Annales françaises d'anesthèsie et de rèanimation
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The aim of this literature review is to suggest a diagnostic and a preventive attitude in patients having presented an immediate hypersensitivity reaction due to an iodinated drug. ⋯ Asking a patient if he/she is "allergic to iodine" is a question that should be avoided because its significance is null. A diagnosis of drug allergy, essentially relying on clinical symptoms, biological tests and cutaneous tests, is required to take adequate preventive measures.
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Ann Fr Anesth Reanim · Jan 2005
Randomized Controlled Trial Clinical Trial[Analgesic effect of continuous intravenous nefopam after urological surgery].
To evaluate the efficacy of continuous infusion of nefopam. Indeed this analgesic is commonly used by continuous infusion by many anaesthetists to reduce its adverse effects. However whether the analgesic effect of an intermittent administration of nefopam has been proven, the efficacy of continuous infusion has not been established. ⋯ In this study, continuous administration of nefopam did not reduce morphine consumption nor ameliorate analgesia and thus may not be recommended in urological surgery. Nefopam pharmacokinetics when used with continuous infusion as well as surgery types and differences in age between groups may explain these results.
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Ann Fr Anesth Reanim · Jan 2005
[Complications during the intrahospital transport in critically ill patients].
Intrahospital transport (IHT) of mechanically ventilated critically ill patients is associated with an important risk of complications. ⋯ This study supports the fact that IHT of mechanically ventilated critically ill patients, is a high-risk procedure associated with potentially severe complications. This finding emphasises the need of standardised procedures and medical surveillance during IHT.
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Ann Fr Anesth Reanim · Jan 2005
[Intensive care management of patients with severe head traumatism in Benin from 1998 to 2002].
To study in Cotonou (Benin) in tropical environment, the specific problems of severe head injury. ⋯ Severe head injury is a major cause of morbidity and mortality in developing countries. Limited access to highly specialised care explain a high mortality rate. An active policy of prevention from administrative authorities and a greater effectiveness of medical management may improve outcome.
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Ann Fr Anesth Reanim · Jan 2005
[Surgical antimicrobial prophylaxis: compliance to guidelines and impact of targeted information program].
Surgical antimicrobial prophylaxis is used to decrease postoperative wound infection. We assessed the compliance to surgical antimicrobial prophylaxis guidelines in our hospital and the impact of an information program. ⋯ These results are consistent with previous studies. Information program alone have no effect on the good use of antimicrobial for surgical prophylaxis. Only a policy associating organization, restriction and education could improve practices.