth Reanim · Jan 2012
Review[Out-of-hospital management of elderly patients for trauma injury].
Elderly patients should benefit from maximum care in cases of serious trauma, starting with pre-hospital care. A proper evaluation of the gravity of the trauma is an essential element in the management. The elderly are at risk of "under-triage", which can result in inappropriate hospital admission and delayed trauma care. ⋯ Locoregional anaesthesia should be used when possible in this setting, in particular the ilio-facial block. Age is not a criterion for a non-resuscitation order in trauma patients. The decisions of limitation of therapeutic, if they were not anticipated, will be discussed after admission, according to the principles of the current legislation.
-
Ann Fr Anesth Reanim · Jan 2012
Review[What should we do and what should we not do after an anaesthetic accident. The point of view of a medical expert].
Lawsuits following an anaesthetic accident are fortunately infrequent. Anaesthesiologists are mainly sued by parents when the accident led to death or permanent brain damage. The aims of this short review are to explain how the medical expert is chosen by the court, what are the goals of the mission given by the judge, and how to prepare the medical expertise.
-
Ann Fr Anesth Reanim · Jan 2012
[Stability and compatibility of acetaminophen, ketoprofen and amoxicillin in a fail-safe intravenous administration set].
Intravenous infusion takes an important place in the current therapy in hospitals and pharmaceutical firms keep improving their infusion medical devices, particularly with the development of an intravenous administration set with an automatic infusion stop. The aim of our study consists in an evaluation of the stability of acetaminophen, ketoprofen and amoxicillin during infusion and stasis of drugs for several hours in the dropper chamber and in the tube of this device. ⋯ Despite the technical innovation of a fail-safe intravenous administration set, we have to stay aware of mixture consequences in intravenous infusion field.
-
Ann Fr Anesth Reanim · Jan 2012
Case Reports[Trap in severe trauma: the rotary atlantoaxial dislocation].
We reported the case of asymptomatic traumatic atlantoaxial dislocation in a 14-year-old woman. Clinical diagnosis of this uncommon dislocation is difficult and often made late. The early diagnosis by CT scan is necessary to avoid secondary aggravation. Integrity of the transverse ligament of the atlas is a determining factor for atlantoaxial stability and allows orthopaedic treatment after reduction using moderate traction on the head.
-
Ann Fr Anesth Reanim · Jan 2012
Review[Pharmaco-economic aspects of perioperative pain management].
We present a reflection on pharmaco-economy of perioperative pain management. A real optimisation of expenses could be obtained if taking into consideration factors that augment and diminish costs of the process, due to the organisation of the process itself, due to optimisation of the information and decision's circuits. The cost of an analgesic is not significant when compared with the cost of entire process of pain management.