Anaesthesia, critical care & pain medicine
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Anaesth Crit Care Pain Med · Apr 2018
Randomized Controlled TrialEffect of sleep deprivation after a night shift duty on simulated crisis management by residents in anaesthesia. A randomised crossover study.
Sleep deprivation has been associated with an increased incidence of medical errors and can jeopardise patients' safety during medical crisis management. The aim of the study was to assess the effect of sleep deprivation on the management of simulated anaesthesia crisis by residents in anaesthesiology. ⋯ The present study showed that sleep deprivation is associated with impairment of performance to manage crisis situations by residents in anaesthesia.
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Anaesth Crit Care Pain Med · Apr 2018
Short-term effects of low-volume resuscitation with hypertonic saline and hydroxyethylstarch in an experimental model of lung contusion and haemorrhagic shock.
This study aimed to assess the short-term respiratory tolerance and haemodynamic efficiency of low-volume resuscitation with hypertonic saline and hydroxyethylstarch (HS/HES) in a pig model of lung contusion and controlled haemorrhagic shock. We hypothesised that a low-volume of HS/HES after haemorrhagic shock did not impact contused lungs in terms of extravascular lung water 3hours after trauma. ⋯ In this pig model of lung contusion, the short-term assessment of fluid resuscitation after haemorrhagic shock with 4ml/kg of HS/HES showed that pulmonary oedema was avoided compared to fluid resuscitation with 10ml/kg of NS.