Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Nov 2011
Letter Case Reports[Acute legionnaires myocarditis: a difficult diagnosis].
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Ann Fr Anesth Reanim · Nov 2011
Review Meta Analysis[Perioperative adverse events related to antidepressive agents use].
Depression is the most common psychiatric disease, which is treated by the use of antidepressive agents possessing various mechanisms of action. Thus, the use in preoperative period of antidepressive agents is frequent (7% of patients scheduled for surgery). The objective of this review was to update the knowledge on the drug interactions between antidepressive agents and drugs used in perioperative period. ⋯ The clinical practice showed a limited risk of adverse event related to antidepressant agents interaction with perioperative used drugs. In the two past decades, few relevant observations of adverse event related with imipramine and monoamine oxidase inhibitors use was reported. The most recent antidepressive agents had no serious adverse interaction. Nevertheless, the serotonin syndrome has to be known as far as it is more and more reported. In case of hypotension, the use of vasopressive agent has to be careful because of excessive response.
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Ann Fr Anesth Reanim · Nov 2011
Review[Epidemiology of war injuries, about two conflicts: Iraq and Afghanistan].
Since March 2003, military operations in Iraq "Operation Iraqi Freedom" (OIF) and in Afghanistan "Operation Enduring Freedom" (OEF), have made many wounded and killed in action (KIA). This article proposes to highlight the specific epidemiology of combat casualties, met in these both non-conventional and asymmetric conflicts. Personal protective equipments, Kevlar helmet and body armor, proved their efficiency in changing features of war injuries. ⋯ This analysis concluded that during modern conflicts, most injuries are caused by explosive devices; injuries are more severe and interestingly more specifically the head region and extremities than the trunk. Hemorrhage is the first cause of death, leading to the concept of avoidable death. Specific databases focused on mechanisms and severity of injuries, diagnostic and treatment difficulties, outcomes can guide research programs to improve war injuries prevention and treatment.
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Ann Fr Anesth Reanim · Nov 2011
Multicenter Study[Reporting of muscle relaxant effects in anaesthesia files concerning visceral surgery - a observational and multicenter study].
To report any item documenting the peroperative muscle relaxant effects management in anaesthesia files issued from visceral surgery processes. ⋯ In the studied collection, the traceability of the peranaesthetic curarization management appears variable on both qualitative and quantitative levels. The emergence of a dedicated guideline - defining the criteria for producing a good documentation of the muscle relaxant use - becomes necessary to secure these practices for all physicians using muscle relaxants.