Praticien en Anesthesie Reanimation最新文献

{"title":"Où il est question de prothèse dentaire","authors":"Francis Bonnet,&nbsp;Nathalie Durieux","doi":"10.1016/j.pratan.2025.09.001","DOIUrl":"10.1016/j.pratan.2025.09.001","url":null,"abstract":"<div><div>La recherche d’une prothèse dentaire amovible fait partie des questions de routine lors de la consultation d’anesthésie. Une fois identifiée, une prothèse dentaire doit faire l’objet d’un « suivi » pré-, per-, et postopératoire pour éviter à la fois des complications et assurer sa restitution au patient. Le manquement à cette obligation peut avoir des conséquences très préjudiciables et constitue une faute ou une négligence au sens juridique du terme.</div></div><div><div>The search for a removable dental prosthesis is one of the routine questions during the anaesthesia consultation. Once identified, a dental prosthesis must be subject to pre- and postoperative “monitoring” to avoid both complications and ensure restitution to the patient. Failure to comply with this obligation can have consequences.</div></div>","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 5","pages":"Pages 297-299"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189879","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":"La démographie en anesthésie-réanimation et son évolution à venir","authors":"Gilles Orliaguet ,&nbsp;Sigismond Lasocki","doi":"10.1016/j.pratan.2025.06.004","DOIUrl":"10.1016/j.pratan.2025.06.004","url":null,"abstract":"<div><div>Cet article fait le point sur les données démographiques concernant l’anesthésie-réanimation dans les années précédentes et sur l’évolution future de la démographie en anesthésie-réanimation prenant en compte l’évolution de l’organisation du travail, au regard des besoins chirurgicaux et en médecine interventionnelle qui sont en augmentation.</div></div><div><div>This article provides an update on the demographic data concerning anesthesia and intensive care in previous years and on the future evolution of the demographics in anesthesia and intensive care, taking into account the evolution of work organization, with regard to the increasing surgical and interventional medicine needs.</div></div>","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Pages 256-259"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878951","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":"2025-09-01","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":"L’échographie périmédullaire : un atout majeur pour la réalisation des techniques d’anesthésie neuroaxiale","authors":"Lauranne Ossé ,&nbsp;Myriam Brebion ,&nbsp;Xavier Repessé ,&nbsp;Hawa Keita-Meyer","doi":"10.1016/j.pratan.2025.06.008","DOIUrl":"10.1016/j.pratan.2025.06.008","url":null,"abstract":"<div><div>L’échographie périmédullaire a connu un réel essor dans la pratique clinique au cours des dernières décennies. Elle fournit des informations cruciales, telles que le niveau de ponction optimal, la distance entre la peau et le ligament jaune, ainsi que l’angulation requise pour réaliser la ponction. Ces données facilitent la mise en œuvre des techniques d’anesthésie périmédullaire, améliorent leur efficacité tout en augmentant la satisfaction des patient.e.s. Principalement utilisée pour l’écho-repérage des structures avant le geste, cette technique s’acquiert relativement rapidement. L’échoguidage nécessite un apprentissage plus long et plus approfondi. L’échographie périmédullaire est actuellement un atout précieux pour effectuer des blocs neuro-axiaux chez les patients ayant un abord rachidien difficile. La maîtrise de cette technique tend progressivement à devenir indispensable à l’instar des blocs échoguidés.</div></div><div><div>Neuraxial blocks are more and more frequently performed under ultrasound guidance. It provides critical information, such as precise identification of the puncture level, measurement of the distance between the skin and the ligamentum flavum, and the angle required to introduce the needle. These data facilitate the implementation of neuraxial techniques, improve their effectiveness and increase patient satisfaction. Pre-procedural ultrasound location of the epidural space is easy to perform whereas echo-guidance requires a longer and more in-depth training. Ultrasound is currently an asset for dealing with difficult spinal criteria. Mastery of this skill is gradually becoming essential, in the same way as for US-guided peripheral blocks.</div></div>","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Pages 223-230"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878960","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":"Le jeûne préopératoire en chirurgie périphérique sous anesthésie locorégionale périphérique : vers un assouplissement nécessaire ?","authors":"Philippe Nguyen ,&nbsp;Hatem Douiri ,&nbsp;Emilie Ellies ,&nbsp;Etiennette de Fouchecour ,&nbsp;Xavier Raingeval ,&nbsp;Grégoire Ciais","doi":"10.1016/j.pratan.2025.06.006","DOIUrl":"10.1016/j.pratan.2025.06.006","url":null,"abstract":"<div><div>Le jeûne préopératoire est fondé sur la prévention du risque d’inhalation bronchique au cours de l’anesthésie générale. Cependant, l’essor de l’anesthésie locorégionale échoguidée a transformé le paysage anesthésique, en permettant la réalisation de nombreuses interventions périphériques sous anesthésie périphérique, avec préservation de la conscience et des réflexes protecteurs des voies aériennes. Dans ce contexte, l’application stricte des règles traditionnelles de jeûne mérite d’être réévaluée. L’expérience clinique acquise en traumatologie montre qu’une anesthésie locorégionale distale peut être réalisée en toute sécurité sur estomac plein, sans majoration significative du risque d’inhalation. Parallèlement, de nombreuses études soulignent les effets délétères d’un jeûne prolongé sur l’anxiété, l’inconfort et la récupération des patients opérés en ambulatoire. Cet article propose une réflexion critique sur l’opportunité d’un assouplissement raisonné des règles de jeûne pour les chirurgies périphériques sous anesthésie locorégionale isolée, fondée sur une évaluation individualisée du risque anesthésique. Une approche différenciée permettrait d’améliorer l’expérience-patient sans compromettre la sécurité anesthésique.</div></div><div><div>Preoperative fasting aims to prevent the risk of gastric content inhalation during general anesthesia. However, ultrasound-guided regional anesthesia has significantly changed anesthetic practice by enabling numerous peripheral procedures to be performed under distal regional blocks, preserving consciousness and protective airway reflexes. In these settings, the strict application of traditional fasting guidelines deserves reconsideration. Clinical experience in trauma care demonstrates that regional anesthesia can be safely performed in non-fasted patients without a significant increase in aspiration risk. Concurrently, many studies have highlighted the detrimental effects of prolonged fasting on patient anxiety, discomfort, and postoperative recovery in outpatient surgery. This article addresses the need for a rational loosening of fasting rules for peripheral surgeries performed under distal regional anesthesia, based on an individualized assessment of anesthetic risk. A differentiated approach could significantly improve the patient experience without compromising anesthetic safety.</div></div>","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Pages 250-255"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878964","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":"Alopécie de pression","authors":"Camille Armengaud ,&nbsp;Hélène Solus","doi":"10.1016/j.pratan.2025.04.007","DOIUrl":"10.1016/j.pratan.2025.04.007","url":null,"abstract":"","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Page 260"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878952","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":"2025-09-01","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":"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":"2025-09-01","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":"Réponse à l’article Prise en charge périopératoire des patients diabétiques","authors":"Denis Gallet","doi":"10.1016/j.pratan.2025.07.001","DOIUrl":"10.1016/j.pratan.2025.07.001","url":null,"abstract":"","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Page 261"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878953","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":"2025-09-01","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}