Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · May 2014
Observational Study[Epidural analgesia apart from obstetrics: A survey of practice.]
To describe the current use of epidural anesthesia (EA) apart from obstetrics, and to explain the reasons of its low utilization. ⋯ Epidural analgesia is performed more often by younger anesthesiologists. This survey suggests the need of specific postoperative area to allow anesthesiologist to perform and supervise safely this technique. Recommendations of the French society of Anesthesiologists are also poorly applied.
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Ann Fr Anesth Reanim · May 2014
Observational StudyRisk factors for persistent pain after urological surgery.
Ten to 50% of patients with post-surgical pain develop chronic pain depending on the type of surgery. The objective of this study was to assess the incidence of persistent post-surgical pain (PPSP) and to identify risk factors following urology surgery. ⋯ These findings confirm the role of preoperative pain and morphine consumption in the genesis of PPSP and call for establishing clinical perioperative pathways tailored to the patient.
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Ann Fr Anesth Reanim · May 2014
Case ReportsAccidental dural puncture: Combination of prophylactic methods to avoid post-dural puncture headache.
Accidental dural puncture (ADP) is a common complication of epidural catheter insertion, and may lead to post-dural puncture headache (PDPH), especially in obstetric patients. Epidural blood patch (BP) is the most effective treatment of PDPH. Prophylactic BP has shown its efficacy to prevent PDPH; nevertheless, this method may be insufficient. ⋯ A prophylactic BP was performed immediately after removal of the intrathecal catheter. The patient did not experience any headache. This combination of treatments (intrathecal catheter insertion+prophylactic BP) may be a good alternative approach to prevent PDPH, even if it has to be warranted by other clinical studies.