Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Nov 2014
Multicenter Study[Development of a tool for withholding and withdrawing life-sustaining treatment in the emergency room].
Active treatment withholding and withdrawing decisions in the emergency room (ER) must be taken collegially according to ethical and juridical statements. Specific tools can support this process and our main goal was to create and validate such a tool. ⋯ We have been able to create a tool to help for treatment withholding and withdrawing decisions adapted to the guidelines for end of life patient's management in the ER. This tool has been validated using a Delphi method by a group of experts from different centres. This multicentre validation will help for the diffusion and use of this tool in the different ER of the Rhône-Alpes region.
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Ann Fr Anesth Reanim · Nov 2014
Case Reports[Rocuronium and sugammadex use for the management of neuromuscular blockade in urgent abdominal surgery in a patient with Landouzy-Dejerine myopathy.]
In patients with neuromuscular diseases, the use of rocuronium in the general anesthesia rapid sequence induction provides safety intubation conditions, but induces a deep and prolonged neuromuscular blockade. We report dose reduction to 0.8mg/kg for a 47-year-old female with Landouzy-Dejerine myopathy. Therefore, less dose of sugammadex was given to reverse the neuromuscular block.
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Ann Fr Anesth Reanim · Nov 2014
Case Reports[A post-intubation tracheal rupture in intensive care unit].
Tracheal rupture is one of the most serious post-intubation complication. However, it is widely underestimated. ⋯ Special care should be paid to this complication, early diagnosis has probably a prognostic value. Training operators in the use of stylets and monitoring cuff pressure are required.
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Ann Fr Anesth Reanim · Nov 2014
Case Reports[Patient treated with sub-mental intubation for maxillofacial trauma].
Maxillo-facial traumas are frequent and most often occur in young patients. Naso-tracheal or orotracheal intubation may be contraindicated in case of combined occlusal fracture and nasal or ethmoido-nasal fracture. ⋯ Submental intubation is a reliable single and safe technique allowing an one-stage surgical treatment in case of complex association of fractures without using tracheotomy. Its use should be implemented on a larger scale.
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Ann Fr Anesth Reanim · Nov 2014
Letter Case Reports[A rare complication of severe acute asthma: Perthes syndrome].