Anaesthesia, critical care & pain medicine
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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.
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Anaesth Crit Care Pain Med · Oct 2015
Randomized Controlled TrialInfluence of needle diameter on spinal anaesthesia puncture failures for caesarean section: A prospective, randomised, experimental study.
Spinal anaesthesia represents the technique of choice for elective caesarean section. The purpose of this study was to compare the puncture failure rates with 25, 26 or 27 gauge (G) pencil-point, Whitacre type (with introducer) needles during spinal anaesthesia for caesarean section. ⋯ This prospective study showed that puncture failures occur less frequently with the use of 25G or 26G pencil-point needles as compared to 27G needles, probably due to the higher flexibility of the latter. This characteristic was demonstrated in vitro, in a reproducible model. This experiment suggests that a 26G pencil-point needle is the optimal gauge for performing spinal anaesthesia for scheduled caesarean sections.
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Anaesth Crit Care Pain Med · Oct 2015
Observational StudyUse of near-infrared spectroscopy in predicting response to intravenous fluid load in anaesthetized infants.
The prediction of fluid responsiveness in paediatrics and infants remains problematic. We sought to test the validity of the measurement of StcO2 as a predictive parameter of fluid responsiveness in infants less than one year old during non-cardiac surgery. ⋯ NIRS appears to be an interesting additional tool for predicting an increase of blood pressure in response to intraoperative fluid challenge in infants less than one year old.