Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Nov 2013
Review Meta Analysis[Pathophysiology and management of post-cardiac arrest syndrome.]
This review aims at providing an update on post-cardiac arrest syndrome, from pathophysiology to treatment. ⋯ If ongoing evaluations should shed light on potential efficiency of new therapeutic drugs, a multidisciplinary approach of the post-cardiac arrest syndrome in expertise centre is essential.
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Ann Fr Anesth Reanim · Nov 2013
Impact of noradrenaline infusion set on mean arterial pressure: A retrospective clinical study.
Noradrenaline (NA) can be infused through various systems including single or double syringe pumps. The aim of this study was to define the best and most efficient infusion system in an emergency context. ⋯ The use of a double syringe pump system associated with a very low dead-space volume infusion set appears to be the most appropriate system for NA infusion.
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Ann Fr Anesth Reanim · Nov 2013
[Organization of mechanical ventilation in French Intensive care units.]
To clarify the procedures related to mechanical ventilation in the intensive care unit setting: allocation of ventilators, team education, maintenance and reference documents. ⋯ This first survey shows disparate distribution of ventilators and practices among French ICU. Education and understanding of the proper use of ventilators are key issues for security improvement.
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Ann Fr Anesth Reanim · Nov 2013
Editorial Comment[Post-cardiac arrest syndrome: A multiple organ disease.]
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Therapeutic hypothermia (TH) is considered a standard of care in the post-resuscitation phase of cardiac arrest. In experimental models of traumatic brain injury (TBI), TH was found to have neuroprotective properties. However, TH failed to demonstrate beneficial effects on neurological outcome in patients with TBI. ⋯ The control of the rewarming phase is crucial to avoid temperature overshooting and should not exceed 1°C/day. Besides its use in the management of intracranial hypertension, therapeutic cooling is also essential to treat hyperthermia in brain-injured patients. In this review, we will discuss the benefit-risk balance and practical aspects of therapeutic temperature management in TBI patients.