Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · May 2014
[Declarative survey about postpartum haemorrhage management by anaesthesiologists in Pays de la Loire area (France): What's the adherence to clinical practice guidelines?]
To assess the management of postpartum hemorrhage (PPH) by anaesthesiologists in Pays de la Loire area. ⋯ Some inappropriate practices remain in structures not used to support them. The use of new therapies remain controversial. The priority at this time is the implementation and enforcement of the current RCP, not their modifications.
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Ann Fr Anesth Reanim · May 2014
[Association of physiotherapy under continuous brachial plexus analgesia and shoulder arthrographic-distension for treatment of resistant shoulder-hand syndrome.]
Evaluation of treatment of shoulder-hand syndromes resistant to conventional therapeutic. This approach consists of an intensive treatment based on arthrographic distension with rapid mobilization of the shoulder under general anaesthesia and on active rehabilitation under regional analgesia using infraclavicular brachial plexus catheter. ⋯ After failure of the physiotherapy and analgesic treatment, there are no clear consensual procedures and guidelines remains discussed. The current study combined different approaches with a significant improvement of this complex regional pain syndrome called shoulder-hand syndromes.
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Ann Fr Anesth Reanim · May 2014
Observational Study[Epidural analgesia apart from obstetrics: A survey of practice.]
To describe the current use of epidural anesthesia (EA) apart from obstetrics, and to explain the reasons of its low utilization. ⋯ Epidural analgesia is performed more often by younger anesthesiologists. This survey suggests the need of specific postoperative area to allow anesthesiologist to perform and supervise safely this technique. Recommendations of the French society of Anesthesiologists are also poorly applied.
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Ann Fr Anesth Reanim · May 2014
Case Reports[Life-saving cricothyrotomy before surgical tracheotomy: Two cases.]
The two current cases reported present the situation of "can't intubate can't ventilate" patients with life-saving cricothyrotomy before surgical tracheotomy. These situations emphasize the necessity for clinicians to master difficult intubation and oxygenation algorithms and all available alternative techniques.
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Ann Fr Anesth Reanim · May 2014
Case Reports[Anthrax meningoencephalitis: A case following a cutaneous lesion in Morocco.]
Anthrax meningoencephalitis is very rare especially following skin location. We report a case of meningoencephalitis secondary to skin lesion. The diagnosis is based on clinical presentation and confirmed by microbiological tests. Its evolution remains fatal despite aggressive resuscitation.