Annales françaises d'anesthèsie et de rèanimation
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Hyperglycemia is significantly associated with increased mortality in critically ill patients and then, strict control of blood glucose (BG) concentration is important. Lowering of BG levels with intensive insulin therapy (IIT) was recommended in order to improve patient outcomes. But recently, some recent prospective trials failed to confirm the initial data, showing conflicting results (significantly increased mortality with IIT, more hypoglycemic episodes). ⋯ A difference in variability of BG control could explain why the effect of IIT varied from beneficial to harmful. Managing and decreasing this BG variability could be an important goal of BG control in critically ill patients. Clinicians have to consider definitions, physiopathology and impacts of glucose variability, in order to improve patient outcomes.
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Ann Fr Anesth Reanim · Dec 2012
Letter Case Reports[Gestational recurrent of ischemic stroke event].
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Ann Fr Anesth Reanim · Dec 2012
Chronic pain after carpal tunnel surgery: epidemiology and associated factors.
Chronic postoperative pain (CPOP) has been assessed after major orthopedic surgeries but not after carpal tunnel surgery (CTS). This study aimed at describing the evolution of nocturnal and diurnal pains during the year following CTS, and at looking for factors associated with CPOP. ⋯ One year after CTS, 22% of patients have CPOP. This incidence is similar to the one observed after major surgeries. This study suggests for the first time that a hypnotic approach during the surgical procedure might decrease the CPOP incidence.
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Ann Fr Anesth Reanim · Dec 2012
[Postoperative pain trajectories to identify risk of chronic postsurgical pain in living donors for liver transplantation].
To assess pain trajectories in predicting risk of chronic postoperative pain (CPP) after liver resection for living donor transplantation. ⋯ Acute postoperative pain is a risk factor of developing CPP. Identification of those people by pain trajectories can be useful to treat them early.