Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Nov 2014
[Preoperative psychological experience and beliefs in adult patients scheduled for surgery at the University Hospital of Parakou in Benin].
To study the preoperative psychological experience and beliefs in adult patients scheduled for surgery at the University Hospital of Parakou. ⋯ The preoperative period induces a significant burden of anxiety among patients and their families. In Benin, the announcement of surgery is an opportunity for confrontation of the patient to an obsession with death which he manages to escape despite the countless sacrifices of traditional conjuring.
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Ann Fr Anesth Reanim · Nov 2014
Multicenter Study[Development of a tool for withholding and withdrawing life-sustaining treatment in the emergency room].
Active treatment withholding and withdrawing decisions in the emergency room (ER) must be taken collegially according to ethical and juridical statements. Specific tools can support this process and our main goal was to create and validate such a tool. ⋯ We have been able to create a tool to help for treatment withholding and withdrawing decisions adapted to the guidelines for end of life patient's management in the ER. This tool has been validated using a Delphi method by a group of experts from different centres. This multicentre validation will help for the diffusion and use of this tool in the different ER of the Rhône-Alpes region.
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Evaluation of the acceptability of complications related to obstetrical epidural analgesia in two populations, parturients and anesthesiologists. ⋯ In this study, the overall acceptability of the inherent complications of epidural analgesia was good in the two populations. It was essentially based on the notion of severity and preventability. A large interindividual variability was observed and a better acceptance by the anesthesiologists.
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Ann Fr Anesth Reanim · Nov 2014
[Infusion of vasoactive drugs at low flow rate: Effects of the syringe switch and syringe volume (experimental study)].
The flow rate of intravenous administration of vasoactive agents should be steady in order to prevent changes in hemodynamics. In the newborns, because the flow rate is often lower than 1mL/h, it is difficult to switch of the syringe. The aim of our study was to compare the variations of concentration of active substance delivered after a manual or an automatic switch off the syringe with three different volumes (10mL, 20mL and 50mL). ⋯ In newborns, in order to prevent the change in flow rate of drugs after a switch of syringes, our results suggest the use of syringe-pump with built-in automatic switch and small-volume syringes.
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Ann Fr Anesth Reanim · Nov 2014
Case Reports[Fatal Panton-Valentine leukocidine-associated Staphylococcus aureus necrotizing pneumonia].
Panton-Valentine leukocidin-producing Staphylococcus aureus necrotizing pneumonia is an unusual cause of community-acquired pneumonia associated with a high fatality rate. The specificities of its presentation must be known by the critical care doctor, in order to quickly make the diagnosis and start the right antibiotics and discuss adjunctive therapy with intravenous immunoglobin. Moreover, the management of close contacts (household and healthcare workers) of patient with such a pneumonia is not well-known. The present case report underlines the clinical presentation of this pneumonia, the specificities of its treatment, and specifies the management of close contacts.