Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jun 2012
Review[EEG in intensive care unit: which indications, which material?].
There is a growing development of continuous EEG monitoring (cEEG) in the intensive care unit (ICU) management of neurological patients. Its main objective is the detection of epileptic seizures or status epilepticus because the sensitivity of standard short-duration EEG recording in the ICU is poor. The aim of monitoring is to allow rapid recognition and treatment of epileptic complications in order to decrease secondary insults to the brain and improve outcome. ⋯ Another application of EEG in the ICU is monitoring depth of anaesthesia or barbiturate treatment. Due to artifacts contamination, this is possible only in deeply sedated of paralyzed patients. The impact or cEEG monitoring on clinical management and its indications have to be further defined.
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Ann Fr Anesth Reanim · Jun 2012
Letter Case Reports[The use of sugammadex in a patient with myasthenia gravis].
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Ann Fr Anesth Reanim · Jun 2012
Randomized Controlled Trial Comparative Study[Internal jugular venous cannulation: what is the best approach?].
The aim of this study was to compare two approaches used for internal jugular venous cannulation: the anterior way, described by English et al. and the posterior way, described by Jernigan et al. The primary endpoint was the rate of success. The secondary endpoints were the related adverse events and the difficulty factors. ⋯ This study shows that the posterior approach in internal jugular venous cannulation is more efficient than and as safe as the anterior approach.