Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jun 2011
Case Reports[Use of ECMO as a salvage therapy for refractory hypoxia secondary to a Lemierre's syndrome].
We reported the case of a young adult with a Lemierre syndrome, which was complicated by septic shock and ARDS. Because of rapid onset of a life-threatening hypoxemia (PaO(2)/FiO(2)=60) in the course of the ARDS despite mechanical ventilation, ECMO was started with jugular and femoral cannulas, as rescue therapy. ⋯ The course was nevertheless complicated by acute renal failure and a pleural fistula that necessitated separate-lung ventilation during 24 hours. After 48 days left in the ICU, the patient was sent to a rehabilitation unit.
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Ann Fr Anesth Reanim · Jun 2011
[French surgical checklist in a universitary hospital: achievements one year after implementation].
Implementation of the checklist "Safe surgery saves live" (CL) is associated with reduction of perioperative morbidity and mortality. In France, CL is mandatory in operating rooms (OR) since January 2010. The objective of this work was to evaluate the level of the roll out of the CL in our institution, a French universitary hospital. ⋯ CL evaluation restricted to levels of use is limited and should be extended to a qualitative evaluation. Communication in the OR remains insufficient and represents an important quality improvement aim to improve security in the OR.