Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Mar 2005
[Unilateral spinal anaesthesia in elderly patient for hip trauma: a pilot study].
Fractured neck of femur is encountered more frequently as life expectancy increases. All anaesthetic techniques aim to avoid deleterious fall in arterial blood pressure. The haemodynamic effects of hypobaric unilateral spinal anaesthesia have been rarely assessed in patients over 80 year's old. This study aims to do that in a prospective manner. ⋯ Hypobaric unilateral spinal anaesthesia is a simple technique, produces satisfactory operative conditions and induces very little haemodynamic change in the elderly population.
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Ann Fr Anesth Reanim · Mar 2005
[Regionalization of obstetric services and anaesthetic workload in a tertiary level perinatal unit].
Evaluation of anaesthetic workload associated with care of high-risk pregnant women (i.e. patients transferred to a referral perinatal center). ⋯ Comparison of the workload associated with high-risk patients and normal pregnant women confirms the need for increased anaesthetic staffing in referral perinatal centers and provides a basis for better understanding the distribution of anaesthetic requirements in each perinatal network.
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Ann Fr Anesth Reanim · Mar 2005
[Interest of mannequin based simulator to evaluate anaesthesia residents].
The aim of this study was to test simulator validity to evaluate the ability of anaesthesia residents to solve two simulated scenarios. ⋯ This study suggests that mannequin-based simulator appears as a reliable and valid tool to test the performance of anaesthesia residents during critical situations.
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Ann Fr Anesth Reanim · Mar 2005
[Epidemiology of catheter-related infections in intensive care unit].
Catheter-related infections remain an important cause of nosocomial infection in the ICU. They include colonization of the device, exit-site infection and catheter-related bloodstream infection with or without bacteraemia. Data from clinical studies and surveillance networks should be compared cautiously due to important methodological differences and wide variations of device-utilization ratio between units or countries. ⋯ Numerous risk factors have been identified. Some of them could be used to stratify patients according to risk of catheter-related infection and to allow more valid comparison between ICU's performances. Participation of French ICUs to the recent national surveillance networks (REA RAISIN and REACAT RAISIN) should be encouraged.