Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Mar 2012
[Conditions of decision making of admission or non-admission in surgical intensive care unit].
To describe the condition of the decision-making of admission and non-admission in intensive care unit. ⋯ Thus, this study shows that in its current form the intensivists of the service estimate that in the majority of the cases the instruction of the files was collegial. However, the conditions of seniorisation of the decision, the collection of opinion of the patient and/or his close relations and the traceability are tracks of improvement to be implemented in certain circumstances of admission or non-admission.
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Ann Fr Anesth Reanim · Mar 2012
Case Reports[Haemophagocytic syndrome in pregnancy: a case report].
Haemophagocytic syndrome (HPS) results from an inappropriate stimulation of macrophages in bone marrow and lymphoid organs, leading to haemophagocytosis and hypercytokinemia. HPS may be primitive, essentially in pediatric population, or secondary to malignancy, infection or autoimmune disease. ⋯ We report one HPS case in a pregnant patient at 21 week's gestation with systemic lupus erythematosus. We discuss diagnostic difficulties, obstetrical complications and therapeutic options.
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Dental injuries are among the most common complications of general anesthesia. Yet few studies have assessed the costs and factors that involve the responsibility of the anesthetist. ⋯ This work proves that the statements of caution are the most common and a minority of dental trauma lead to a claim. Claims are due to the high cost of dental care repair. The proportion of patients receiving benefits is extremely low. Medical expertise is an essential part of the evaluation of medical responsibilities. No compensation was paid without expertise. The lack of physical examination and information are contrary to our professional obligations and may involve our responsibility. The lack of patient information is not generated for compensation to the extent that the consequences of failure are easily dental weighed against the benefits of the entire medical-surgical procedure that the patient has agreed.
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Ann Fr Anesth Reanim · Mar 2012
Letter Case Reports[Sudden death and "inverted Tako-Tsubo": think of the brain !].
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Ann Fr Anesth Reanim · Mar 2012
Letter Case Reports[Gum elastic bougie to facilitate gastric tube insertion].