Anaesthesia, critical care & pain medicine
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Anaesth Crit Care Pain Med · Dec 2015
A major trauma course based on posters, audio-guides and simulation improves the management skills of medical students: Evaluation via medical simulator.
Medical competence requires the acquisition of theoretical knowledge and technical skills. Severe trauma management teaching is poorly developed during internship. Nevertheless, the basics of major trauma management should be acquired by every future physician. For this reason, the major trauma course (MTC), an educational course in major traumatology, has been developed for medical students. Our objective was to evaluate, via a high fidelity medical simulator, the impact of the MTC on medical student skills concerning major trauma management. ⋯ This study shows improvement in student skills for major trauma management, which we attribute mainly to the major trauma course developed in our institution.
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Anaesth Crit Care Pain Med · Dec 2015
Observational StudyMini-fluid challenge can predict arterial pressure response to volume expansion in spontaneously breathing patients under spinal anaesthesia.
The objective of this study was to test whether stroke volume (SV) variations in response to a fixed mini-fluid challenge (ΔSV100) measured by impedance cardiography (ICG) could predict an increase in arterial pressure with volume expansion in spontaneously breathing patients under spinal anaesthesia. ⋯ A ΔSV100 over 5% accurately predicted arterial pressure response to volume expansion during surgery.
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Anaesth Crit Care Pain Med · Dec 2015
Observational StudyBaseline cerebral oximetry values depend on non-modifiable patient characteristics.
The aim of the present study was to evaluate baseline regional cerebral oxygen saturation (rSO2) values and identify factors influencing preoperative rSO2 in elective minor surgery. ⋯ Non-modifiable patient characteristics (ASA physical status, sex, chronic renal failure, body weight and height) influence baseline rSO2.
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Anaesth Crit Care Pain Med · Dec 2015
Observational StudyKetamine for pain management in France, an observational survey.
Before updating the French guidelines on postoperative pain treatment in 2015, the Pain Committee of the French Society of Anaesthesiology and Intensive Care (SFAR) conducted a survey on the medical use of ketamine in France. ⋯ Anaesthesiologists have integrated the benefit of ketamine in preventing hyperalgesia but there is no consensus on doses and duration. For other indications (acute and chronic pain treatment), toxicity and the absence of significant benefit call for guidelines from scientific societies.