Annales françaises d'anesthèsie et de rèanimation
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Accident of CPB is a reality. It is important to be prepared for discussion with the family, with the hospital administration, eventually with the justice. But we have also to support perfusionnist and anesthetic team in charge of the patient during accident.
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Ann Fr Anesth Reanim · May 2012
Review[Circumcision in children: an organizational or an ethical challenge?].
To review society, ethical and anaesthesiological issues related to circumcision in children. ⋯ The ethical point associated with circumcision is to allow best analgesia, in a way matching child's age. Analgesia, is achievable by both the surgeon and the anesthesiologist.
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New technologies have become available to minimize the adverse events of extracorporeal devices. Link to these technological improvements ECMO in lung transplantation is currently essential. ⋯ Its use as hemodynamic and respiratory support during the lung transplant surgery can replace conventional Cardiopulmonary bypass. And finally, ECMO is sometimes the only alternative in the most severe forms of primary graft failure.
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Ann Fr Anesth Reanim · May 2012
Letter Case Reports[Chylothorax: a rare complication of blunt chest trauma].
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Ann Fr Anesth Reanim · May 2012
Guideline[Critical appraisal of organ procurement under Maastricht 3 condition].
The ethics committee of the French Society of Anesthesia and Intensive Care (Sfar) has been requested by the French Biomedical Agency to consider the issue of organ donation in patients after a decision of withdrawing life supporting therapies has been taken. This category of organ donation is performed in the USA, Canada, United Kingdom, the Netherlands and Belgium. The three former countries have published recommendations, which formalize procedures and operations. ⋯ It suggests that the nature of the confirmatory investigation required should be formalized by the French Biomedical Agency on behalf of the French parliamentarians. This should help preserving population trust regarding organ procurement and provide a framework to medical decision. This text has been endorsed by the Sfar.