Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jun 2005
[Clinical practices of analgesia for invasive procedures in critically ill sedated patients in Ile-de-France: a phone survey].
To assess the practice of analgesia for invasive procedures in critically ill sedated patient in Ile-de-France (French area including Paris). Observational study: phone survey using a standard questionnaire. Only one senior physician in each of 30 intensive care unit (ICU) was questioned. ⋯ Procedures, which were thought to be most invasive (catheterization, pleural drainage, fibroscopy) were in most cases preceded by analgesia, but this was seldom the case for less painful events (venous or arterial puncture, tracheal suctioning). Specific pain scales are still underused. In contrast with current guidelines, analgesia for invasive procedures is not systematic but depends on subjective opinions.
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Ann Fr Anesth Reanim · Jun 2005
Case Reports[Medical treatment of an important trachea injury after tracheal intubation].
Tracheal injuries are rare but life threatening complications of anaesthesia. Two therapeutic strategies are presently proposed: a non-surgical strategy for small injuries and a surgical strategy for larger ones. This case report presented the non-surgical therapeutic strategy of a large tracheal injury. This strategy was discussed according to other published reports.