Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jun 2011
Editorial Comment[Safety of care: what place for proceduralization?].
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Ann Fr Anesth Reanim · Jun 2011
[Deployment of the checklist "Patient safety in the operating room" in two Lorraine hospitals. Performances and difficulties].
To evaluate the implementation of the checklist HAS 2010 in two Lorraine health facilities to identify objectively brakes and levers to suggest possible improvements. ⋯ Good adhesion to the concept, hope for better results after stock enhancement: optimize information and training of all professionals, avoid duplication with other documents. The audit record alone is not a good tool for evaluating the use of LBC, we must associate a self-administered questionnaire.
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Ann Fr Anesth Reanim · Jun 2011
Case Reports[Use of ECMO as a salvage therapy for refractory hypoxia secondary to a Lemierre's syndrome].
We reported the case of a young adult with a Lemierre syndrome, which was complicated by septic shock and ARDS. Because of rapid onset of a life-threatening hypoxemia (PaO(2)/FiO(2)=60) in the course of the ARDS despite mechanical ventilation, ECMO was started with jugular and femoral cannulas, as rescue therapy. ⋯ The course was nevertheless complicated by acute renal failure and a pleural fistula that necessitated separate-lung ventilation during 24 hours. After 48 days left in the ICU, the patient was sent to a rehabilitation unit.