Anaesthesia, critical care & pain medicine
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Anaesth Crit Care Pain Med · Dec 2019
Randomized Controlled Trial Comparative StudyNorepinephrine versus phenylephrine infusion for prophylaxis against post-spinal anaesthesia hypotension during elective caesarean delivery: A randomised controlled trial.
Norepinephrine infusion is practical to use to reduce hypotension during caesarean section under spinal anaesthesia, and is non-inferior compared with phenylephrine.
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Anaesth Crit Care Pain Med · Dec 2019
Letter Randomized Controlled Trial Comparative StudyImmediate haemodynamic impact response to a mini-fluid challenge is independent of fluid type: A post-hoc analysis of a randomised double blinded controlled trial.
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Anaesth Crit Care Pain Med · Dec 2019
Retrospective cohort study of decision-to-delivery interval and neonatal outcomes according to the type of anaesthesia for code-red emergency caesarean sections in a tertiary care obstetric unit in France.
Non-elective caesarean sections may be classified using a three-colour coding system, from code-green caesarean section corresponding to non-urgent delivery (no maternal of foetal compromise) to code-red caesarean section corresponding to emergency caesarean section due to immediate life-threatening maternal or foetal situations. Decision-to-delivery interval≤15min has been advocated in France for code-red caesarean section. This retrospective cohort study aimed to assess the decision-to-delivery interval and the neonatal outcomes according to the anaesthetic technique performed for code red caesarean section in a French tertiary care obstetric unit. ⋯ The decision-to-delivery interval was≤15min in most women, suggesting that optimised organisation ensures short decision-to-delivery interval independently of the anaesthetic technique performed. As general anaesthesia was associated with worse neonatal outcomes, our results support the early insertion of an epidural catheter whenever there is any potential concern that an emergency caesarean section may be required.
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Anaesth Crit Care Pain Med · Dec 2019
Description of practices and complications in the French centres that participated to APRICOT: A secondary analysis.
Analysing national patients' profile and organisation of human resources are important for improving the perioperative quality of care. The aim of the current study was to achieve these goals using the French data from the APRICOT study. ⋯ The current study identified some important differences between the French and the whole APRICOT cohort in terms of preoperative evaluation, surgical specialties involved, and monitoring of neuromuscular blockade. It confirms that, in France, the presence of an anaesthetic nurse and an experienced anaesthesiologist prevents anaesthetic complications.
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Anaesth Crit Care Pain Med · Dec 2019
Practice GuidelineManagement of the child's airway under anaesthesia: The French guidelines.
To provide French guidelines about "Airway management during paediatric anaesthesia". ⋯ Substantial agreement exists among experts regarding many strong recommendations for paediatric airway management.