Annales françaises d'anesthèsie et de rèanimation
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The activity of a paediatric chronic pain clinic is described. The author highlight the importance of the first visit of the child with its parents, and of a multidisciplinary approach adapted to the child's individual needs.
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Ann Fr Anesth Reanim · Jan 2012
Review[Pharmaco-economic aspects of perioperative pain management].
We present a reflection on pharmaco-economy of perioperative pain management. A real optimisation of expenses could be obtained if taking into consideration factors that augment and diminish costs of the process, due to the organisation of the process itself, due to optimisation of the information and decision's circuits. The cost of an analgesic is not significant when compared with the cost of entire process of pain management.
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The sensory innervation of the face is provided by the three major nerves, emerging from trigeminal nerve: the ophthalmic, maxillary and mandibular nerve. Nerve blocks of the face or head are not widely used in practice in France. ⋯ The performance of these blocks is simple provided the usual safety rules are followed. As for other peripheral nerve blocks, ultrasound guidance has shown its interest for the realization of facial nerve blocks to identify anatomical structure and to locate the spread of the injected local anaesthetic.
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Ann Fr Anesth Reanim · Jan 2012
Review[The surgeon's viewpoint concerning Complex Regional Pain Syndrome 1].
The complex regional pain syndrome type 1 from the surgeon's point of view: description of the symptoms, imaging (nuclear medicine, MRI) and of the associated psychological context. Importance of the need for a multi-disciplinary organization from the diagnostic to the therapeutic care.
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Ann Fr Anesth Reanim · Jan 2012
Review[What to do or not, after an anaesthetic accident? The point of view of the medical advisor].
The objectives of this review are (1) to explain the goals of a medico-legal appraisement and describe the various jurisdictions able to order it; (2) to analyze the actions to be taken from the medico-legal point of view during and after the accident; (3) to give advise concerning communication with the patient, its family and the colleagues involved in the case; (4) to describe of the role of the medical advisor before (constitution of the file to communicate), during (assistance to the blamed practitioner) and after the expertise (to learn the practical lessons); (5) to recall the importance of the quality of the anaesthetic file, the keystone of the expertise, and the rules governing the responsibility for the doctor.