Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jan 2014
[Moroccan survey about neuromuscular relaxant blocking drugs use and reversal management.]
To determine current clinical neuromuscular use in Morocco anesthetic practice. ⋯ This study show an underestimation of residual neuromuscular blockade, poor neuromuscular monitor use and lack of knowledge of NMBA specially for senior anesthesiologists and in private hospitals. We should elaborate Moroccan guideline for NMBA use and provide formal training programs for our anesthetic staff.
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Ann Fr Anesth Reanim · Jan 2014
Case Reports[Patient with acute renal injury presenting dabigatran overdose: Hemodialysis for surgery.]
Dabigatran is a direct thrombin inhibitor indicated for stroke and systemic embolism prevention in patients with non-valvular atrial fibrillation. No reversal agent exists, but hemodialysis has been proposed as dabigatran removal method. We report a case of an 80-year-old man presenting hemorrhage with dabigatran overdose caused by obstructive acute renal failure. Before nephrostomy, several hemodialysis sessions were necessary to remove dabigatran probably because of its large volume of distribution.
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While coat contamination increases progressively with the duration of use, there are no guidelines on how frequently medical white coats should be changed. The purpose of our study was to examine the turnover of individual batch of medical white coats in a university hospital. ⋯ Shortening white coat use should be included in medical education in order to improve the good practice rules of hospital hygiene.
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Ann Fr Anesth Reanim · Jan 2014
Internet remote control of pump settings for postoperative continuous peripheral nerve blocks: A feasibility study in 59 patients.
During continuous peripheral nerve blocks, infusion adjustments are essential for postoperative analgesia without side effects. Beside, physicians and nurse visits related to pump's settings and monitoring are time consuming and costly. We hypothesized that a remote control of pump's settings, by telemedicine transmission, adjusted to patients' feedbacks, is feasible and interesting in optimizing patient's postoperative pain management. ⋯ Remote control pump's feedbacks and e-settings for postoperative analgesia using CPNB permitted a real adaptation to patients' needs, complaints and pain VAS values without nurse and physician physical intervention.