Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Feb 2012
Case Reports[Rapid sequence induction in a patient with Steinert myotonic dystrophy: Interest of the association of high doses of rocuronium and sugammadex].
We report in this clinical case the successful use of a combination of rocuronium and sugammadex in a patient with Steinert myotonic dystrophy to perform a rapid sequence induction of anaesthesia. The patient had both contraindication to succinylcholine and a risk of prolonged neuromuscular blockade with non-depolarizing neuromuscular blocking agents. The use of high dose rocuronium (1mg/kg) allowed a quick and easy orotracheal intubation but induced a prolonged neuromuscular block, reversed with success by sugammadex (8 mg/kg).
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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.