Annales françaises d'anesthèsie et de rèanimation
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Immunohaematology examinations are usually prescribed preoperatively according to more or less standardized protocols. We wanted to assess the relevance of these protocols on the basis of factual data: an overview of the rate of transfusions carried out as part of surgery within the HCL in 2009. ⋯ The emergency degree of the transfusion must be taken into account for such recommendation. Each hospital should perform its own cartography to justify its own protocols.
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Ann Fr Anesth Reanim · Feb 2012
[Factors associated with non-compliance to surgical antimicrobial prophylaxis guidelines during a prospective audit].
To assess physician compliance with guidelines for surgical antimicrobial prophylaxis practices and to identify factors associated with non-compliance. ⋯ This study confirmed previous findings on the impact of the type of surgery and the wound class contamination on the overall compliance rate. Furthermore, non-compliance was related to surgeon prescriptions. The compliance should be improved by specific measures after professional feedback.
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Ann Fr Anesth Reanim · Feb 2012
Case Reports[A new complication related to prolonged prone position: a masseter muscle haematoma].
We report a case of a 54-year-old man who underwent an prolonged spinal osteosynthesis complicated by a masseter muscle compressive ischaemia and haematoma in the early postoperative period. A special attention of the body compressive points in particular of the face, in association with an horseshoe's headstall, would have probably lead to avoid this complication in this risk factors patient.
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Ann Fr Anesth Reanim · Feb 2012
[Out-of-hospital assessment of elderly patients' preference for ICU care].
To estimate the adequacy between elderly patients' preference for ICU care when treated for a life-threatening pathology, and the strategy proposed by the medical team on scene. ⋯ The inadequacy between elderly patients' preferences and doctors' opinion concerning ICU cares is frequent. The present results support a more systematic collection of patients' preferences when treated on scene for a life-threatening pathology.
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Ann Fr Anesth Reanim · Feb 2012
[A protocol for the cessation of sedation in brain-injured patients].
The cessation of sedation in brain-injured patients may result in severe agitation and/or acute withdrawal syndrome related to the prolonged administration of large doses of benzodiazepines and/or opioids. The aim of the present study was to assess the clinical efficacy of a written protocol to withdraw sedation for these patients. ⋯ The cessation of sedation in severely brain-injured patients can be successfully managed with the use of clorazepate, associated with buprenorphine in the presence of agitation.