Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · May 2009
[Optimize the resuscitation of prehospital cardiac arrest in trauma patients: a prospective register's experience].
Describe the epidemiology and the survival of patients with traumatic cardiac arrest (CA), and compare them to those with nontraumatic CA. Highlight the weaknesses in their care and consider ways to improve their survival. ⋯ The survival of patients with prehospital traumatic CA is catastrophic and it is worse than that of patients with nontraumatic CA. However, a specific earlier and more adapted prehospital resuscitation could help improve this survival.
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Ann Fr Anesth Reanim · May 2009
[Acetaminophene-induced hypotension in intensive care unit: a prospective study].
The aim of this study was to evaluate the incidence of paracetamol-induced hypotension in intensive care unit (ICU). The secondary end-point was the description of pathophysiologic phenomenon during this hypotension and risk factors. ⋯ In this cohort of ICU patients, hypotension incidence was higher than reported in drug legal mentions. Immunoallergic phenomenon was excluded. Brain injury and sepsis seems to be risk factors.
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Ann Fr Anesth Reanim · May 2009
Case Reports[Obstetric epidural analgesia: systemic analysis of an error of syringe rate programming].
We reported an error of syringe rate programming during maintenance of obstetric epidural analgesia and its systemic analysis. The epidural solution included ropivacaine and sufentanil. Despite the 60 mg ropivacaine and the 9.6 microg sufentanil doses infused in 45 minutes, no maternal systemic effect was noted. The systemic analysis of this near-miss has revealed a health care system error.
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Ann Fr Anesth Reanim · May 2009
[Accidental intravenous injection of potassium chloride: analysis of contributing factors and barriers to risk reduction].
Errors linked to injectable potassium chloride (KCl) have been the cause of deaths which have occurred for many years. Following an accidental direct intravenous injection of KCl of no clinical consequence for the patient, we have analyzed the contributive factors, established an action plan to prevent this risk and finally assessed its impact. Among the causes leading to medication errors, we have identified those linked to the handling of the drugs by nurses, the team, the work conditions, the organization, the institutional context and finally to the drug itself. ⋯ The drug supply chain of our institution, as in numerous others, is not safe. Hospitals are not yet organized adequately to prevent the occurrence of such an error. The comparison with foreign organizations of drug dispensation allows us to think that the improvement and professionalization of the drug supply chain will both be assets in the prevention of such medication errors.