Anaesthesia, critical care & pain medicine
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Anaesth Crit Care Pain Med · Apr 2019
Review GuidelineEarly management of severe pelvic injury (first 24 hours).
Pelvic fractures represent 5% of all traumatic fractures and 30% are isolated pelvic fractures. Pelvic fractures are found in 10 to 20% of severe trauma patients and their presence is highly correlated to increasing trauma severity scores. The high mortality of pelvic trauma, about 8 to 15%, is related to actively bleeding pelvic injuries and/or associated injuries to the head, abdomen or chest. Regardless of the severity of pelvic trauma, diagnosis and treatment must proceed according to a strategy that does not delay the management of the most severely injured patients. To date, in France, there are no guidelines issued by healthcare authorities or professional societies that address this subject. ⋯ Substantial agreement exists among experts regarding many strong recommendations for management of the unstable patient with pelvic fracture.
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Anaesth Crit Care Pain Med · Apr 2019
Observational StudyHealth related quality of life and predictive factors six months after intensive care unit discharge.
Advances in critical care medicine have improved patients' survival rate. However, physical and cognitive sequels after Intensive Care Unit (ICU) discharge remain substantial. Our objectives were to evaluate the Health-related Quality of Life (HRQL) at 6-month after ICU discharge and identify the risk factors of this outcomes. ⋯ In our Cohort, ICU stay does not seem to alter globally neither the mental nor the physical component of the HRQL at 6-month after the discharge. However, some domains of the SF-36 are subject to significant changes.