Annales françaises d'anesthèsie et de rèanimation
-
Postoperative pulmonary complications (PPCs) are a major contributor to the overall risk of surgery. PPCs affect the length of hospital stay and are associated with a higher in-hospital mortality. ⋯ When the risk is clearly identified related to the patient according the ARISCAT score and/or the type of surgery (mainly thoracic and abdominal), low-cost preemptive interventions improve outcomes and new strategies can be developed to prevent this risk. The EuSOS, PERISCOPE and IMPROVE studies demonstrated this care optimization by risk identification first, then risk stratification and new care (multifaceted) strategies implementation allowing a decrease in PPCs mortality by optimizing the clinical path of the patient and the care resources.
-
Ann Fr Anesth Reanim · Jun 2014
Case Reports[Acquired long QT syndrome and cardiac arrest after general anesthesia. Case report and review of literature.]
A 30-year-old woman, with no medical history, is operated on for breast implants. In recovery room, an episode of torsade de pointes occurs, progressing to ventricular fibrillation. The ECG after cardiopulmonary resuscitation and conversion to a normal sinus rhythm shows a corrected QT interval prolongation, whereas it is normalized after 48hours. We hypothesize that a ventricular fibrillation occurred after a torsade de pointes, due to drug-induced long QT syndrome during general anesthesia, with probably drug interaction.
-
Ann Fr Anesth Reanim · Jun 2014
Letter Case Reports[Diffuse encephalitis and coma on isotretinoin treated patient.]
-
Ann Fr Anesth Reanim · Jun 2014
Guideline[Storing succinylcholine in prehospital settings following the recommendations of the French National Agency for the safety of medicines.]
The French National Pharmaceuticals Agency (ANSM) has recommanded in July 2012 not to break the cold chain before using succinylcholine (Celocurine®). ⋯ After recommendations from ANSM, conservation modes and destruction of succinylcholine in a prehospital environment were significantly impacted.
-
Ann Fr Anesth Reanim · Jun 2014
Case Reports[Recurrent syncope in head and neck cancer: A case report.]
The repeated syncopes in case of head and neck cancer are a complication rarely described in the literature. They occur when the tumor invade the carotid sinus or the afferent fibers of the glossopharyngeal nerve. ⋯ A computerized tomography showed a voluminous tumor expanded to the carotid and parapharyngeal spaces. After treatment by isporenaline chlorhydrate in intensive care unit, a pacemaker was implanted to prevent syncopes and allowed the beginning of the chemotherapy.