Anesthesie & Reanimation最新文献

{"title":"L’hôpital du futur : quand le développement durable rencontre « one health » et la santé planétaire pour des soins de santé durables","authors":"Florence Lallemant ,&nbsp;Charlotte Martin","doi":"10.1016/j.anrea.2024.02.003","DOIUrl":"10.1016/j.anrea.2024.02.003","url":null,"abstract":"<div><p>L’annonce de la transition écologique du système de santé témoigne que l’ensemble des acteurs de la santé ont pris la mesure des bouleversements environnementaux et de leurs conséquences sanitaires. Il s’agit de lutter contre le changement climatique mais également contre le dépassement des limites planétaires qui menacent la vie sur Terre. Les crises écologiques impactent la santé publique et paradoxalement le soin engendre aussi des dommages environnementaux nuisibles pour la santé. Les hôpitaux depuis quelques années cherchent à réduire leur empreinte environnementale en menant des démarches de développement durable et en répondant au triple objectif : être socialement équitable, économiquement viable et écologiquement vivable. Par ailleurs il existe des co-bénéfices des politiques de lutte contre les crises environnementales sur la santé. Les approches intégratives de « <em>one health</em> » et de santé planétaire permettent de saisir le lien entre les enjeux environnementaux, la santé des écosystèmes, la santé humaine et ces co-bénéfices. Ces approches intégratives et systémiques guident l’hôpital sur la voie de la soutenabilité et des soins de santé durables.</p></div><div><p>The recent announcement of the plan for the ecological transition of the healthcare system is a testimony that the ensemble of health professionals took the measure of environmental upheavals and their sanitary consequences. It is not just a question of combating climate change, but also of ensuring that the planetary limits that threaten life on Earth are not exceeded. Ecological crises have an impact on public health, and paradoxically, health care also generates environmental damage that is harmful to health. For some years now, hospitals have been seeking to reduce their environmental footprint by implementing sustainable development initiatives and meeting the triple objective of being socially equitable, economically viable, and ecologically sustainable. In addition, there are co-benefits of policies to combat environmental crises on health. Integrative “one health” and “planetary health” approaches help us to grasp the link between environmental issues, ecosystem health, human health, and these co-benefits. These integrative and systemic approaches guide hospitals along the path to sustainability and sustainable healthcare.</p></div>","PeriodicalId":42551,"journal":{"name":"Anesthesie & Reanimation","volume":"10 2","pages":"Pages 77-81"},"PeriodicalIF":0.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140092153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Écoconception du parcours patient chirurgical","authors":"Agnès Gendre ,&nbsp;Constance Marquis","doi":"10.1016/j.anrea.2024.01.002","DOIUrl":"https://doi.org/10.1016/j.anrea.2024.01.002","url":null,"abstract":"<div><p>L’optimisation du parcours patient péri-interventionnel contribue grandement à l’écoconception du soin à travers l’intégration des trois piliers du développement durable : économique, social et environnemental. Grâce à une approche transversale et avec l’aide de tous les acteurs de soin, il est possible, à chaque étape de la prise en charge, d’avoir des actions pour réaliser des soins plus durables et de bonne qualité tout en diminuant l’impact environnemental du système de soin.</p></div><div><p>Optimizing the patient's peri-interventional pathway greatly contributes to the eco-design of care through the integration of the three pillars of sustainable development: economic, social and environmental. Thanks to a transversal approach and with the help of all caregivers, it is possible, at each stage of care, to implement actions to achieve more sustainable and good quality care while reducing the environmental impact of the health care system.</p></div>","PeriodicalId":42551,"journal":{"name":"Anesthesie & Reanimation","volume":"10 2","pages":"Pages 94-98"},"PeriodicalIF":0.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140122688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sommaire","authors":"","doi":"10.1016/S2352-5800(24)00046-7","DOIUrl":"https://doi.org/10.1016/S2352-5800(24)00046-7","url":null,"abstract":"","PeriodicalId":42551,"journal":{"name":"Anesthesie & Reanimation","volume":"10 2","pages":"Page iv"},"PeriodicalIF":0.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352580024000467/pdfft?md5=6ebb89072f287fc5942a0917575be492&pid=1-s2.0-S2352580024000467-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140122682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Réduire l’impact environnemental du propofol","authors":"Arthur James ,&nbsp;Stéphanie Sigaut ,&nbsp;Anaïs Caillard ,&nbsp;Aude Carillion","doi":"10.1016/j.anrea.2024.02.002","DOIUrl":"https://doi.org/10.1016/j.anrea.2024.02.002","url":null,"abstract":"","PeriodicalId":42551,"journal":{"name":"Anesthesie & Reanimation","volume":"10 2","pages":"Page 121"},"PeriodicalIF":0.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140122683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Republication of: Sustainability in anesthesia and critical care: Achievements, needs and barriers[Développement durable en anesthésie et soins intensifs : succès, besoins et obstacles]","authors":"Lionel Bouvet ,&nbsp;Virginie Chasseigne ,&nbsp;Laure Bonnet ,&nbsp;Erwan d’Aranda ,&nbsp;Laurent Zieleskiewicz","doi":"10.1016/j.anrea.2024.01.004","DOIUrl":"10.1016/j.anrea.2024.01.004","url":null,"abstract":"","PeriodicalId":42551,"journal":{"name":"Anesthesie & Reanimation","volume":"10 2","pages":"Pages 66-70"},"PeriodicalIF":0.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139813204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"En vert et contre tous : comment initier une démarche éco-responsable dans mon service de soins critiques ?","authors":"Mathilde Profumo ,&nbsp;Emilie Occhiali ,&nbsp;Sebastien Kerever ,&nbsp;Claire Fazilleau","doi":"10.1016/j.anrea.2024.01.003","DOIUrl":"https://doi.org/10.1016/j.anrea.2024.01.003","url":null,"abstract":"","PeriodicalId":42551,"journal":{"name":"Anesthesie & Reanimation","volume":"10 2","pages":"Pages 124-127"},"PeriodicalIF":0.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140122686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Développement durable : limiter l’impact environnemental des gaz anesthésiques inhalés","authors":"Stéphanie Sigaut ,&nbsp;Arthur James ,&nbsp;Aude Carillion ,&nbsp;Anaïs Caillard","doi":"10.1016/j.anrea.2024.01.006","DOIUrl":"https://doi.org/10.1016/j.anrea.2024.01.006","url":null,"abstract":"","PeriodicalId":42551,"journal":{"name":"Anesthesie & Reanimation","volume":"10 2","pages":"Page 120"},"PeriodicalIF":0.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140122680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gestion des déchets au bloc opératoire et en soins critiques","authors":"Aude Carillion ,&nbsp;Anaïs Caillard ,&nbsp;Stéphanie Sigaut ,&nbsp;Arthur James","doi":"10.1016/j.anrea.2024.01.005","DOIUrl":"https://doi.org/10.1016/j.anrea.2024.01.005","url":null,"abstract":"","PeriodicalId":42551,"journal":{"name":"Anesthesie & Reanimation","volume":"10 2","pages":"Page 123"},"PeriodicalIF":0.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140122685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatisme thoracique : place de la VNI et de l’ostéosynthèse pariétale","authors":"Benjamin Picard ,&nbsp;Pierre Lorber ,&nbsp;Jean-Denis Moyer ,&nbsp;pour l’équipe du Masque et La Plume (LMLP)","doi":"10.1016/j.anrea.2023.11.005","DOIUrl":"https://doi.org/10.1016/j.anrea.2023.11.005","url":null,"abstract":"<div><p>Le traumatisme thoracique sévère est fréquent et associé à une morbi-mortalité. La place de la ventilation non invasive et de l’ostéosynthèse pariétale reste encore à définir dans la stratégie de prise en charge. Le recours à l’ostéosynthèse pariétale s’avère intéressante en cas de traumatisme thoracique fermé chez les patients sous ventilation invasive au moment de la chirurgie, ce d’autant plus que celle-ci est précoce (dans les 48 premières heures post-traumatique). La VNI doit s’envisager chez les patients les plus hypoxémiques avec un rapport PaO₂/FiO₂ <!-->&lt;<!--> <!-->200 ou en cas de lésions associées (médullaires, bassin et abdomen pouvant interférer avec la mécanique ventilatoire ou imposer l’immobilisation).</p></div><div><p>Severe chest trauma is common and associated with a high morbi-mortality rate. The role of non-invasive ventilation and surgery in the management of chest trauma has yet to be defined. Operative management should be considered in cases of closed thoracic trauma in patients undergoing invasive ventilation at the time of surgery, particularly if the surgery is performed early (within the first 48<!--> <!-->hours post-trauma). NIV should be considered for the most hypoxaemic patients with a PaO2/FiO2 ratio<!--> <!-->&lt;<!--> <!-->200 or in the event of associated lesions (spinal cord, pelvis or abdomen trauma that may interfere with respiratory mechanics or impose immobilization).</p></div>","PeriodicalId":42551,"journal":{"name":"Anesthesie & Reanimation","volume":"10 2","pages":"Pages 128-131"},"PeriodicalIF":0.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140122687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacts éthiques du développement durable en anesthésie et réanimation : plaidoyer pour une conscience environnementale éclairée","authors":"Mathieu Schoeffler ,&nbsp;Florence Lallemant","doi":"10.1016/j.anrea.2024.01.008","DOIUrl":"10.1016/j.anrea.2024.01.008","url":null,"abstract":"","PeriodicalId":42551,"journal":{"name":"Anesthesie & Reanimation","volume":"10 2","pages":"Pages 74-76"},"PeriodicalIF":0.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139965556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}