Praticien en Anesthesie Reanimation最新文献

{"title":"Intelligence artificielle en anesthésie-réanimation : quoi de neuf en 2025 ?","authors":"Yoann Elmaleh,&nbsp;Karim Guessous,&nbsp;Bernard Delvaux","doi":"10.1016/j.pratan.2025.06.003","DOIUrl":"10.1016/j.pratan.2025.06.003","url":null,"abstract":"<div><div>L’essor de l’intelligence artificielle (IA) suscite de fortes attentes en anesthésie-réanimation, où l’intégration de données biomédicales complexes constitue une composante essentielle de la prise de décision. Les algorithmes d’apprentissage automatique et les approches de <em>deep learning</em> sont déjà déployés dans de nombreux domaines, tels que la surveillance de la profondeur anesthésique, la détection des complications périopératoires, l’assistance à l’échoguidage et l’administration automatisée d’agents anesthésiques en boucle fermée. Le présent article propose de faire le point sur ces différents usages, d’examiner leurs limites et leurs implications cliniques, ainsi que de préciser les défis à relever pour assurer une mise en œuvre pérenne au bloc opératoire et en réanimation.</div></div><div><div>The rapid expansion of artificial intelligence (AI) is generating substantial interest in anesthesiology and critical care, where the integration of complex biomedical data is pivotal to clinical decision-making. Machine learning and deep learning algorithms are already being leveraged for various purposes, including anesthetic depth monitoring, perioperative complication detection, ultrasound-guidance assistance, and closed-loop delivery of anesthetic agents. This review provides an overview of these emerging applications, examines their limitations and clinical implications, and highlights the challenges to be overcome to ensure their sustainable integration in the operating room and intensive care settings.</div></div>","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Pages 207-215"},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878416","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":"","authors":"Yoann El Maleh","doi":"10.1016/j.pratan.2025.06.001","DOIUrl":"10.1016/j.pratan.2025.06.001","url":null,"abstract":"","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Page 266"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878956","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":"Anesthésie générale par voie intra-sternale","authors":"Louis-Jean Dupré","doi":"10.1016/j.pratan.2025.06.002","DOIUrl":"10.1016/j.pratan.2025.06.002","url":null,"abstract":"","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Pages 242-249"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878963","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":"Lu pour vous","authors":"","doi":"10.1016/j.pratan.2025.04.010","DOIUrl":"10.1016/j.pratan.2025.04.010","url":null,"abstract":"","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Pages 263-265"},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878955","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":"Anesthésie pour endoscopie digestive : pas si simple !","authors":"Francis Bonnet","doi":"10.1016/j.pratan.2025.04.013","DOIUrl":"10.1016/j.pratan.2025.04.013","url":null,"abstract":"","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Pages 205-206"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878402","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":"Réponse à « Rachianesthésie pour césarienne à la suite d’une analgésie péridurale : quelle place dans notre arsenal ? »","authors":"Agnès Le Gouez ,&nbsp;et le Groupe de travail du CARO","doi":"10.1016/j.pratan.2025.04.012","DOIUrl":"10.1016/j.pratan.2025.04.012","url":null,"abstract":"","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 3","pages":"Pages 199-200"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084567","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":"Lu pour vous","authors":"","doi":"10.1016/j.pratan.2025.04.011","DOIUrl":"10.1016/j.pratan.2025.04.011","url":null,"abstract":"","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 3","pages":"Pages 201-203"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084568","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":"Retour d’expérience d’un anesthésiste en poste au CH de Mayotte lors du passage du cyclone Chido en décembre 2024","authors":"Gaëtan Dangelser","doi":"10.1016/j.pratan.2025.04.008","DOIUrl":"10.1016/j.pratan.2025.04.008","url":null,"abstract":"<div><div>Mayotte est un département français d'Outre Mer, le plus pauvre de France, situé entre le continent africain et Madagascar, dans le canal du Mozambique. Le but de ce RETEX est de partager le vécu de l’équipe d’anesthésie du CHM dans une période inédite. L'île va en effet connaître un épisode météorologique dévastateur le 14 décembre 2024 avec le passage sur le département d’un cyclone tropical intense nommé Chido.</div></div><div><div>Mayotte is a French overseas department, the poorest in France, located between the African continent and Madagascar, in the Mozambique Channel. The aim of this RETEX is to share the experience of the CHM anesthesia team in an unprecedented period. The island will indeed experience a devastating meteorological episode on December 14, 2024 with the passage of an intense tropical cyclone named Chido over the department.</div></div>","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 3","pages":"Pages 187-190"},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084565","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":"Souriez, vous êtes filmés : quand l’enregistrement vidéo continu s’invite au bloc opératoire","authors":"Olivier Imauven ,&nbsp;Margot Arminot-Frémaux ,&nbsp;Nithiya Ung","doi":"10.1016/j.pratan.2025.04.001","DOIUrl":"10.1016/j.pratan.2025.04.001","url":null,"abstract":"<div><div>Au cours du siècle dernier, la relation médecin–patient a évolué du paternalisme vers une prise de décision partagée, mais cette dynamique reste marquée par une asymétrie liée au savoir médical. Les écarts entre les attentes des patients, notamment en chirurgie, et les résultats obtenus alimentent frustrations et questionnements, amplifiés par l’inévitabilité des erreurs médicales et des aléas thérapeutiques. Cette évolution s’accompagne d’une judiciarisation croissante de la médecine, portée par une meilleure connaissance des droits, la médiatisation des scandales sanitaires et des attentes parfois irréalistes. Dans ce contexte, l’enregistrement vidéo continu émerge au bloc opératoire comme une réponse moderne : outil de sécurité, de transparence et de formation, il promet de documenter les interventions de manière irréfutable. Cependant, ses limites – pression accrue sur le personnel, coûts élevés, enjeux juridiques et éthiques – soulèvent des interrogations sur sa pertinence. Cet article explore les avantages et défis de cette pratique, appuyés par des retours d’expérience internationaux, et appelle à une réglementation claire et à des recherches approfondies pour en optimiser l’usage.</div></div><div><div>Over the past century, the doctor–patient relationship has evolved from paternalism to shared decision-making, yet an inherent asymmetry persists due to medical expertise. Discrepancies between patient expectations – particularly in surgery – and outcome often breed disappointment and scrutinity, breed by the anoivoidable reality of medical errors and therapeutic hazards. This shift has ushered in a growing judicialization of medicine, driven by patient better awareness of rights, media coverage of health scandals, and sometimes unrealistic expectations. Enter video recording in the operating room offers a cutting-edge tool heralded for enhancing safety, transparency, and training, offering an indisputable record of procedures. However, its limitations—heightened stress for staff, substantial costs, legal-ethical issues—raise questions about its relevance. This article examines the benefits and pitfalls of this practice, supported by international feedback, and advocates for clear regulation and in-depth research to optimize its use.</div></div>","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 3","pages":"Pages 191-196"},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084554","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":"Acide tranexamique en obstétrique : quand, comment, à quelle dose et avec quelles précautions ? Analyse de la littérature","authors":"Anne-Sophie Bouthors,&nbsp;Maxence Hureau","doi":"10.1016/j.pratan.2025.04.005","DOIUrl":"10.1016/j.pratan.2025.04.005","url":null,"abstract":"<div><div>L’acide tranexamique (TXA) est un antifibrinolytique qui a fait la preuve de son efficacité pour réduire le saignement associé à l’hémorragie du postpartum (HPP), sous réserve d’être administré dans les trois heures qui suivent le début de l’HPP à la dose d’au moins 1 gramme renouvelable en cas de coagulopathie. La publication récente des résultats de l’essai <em>WOMAN2</em>, randomisé double aveugle versus placebo chez 16.586 patientes, confirme que l’anémie est un facteur de risque majeur d’HPP et de gravité de l’HPP. L’administration prophylactique de TXA ne réduit pas ce risque. La prévention de l’anémie chez toutes les femmes enceintes est donc un élément central de la gestion du capital sanguin en obstétrique.</div></div><div><div>Tranexamic acid (TXA) is an antifibrinolytic agent that has been shown to be effective in reducing bleeding associated with postpartum hemorrhage (PPH), provided it is administered within three hours of the onset of PPH at a dose of at least 1 gram, repeatable in cases of coagulopathy. The recent publication of the results of the WOMAN2 trial, a randomized, double-blind, placebo-controlled trial in 16,586 patients, confirms that anemia is a major risk factor for PPH and its severity. Prophylactic administration of TXA does not reduce this risk. Prevention of anemia in all pregnant women is therefore a central element of blood management in obstetrics.</div></div>","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 3","pages":"Pages 154-159"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084679","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}