La Revue du praticien
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The practice of anaesthesia is surrounded by the same legal texts as in other medical fields and by a decree, which is specific to it. This decree notably prescribes a preliminary consultation by an anaesthetist, in a lapse of time allowing change to eventually the planned strategy or to optimise preoperative care. It is therefore important that all medical data useful to the patient assessment should be available at this time. ⋯ It should be noted that the development of such standards aims first at improving patient's care. Claims reduction could be consider as a secondary consequence. Other means of improving our practice deserve to be developed, such as national confidential surveys.
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Disturbances in the endocrine system induce a myopathy by acting on protein synthesis or on energetic metabolic pathways. Thus, a proximal myopathy is seen in hypercorticism, hyper- or hypothyroidism and acromegaly. ⋯ Moreover, the steroid myopathy induced by iatrogenic glucocorticoid excess may lead to confusion in patients treated for an inflammatory myopathy. The treatment of endocrine myopathies is based on the correction of the hormonal disorder.