Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Oct 2008
Review[E-learning in medicine: appraisal and perspectives. Example of an educational website about echocardiography in anaesthesia, intensive care and emergencies: www.echorea.org].
Internet is a mode of quick and more and more easily approachable communication. Its use as support of education allows an enrichment of the master-pupil relation by its availability, its interactivity and the multiplicity of its means. Medicine benefits particularly from these new means of virtual companionship. This review offers to characterize means and constraints of the use of Internet in medical education, and to illustrate these purposes by an example of site created for the teaching of ultrasound use in anaesthesia, intensive care and emergency.
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The aims of this review are to point out the determinants of oxygen saturation of the haemoglobin of mixed venous blood (SvO(2)), to specify the correlations existing between SvO(2) and central venous saturation in superior vena cava (ScvO(2)), to determine and finally to locate the current place of venous oximetry in clinical practice. ⋯ The management of patients in critical states with therapeutic goals integrating the monitoring of venous oximetry may reduce the morbidity and mortality of patients undergoing major surgery or hospitalised in the intensive care unit.
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Ann Fr Anesth Reanim · Jan 2008
Review Comparative Study[Sevoflurane and propofol: original and generic].
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Ann Fr Anesth Reanim · Jan 2008
Review[Occupational hazards related to the practice of anaesthesia].
To evaluate the occupational hazards related to the practice of anaesthesia and to give the preventing measures related to these risks. ⋯ Toxicity of anaesthetic gases, occupational blood exposure, exposure to ionizing radiations, latex allergy, electrification and the risk of explosion in the operating room are well identified professional risks of anaesthesia. Measures have been implemented to reduce their incidence. Two risks are increasingly recognized: drug-addiction and burnout. Early tracking, the improvement of working conditions and a better professional recognition are the best way to prevent them.
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To analyse the current knowledge based on the experimental and clinical research studies focused on cardiopulmonary resuscitation. ⋯ The last international 2005 guidelines include significant modifications of CPR. However, many questions remain unresolved and controlled studies are still needed before other changes could be recommended for routine practice. Our greatest challenge and highest priority is the training of lay rescuers and healthcare providers in simple, high-quality CPR skills that can be easily taught, remembered, and implemented to save lives.