Annales françaises d'anesthèsie et de rèanimation
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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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Ann Fr Anesth Reanim · Jan 2008
Comparative Study Controlled Clinical Trial[Interest of entropy monitoring during low-grade cerebral aneurysm embolisation].
Evaluate the use of entropy monitoring on anaesthetic drugs consumption, haemodynamic stability, and recovery time in patients undergoing embolisation of cerebral artery aneurysm (asymptomatic or low Hunt and Hess grades). ⋯ No intraoperative incident. Propofol consumption was lower in G2 (7.49+/-2.28 mg/kg per hour versus 9.46+/-2.50mg/kg per hour; p<0.05). A tendency to reduction was observed for remifentanil consumption (6.65+/-2.04 microg/kg per hour versus 7.94+/-2.92 microg/kg per hour; p=0.056), and extubation delay (14.1+/-8.6 min versus 26.5+/-22.0 min; p=0.056), in G2. The entropy monitoring had no repercussion on haemodynamic stability, but the arterial pressure values were significantly higher in G2 (73.60+/-8.49 mmHg versus 67.10+/-5.58 mmHg). Entropy captor does not disrupt embolisation procedure. Coils liberation alter temporarily RE and SE values.