Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Oct 2003
[Prospective assessment of information programme for blood transfusion in critical care patients].
Assessment of oral and written information programme for blood transfusion in critical care patients and study of factors associated with the biological follow-up. ⋯ Biological follow-up was obtained for only one third of blood recipients, because, in first, only 64% of critical care patients remembered oral information, particularly the younger patients. Perhaps, written information systematically given to the patient could permit a high biological follow-up. This study confirmed the lack of sensitivity of all hospital physician for haemovigilance.
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Ann Fr Anesth Reanim · Oct 2003
Clinical Trial[Postoperative nausea and vomiting: cost and advantage induced by a quality insurance programme. Part I: post anaesthesia care unit].
To report the efficiency and direct cost induced by a quality insurance programme (QIP) aimed to reduce the incidence of post-operative nausea and vomiting (PONV) in the post-anaesthesia care unit. ⋯ Despite an increase in the individual cost of PONV prophylaxis, the selection of patients by a "home" score of risk limits the indications of prophylactic treatment. Thus the increase in cost remains in acceptable ranges.
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Ann Fr Anesth Reanim · Oct 2003
Clinical Trial[Starting experience with non-invasive ventilation in paediatric intensive care unit].
Non-invasive ventilation in pressure support (NIV) is well described in the adult and child over 5 years. However, its use in children less than 1 year of age remains anecdotal. ⋯ The use of NIV resulted in a significant decrease of both the respiratory rate (from 53 to 39 breaths per min, p < 0.01) and the PvCO(2) (from 9.33 to 6.28 kPa, p < 0.01). These results show that NIV can be used in children under 1 year of age with improvement of physiological parameters.
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Ann Fr Anesth Reanim · Oct 2003
Case Reports[Non cardiac surgery in patient with coronary stenting: think sirolimus now!].
We describe a severe preoperative cardiogenic shock in a patient scheduled for a breast surgery. The cardiogenic shock was in relation with thrombosis of two sirolimus-eluting stents received 3 months ago. ⋯ The patient recovered well after a 1-day treatment including intraaortic balloon counter pulsation and dobutamine infusion. We discuss about the ideal timing to plan surgery and how to manage the shift of antiplatelet agents.
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Ann Fr Anesth Reanim · Oct 2003
[Risk factors for amoxicillin-clavulanate-resistant Escherichia coli in ICU patients].
To determine risk factors of infections with amoxicillin-clavulanate-resistant Escherichia coli in ICU patients. ⋯ Clinicians should avoid administering amoxicillin-clavulanate as empiric therapy for possible E. coli infection in patients that have recently been treated with amoxicillin.