Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jan 2005
[Complications during the intrahospital transport in critically ill patients].
Intrahospital transport (IHT) of mechanically ventilated critically ill patients is associated with an important risk of complications. ⋯ This study supports the fact that IHT of mechanically ventilated critically ill patients, is a high-risk procedure associated with potentially severe complications. This finding emphasises the need of standardised procedures and medical surveillance during IHT.
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Ann Fr Anesth Reanim · Jan 2005
[Intensive care management of patients with severe head traumatism in Benin from 1998 to 2002].
To study in Cotonou (Benin) in tropical environment, the specific problems of severe head injury. ⋯ Severe head injury is a major cause of morbidity and mortality in developing countries. Limited access to highly specialised care explain a high mortality rate. An active policy of prevention from administrative authorities and a greater effectiveness of medical management may improve outcome.
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Ann Fr Anesth Reanim · Jan 2005
[Surgical antimicrobial prophylaxis: compliance to guidelines and impact of targeted information program].
Surgical antimicrobial prophylaxis is used to decrease postoperative wound infection. We assessed the compliance to surgical antimicrobial prophylaxis guidelines in our hospital and the impact of an information program. ⋯ These results are consistent with previous studies. Information program alone have no effect on the good use of antimicrobial for surgical prophylaxis. Only a policy associating organization, restriction and education could improve practices.
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Ann Fr Anesth Reanim · Dec 2004
Case Reports[An unusual aetiology for septic shock: Capnocytophaga canimorsus. Is always dog man's best friend?].
The mortality of overwhelming postsplenectomy infections (OPSI) is significant (50 to 80 percent). Capnocytophaga canimorsus belongs to the normal oral flora of dogs and cats. It is seldom responsible for human infections, but its prognosis is bad (about 30 percent of overall mortality), especially in asplenic patients. ⋯ The course of events was rapidly fatal. Diagnosis and mode of contamination were determined only a few weeks after the patient's death. This late microbiological diagnosis is due to a slow growth of C. canimorsus in vitro.