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
[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.
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Ann Fr Anesth Reanim · Jun 2009
Comparative Study[Comparison of ICG thoracic bioimpedance cardiac output monitoring system in patients undergoing cardiac surgery with pulmonary artery cardiac output measurements].
Thoracic bioimpedance has been proposed for cardiac output (CO) determination and monitoring without calibration or thermodilution (ICG Monitor 862146, Philips Medical System, Philips, Suresnes, France). The accuracy and clinical applicability of this technology has not been fully evaluated in the cardiac surgery setting. We designed this prospective study to compare the accuracy of the ICG Monitor (CO(ICG)) versus pulmonary artery catheter standard bolus thermodilution (CO(PAC)) in patients after cardiac surgery or having benefited from cardiac surgery. ⋯ We found clinically unacceptable agreement between CO(ICG) and CO(PAC) in this setting. Despite its non invasiveness, this device cannot be recommended for CO monitoring in the postoperative period following cardiac surgery.
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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.