Anaesthesia, critical care & pain medicine
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Anaesth Crit Care Pain Med · Oct 2018
ReviewPaediatric video laryngoscopy and airway management: What's the clinical evidence?
The major complications of paediatric airway management are uncommon, but the outcomes are often severe. Over the last decade, additions and advancements in the devices and technology have significantly improved our ability to manage difficult paediatric airways safely. ⋯ Over the past few years, videolaryngoscopes have been receiving plenty of attention as new airway devices for use in paediatric patients. The objective of this narrative review is to specify the existing clinical evidence regarding the efficiency and safety of videolaryngoscopy in paediatric airway management.
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Anaesth Crit Care Pain Med · Oct 2018
GuidelineTargeted temperature management in the ICU: Guidelines from a French expert panel.
Over the recent period, the use of induced hypothermia has gained an increasing interest for critically ill patients, in particular in brain-injured patients. The term "targeted temperature management" (TTM) has now emerged as the most appropriate when referring to interventions used to reach and maintain a specific level temperature for each individual. TTM may be used to prevent fever, to maintain normothermia, or to lower core temperature. ⋯ Fifteen experts and two coordinators agreed to consider questions concerning TTM and its practical implementation in five clinical situations: cardiac arrest, traumatic brain injury, stroke, other brain injuries, and shock. This resulted in 30 recommendations: 3 recommendations were strong (Grade 1), 13 were weak (Grade 2), and 14 were experts' opinions. After two rounds of rating and various amendments, a strong agreement from voting participants was obtained for all 30 (100%) recommendations, which are exposed in the present article.