Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Feb 2006
Review[How to improve central venous catheter use in intensive care unit?].
Central venous catheter (CVC) insertion is routinely performed in critically ill patients but causes mechanical, thrombotic, or infectious adverse events in 15% of cases. It should be possible to improve the benefit/risk ratio of central venous catheterization in intensive care unit. ⋯ Studies evaluating the risk/benefit ratio of CVCs versus peripheral catheters are needed to develop a venous-access strategy for ICU patients. When a CVC is mandatory, recent data are available to improve the risk/benefit ratio and can be used to build a decision algorithm.
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Ann Fr Anesth Reanim · Feb 2006
Comparative Study[Organization of an operational site. Comparison of the durations of intervention planned and real].
To improve planning of our operational site by comparing the durations of intervention scheduled by the surgeons and the real durations of occupation of room of intervention, surgical procedure and surgical operation. ⋯ The effectiveness of the planning of an operational site depends on the exactness of the durations scheduled, which are used for its realization. It is significant that all the actors of the operating theatre suite use the durations closest to reality.
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Ann Fr Anesth Reanim · Feb 2006
Case Reports[A mixed acid-base disorder revealing a cystic dystrophy of aberrant pancreatic tissue].
We report about a patient presenting with a mixed acid-base disorder. His blood gas analysis showed a metabolic acidosis caused by renal failure and lactic acidosis combined with a hypochloraemic alkalosis. The underlying pathology was a cystic dystrophy of aberrant pancreatic tissue leading to excessive vomiting, extracellular dehydration with a renal failure and hypochloraemia.
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Ann Fr Anesth Reanim · Feb 2006
[Evaluation of a continuous training program at Bichat hospital for in-hospital cardiac arrest resuscitation].
Management of in-hospital cardiac arrest is now considered as a hospital quality indicator. Such management actually requires training health care workers (HCWs) for basic life support (BLS). ⋯ Short mandatory training courses are stimulating and well appreciated amongst HCWs. Although basic knowledge and skills improve dramatically, no improvement of on-scene BLS performance occurs.