Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Apr 2014
Observational StudyImpact of a goal-directed therapy protocol on postoperative fluid balance in patients undergoing liver transplantation: A retrospective study.
Liver transplantation carries major risks during the perioperative period. Few studies focused on the hemodynamics of patients undergoing liver transplantation. The present study was aimed to evaluate the impact of the implementation of a protocol including goal-directed therapy in patients undergoing liver transplantation. Our first goal was to determine its impact on the fluid balance. Secondarily, we evaluated possible improvements in the patient outcomes. ⋯ For patients undergoing liver transplantation, the implementation of a protocol aiming to optimize hemodynamics was associated with reduced fluid balance and decreased requirement for mechanical ventilation and postoperative ileus duration.
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Ann Fr Anesth Reanim · Apr 2014
Observational Study[Antifungal treatment for suspected or proved candidiasis in the critically ill.]
Describe systemic antifungal therapy in non-neutropenic adult patients in intensive care unit (ICU). ⋯ For ICU non-neutropenic adult patients in our center, antifungal therapy is prescribed two times out of three for suspected, unproved infections, in most cases with fluconazole. Documented infections were more often treated by echinocandin with secondary de-escalation. An interventional prospective study to assess the role of antifungal pre-emptive or empirical therapy is necessary.
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Ann Fr Anesth Reanim · Apr 2014
Case Reports[Spontaneous pneumomediastinum secondary to inhalation of crack.]
The use of cocaine causes numerous cardiovascular and pulmonary side effects. In this context, the occurrence of a pneumomediastinum represents a specific complication, often misunderstood by primary care physicians. ⋯ A short observation period with outpatient follow-up is appropriate in the majority of patients. Invasive procedures have a low yield and should be based on a high degree of clinical suspicion for esophageal rupture or bronchial tree laceration.
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Ann Fr Anesth Reanim · Apr 2014
[Use of the intraosseous access in adult patients in France in 2012.]
To evaluate theoretical and practical knowledges of intraosseous (IO) access in adults patients in France in 2012. ⋯ Only 29% of practitioners have ever used an IO kit. With the new IO kits, a theoretical and practical training is needed to ensure IO kit used.