Annales françaises d'anesthèsie et de rèanimation
-
Ann Fr Anesth Reanim · May 2014
Comparative StudyComparative study of three methods of estimation of creatinine clearance in critically ill patients.
At the bedside, the reference method for creatinine clearance determination is based on the measurement of creatinine concentrations in urine and serum (mCrCl). Several models are available to calculate the creatinine clearance from the serum creatinine concentration. This observational survey aimed at testing the hypothesis that the proposed equations are unreliable to determine accurate creatinine clearance in patients admitted to intensive care unit (ICU). ⋯ Regarding the high percentage of outliers, the use of these equations cannot be recommended in ICU patients.
-
Ann Fr Anesth Reanim · May 2014
Case Reports[Life-saving cricothyrotomy before surgical tracheotomy: Two cases.]
The two current cases reported present the situation of "can't intubate can't ventilate" patients with life-saving cricothyrotomy before surgical tracheotomy. These situations emphasize the necessity for clinicians to master difficult intubation and oxygenation algorithms and all available alternative techniques.
-
Ann Fr Anesth Reanim · May 2014
Review[Perioperative conflicts between anaesthesiologists and surgeons: Ethics and professionalism.]
In the perioperative period, several potential conflicts between anaesthetists/intensive care specialists and surgeons may exist. They are detrimental to the quality of patient care and to the well-being of the teams. They are a source of medical errors and contribute to burn-out. ⋯ The teaching of communication techniques that begins with the initial training, the evaluation of team behaviours (through simulation training for example), the respect of others' constraints, particularly when it comes to learning, as well as transparency regarding conflicts of interests, are all additional elements of conflict prevention. Lastly, conflicts may at times be caused by deviant behaviours, which must be met with a clear and uncompromising collective and institutional approach. This article concludes by offering a standardised approach for conflict resolution.
-
Ann Fr Anesth Reanim · May 2014
Review[Simulation in healthcare in North America: Update and evolution after two decades.]
Update on simulation-based education and its evolution in North America. ⋯ Simulation is fully integrated in healthcare in North America and represents one of the main elements for healthcare professional education. Simulation is also a symbol of excellence for health and teaching institutions. The evolution of simulation in North America is likely to inform the future of simulation in France.