Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Dec 2014
Review Meta Analysis[Epidemiology of cerebral perioperative vascular accidents.]
Stroke is a well-described postoperative complication, after carotid and cardiac surgery. On the contrary, few studies are available concerning postoperative stroke in general non-cardiac non-carotid surgery. The high morbid-mortality of stroke justifies an extended analysis of recent literature. ⋯ Postoperative stroke is a quality marker of the surgical teams' skill and has specific onset time and induces an increase of postoperative mortality.
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Ann Fr Anesth Reanim · Nov 2014
Review Meta Analysis[Efficacy and safety of tranexamic acid administration for the prevention and/or the treatment of post-partum haemorrhage: A systematic review with meta-analysis].
Assess the efficacy and safety of tranexamic acid administration for the prevention and/or the treatment of postpartum haemorrhage. ⋯ Although tranexamic acid administration seemed to significantly reduce blood loss and the incidence of severe post-partum haemorrhage, further prospective trials are needed to confirm the efficacy and safety of tranexamic administration in the treatment of postpartum haemorrhage. Those studies should assess the pharmacokinetic profile and the safety of this drug in pregnant women.
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Ann Fr Anesth Reanim · Apr 2014
Review Meta Analysis Historical Article[Tourniquet use in civil and military medicines.]
The purpose of this literature review is, after a history and a point about current situation, to present the military use and precautions of use of tourniquet for civil and military medicine. ⋯ The tourniquet has utility in times of war and in peacetime. In each case, indications and complications must be known.
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Ann Fr Anesth Reanim · Jan 2014
Review Meta Analysis[Prehabilitation. Preparing patients for surgery to improve functional recovery and reduce postoperative morbidity.]
Prehabilitation consists in providing a repetitive physical exercise before surgery to improve the postoperative recovery course. This review aims to evaluate the feasibility and the expected benefits of prehabilitation on the postoperative recovery course and the reduction of the postoperative morbidity. ⋯ The effectiveness of prehabilitation has been demonstrated in cardiovascular surgery and probably in abdominal surgery. Prehabilitation must be integrated into the overall patient medical management, and must be associated with preoperative refeeding and postoperative rehabilitation protocols. By optimizing all stages of the surgical patient management, from diagnosis to recovery, prognosis of high-risk surgical patients could be improved.
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Ann Fr Anesth Reanim · Nov 2013
Review Meta Analysis[Pathophysiology and management of post-cardiac arrest syndrome.]
This review aims at providing an update on post-cardiac arrest syndrome, from pathophysiology to treatment. ⋯ If ongoing evaluations should shed light on potential efficiency of new therapeutic drugs, a multidisciplinary approach of the post-cardiac arrest syndrome in expertise centre is essential.