Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jun 2009
[Mannequin-based simulation to evaluate difficult intubation training for emergency physicians].
The aim of this study was to evaluate for the interest of realistic mannequin-based simulations as a tool to assess the knowledge of emergency medicine physicians in the field of difficult tracheal intubation. ⋯ We have demonstrated that theoretical lectures and standard mannequin-based driven workshops improved overall theoretical knowledge but did not translated to practical skill during of realistic mannequin-based simulations. Realistic mannequin-based simulations teaching programs in the field of difficult tracheal intubation should be considered.
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Ann Fr Anesth Reanim · Jun 2009
Could B-type Natriuretic Peptide (BNP) plasma concentration be useful to predict fluid responsiveness [corrected] in critically ill patients with acute circulatory failure?
As B-type Natriuretic Peptide (BNP) is a marker of ventricular wall stress, the present study was aimed at determining whether plasma BNP concentration could predict fluid responsiveness in critically ill patients with acute circulatory failure. ⋯ In critically ill patients with acute circulatory failure, BNP does not accurately predict fluid responsiveness.
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Ann Fr Anesth Reanim · Jun 2009
Case Reports[Paradoxal gazous embolism in hepatic trauma. Contribution of hyperbaric oxygenotherapy].
A young man was admitted for a polytraumatism associating head trauma and blunt abdominal trauma with hepatic injury. He was managed with a damage control surgery with a perihepatic packing. During the second look surgery, he developed a paradoxal gazous embolism by air aspiration in the sus-hepatic vein. ⋯ The patient presented a respiratory distress, a circulatory shock due to right infarction and an intracranial hypertension with bilateral mydriasis. He was immediately treated by hyperbaric oxygenotherapy. The evolution was good and he recovered without sequelae.
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Ann Fr Anesth Reanim · Jun 2009
[Contribution of central venous oxygen saturation in postoperative blood transfusion decision].
The aim of this study was to assess the value of central venous oxygen saturation (ScvO(2)) for the decision of blood transfusion in comparison with the criteria of the French guidelines for blood transfusion (2003). ⋯ ScvO(2) could be a relevant biological parameter to complete the current guidelines for BT in stable patient with a central venous catheter during the postoperative period.