Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jun 2014
[To maintain or to withdraw life support? Variations on the methods of ending life in a pediatric intensive care unit over a period of 6 years.]
Since 2005, forgoing live-support (FLS) is allowed by the French law (known as the Leonetti law) for end-of-life patients only. This study aims at describing the variations over time in the use of the following methods to end life: FLS, brain death and cardiopulmonary resuscitation failure (CPR failure). It is a single retrospective study from 2007 to 2012. ⋯ The rate of CPR failure decreased over the same period (P=0.0015). The rate of brain death remained constant. Following to the Leonetti law, FLS increase, and palliative cares develop without any increase of mortality.
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Ann Fr Anesth Reanim · Jun 2014
[Survey national professional practice on the use of the laryngeal mask.]
This survey aimed to describe the current use of laryngeal mask (LM) and to define the difference of use according to a group defined like experts. ⋯ Variability of practice may be explained by low-grade recommendations in the literature. LM insertion in case of difficult intubation/ventilation to provide adequate oxygenation and should be formally reminded to clinicians.
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Ann Fr Anesth Reanim · Jun 2014
Case Reports[Severe lactic acidosis revealing hematologic malignancy.]
A 75-year-old woman is hospitalised for sepsis. The diagnosis of cholecystitis is made and an antibiotic therapy is debuted. The clinical worsening leads to realise an urgent cholecystectomy. ⋯ A severe lactic acidosis persisted since the cholecystectomy despite a continuous hemofiltration. The diagnosis of type B lactic acidosis secondary to malignancy was suspected. An osteomedullar biopsy revelled B-cell lymphoma EBV induced.
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Ann Fr Anesth Reanim · Jun 2014
Letter Case Reports[Prehospital ultrasound: Time for a widespread use!]