Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Sep 2014
Randomized Controlled Trial Comparative Study[About laryngeal mask: Is the lowest price material the better cost-efficacy choice?]
The main goal of this study was to achieve a medico-economic comparison between four disposable laryngeal masks (LM) (LMA-Unique™, Ambu AuraOnce™, I-Gel™ and LMA-Suprême™). ⋯ Despite their better efficiency and safety, the latest generation laryngeal masks are still expensive in spite of a low rate of complication. These results do not take into account very rare and severe complications not met in this study in the limited size; then the economic and medical impact can influence the choice beyond the simple analysis cost-efficiency.
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We report the case of a 55-year-old man without significant medical history admitted to the ICU for a progressive paralysis mimicking life-threatening tetanus. Evolution with classical tetanus treatment was negative, with the need for ventilator support and worsening condition being life threatening. ⋯ Intensivists should be aware of this very rare syndrome whose treatment is the opposite of tetanus while presentation is very close. Optimal and treatment could lead to prolonged survival.
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Ann Fr Anesth Reanim · Sep 2014
Observational Study[Iatrogenic events: A significant cause of admission in intensive care units.]
Identification and analysis of iatrogenic events leading to admission in intensive care units. ⋯ Iatrogenic event is a significant cause of ICU admission, involved in 12% of all the hospitalizations in our unit. It has an impact on the patient's profile (significantly older) and their ICU stay (increased need for transfusion). More than a third of events could be preventable and potentially accessible to corrective actions.
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Ann Fr Anesth Reanim · Sep 2014
[Process, procedure and requested conditions for academic appointment in anesthesia and intensive care.]
Since several decades, anesthesia care and intensive care, as well, are engaged in the way of excellence in clinical care and research. This requirement is also applied for the selection of professor and academic workers. The goals of this article are twice: first to diffuse this knowledge at the medical community and second to describe in details the long process leading to the final appointment.
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Ann Fr Anesth Reanim · Sep 2014
Case Reports[Sub-capsular renal hematoma during severe preeclampsia: Clinical case and review of the literature.]
Renal haematoma during severe preeclampsia is a rare uneventful event. It is usually associated with other organ injury such as cerebral or liver haematoma. ⋯ In the current case report, we describe an isolated renal haematoma during a severe preeclampsia complicated by a HELLP syndrome. This patient was managed with a conservative treatment (control of arterial pressure and induction of delivery) and an imaging follow-up.