Praticien en Anesthesie Reanimation最新文献

{"title":"Thérapie nutritionnelle en chirurgie","authors":"Emilie Occhiali","doi":"10.1016/j.pratan.2025.06.009","DOIUrl":"10.1016/j.pratan.2025.06.009","url":null,"abstract":"","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Pages 231-237"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878961","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 la réaction publiée sur l’article Prise en charge périopératoire des patients diabétiques","authors":"Gaëlle Cheisson","doi":"10.1016/j.pratan.2025.07.002","DOIUrl":"10.1016/j.pratan.2025.07.002","url":null,"abstract":"","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Page 262"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878954","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":"Mise au point sur la stratégie transfusionnelle en préhospitalier chez les polytraumatisés","authors":"Eric Cesareo ,&nbsp;Youri Yordanov ,&nbsp;Jean-Stéphane David ,&nbsp;Karim Tazarourte","doi":"10.1016/j.pratan.2025.06.007","DOIUrl":"10.1016/j.pratan.2025.06.007","url":null,"abstract":"<div><div>Le bénéfice de la transfusion pré-hospitalière de plasma lyophilisé à la phase initiale d’un choc hémorragique chez un traumatisé sévère est débattu. La transfusion de plasma apporte des facteurs de la coagulation et permet une restauration partielle du glycocalyx. Cependant, les conclusions des trois principales études prospectives, randomisées, contrôlées divergent et ne permettent pas de conclure sur le bénéfice d’une transfusion précoce de plasma. En effet, les patients inclus ne sont pas tous en état de choc hémorragique. À l’opposé, les études observationnelles menées à grande échelle, pour la plupart en zone de combats, plaident pour un apport précoce de plasma mais sont critiquables car rétrospectives et associées à des facteurs confondants (réduction du délai d’admission hospitalier, pose de garrots).</div></div><div><div>The value of prehospital transfusion of lyophilized plasma at the initial phase of a haemorrhagic shock, in severe trauma patients, is still controversial. Plasma transfusion provides coagulation factors and allows a partial but significant restoration of the glycocalyx. There is a discrepancy between the three main prospective, randomized, controlled studies that does not allow concluding that early plasma transfusion is beneficial, not all included patients being in haemorrhagic shock. In contrast, large-scale observational studies, mostly conducted in war fields, advocate early plasma provision but are questionable because they could introduce bias and confounding factors (reduction in hospital admission time, application of tourniquets).</div></div>","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Pages 216-222"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878417","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":"Utilisation de la vidéolaryngoscopie : restez conscients des risques","authors":"Florian Delatre ,&nbsp;Guillaume Dubois ,&nbsp;Pauline Bartoli ,&nbsp;Michaël Radji ,&nbsp;Rody Zaatar","doi":"10.1016/j.pratan.2025.06.005","DOIUrl":"10.1016/j.pratan.2025.06.005","url":null,"abstract":"<div><div>La vidéolaryngoscopie est une technique recommandée dans les algorithmes d’intubation difficile en salle d’opération et en soins intensifs. Elle a démontré de nombreux avantages en termes d’augmentation du taux de réussite des intubations à la première tentative. Cependant, elle n’est pas sans risques, notamment en termes de lésions de la sphère ORL. Ces lésions et leur incidence sont très rarement décrites dans les grandes études faisant la promotion de l’utilisation systématique de la vidéolaryngoscopie. Ce cas clinique vise à mettre en lumière ce risque afin de discuter de l’utilisation de la vidéolaryngoscopie.</div></div><div><div>Videolaryngoscopy is a life-saving technique recommended in difficult intubation algorithms in both the operating room and critical care settings. It has demonstrated numerous advantages in terms of increasing the success rate of first-attempt intubations. However, it is not without risks, notably in terms of injuries to the ENT area. These injuries and their incidence are very rarely described in the large trials promoting the routine use of videolaryngoscopy. This case report aims to highlight this risk in order to discuss the routine use of videolaryngoscopy.</div></div>","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 4","pages":"Pages 238-241"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878962","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":"Consultation post-anesthésie obstétricale (CPAO)","authors":"Kamélia Habchi,&nbsp;Dan Benhamou,&nbsp;Marie Bruyère","doi":"10.1016/j.pratan.2025.04.002","DOIUrl":"10.1016/j.pratan.2025.04.002","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Les complications et les échecs liés à l’acte anesthésique en obstétrique, sont loin d’être anecdotiques. Ils peuvent parfois provoquer des traumatismes postnataux et faire le lit de symptômes, voire de pathologies psychiatriques. La prise en charge anesthésique ultérieure peut également être très laborieuse. Si des séquelles persistent, celles-ci nécessitent un suivi et des explorations adéquates afin de proposer des solutions qui puissent améliorer la symptomatologie. Il est donc important pour l’anesthésiste-réanimateur de prendre au sérieux ces situations. C’est la raison pour laquelle a été ouverte une consultation qui permet de débriefer ces évènements à froid avec les patientes. La consultation post-anesthésie obstétricale permet d’expliquer, de rassurer, de désamorcer les conséquences d’un vécu traumatique, d’optimiser la prise en charge anesthésique future, et dans certains cas elle permet de détecter des pathologies psychiatriques et une orientation vers un spécialiste. Elle favorise également la lutte contre des a priori qu’ont certaines parturientes vis-à-vis de l’anesthésie locorégionale et particulièrement de la péridurale. Enfin, la consultation post-anesthésie obstétricale permet la prise en charge adéquate des complications physiques liées à l’anesthésie. Dans certains cas, cette consultation peut aussi prendre sa place en amont d’un premier acte anesthésique et ainsi faciliter la prise en charge ultérieure. De façon indirecte, la consultation post-anesthésie obstétricale peut contribuer à améliorer la morbi-mortalité maternelle en rappelant que la première cause de mortalité maternelle en France (jusqu’à 1 an du post-partum) est le suicide et les pathologies psychiatriques.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;div&gt;Complications and failures related to obstetrical anaesthetic procedures are not anecdotal. They can sometimes be the source of postnatal trauma and participate in the occurrence of psychiatric symptoms/disorders. Subsequent anesthetic management can also be very laborious. If any sequelae persist, they require evaluation and appropriate monitoring in order to propose solutions that may improve the symptoms. Therefore, it is important for the obstetric anaesthesiologist to take these situations seriously. This is why a consultation has been opened in our obstetric unit that allows debriefing these events with patients. The post-obstetric anaesthesia consultation has several complementary goals, i.e., to explain, reassure and defuse the consequences of a traumatic experience, to optimize future anaesthetic care, and in some cases it allows to detect an underlying psychiatric disease and promote referral to specialized care. It also helps cutting down preconceptions that some multiparas may have against regional anaesthesia while preparing their future delivery. Finally, the post-obstetric anaesthesia consultation allows for the proper management of physical complications related to anaesthesia. Indirectly, the post-obstetric anae","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 3","pages":"Pages 135-142"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084556","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","authors":"Leila Abbas ,&nbsp;Emmanuel Weiss ,&nbsp;Sébastien Tanaka","doi":"10.1016/j.pratan.2025.04.003","DOIUrl":"10.1016/j.pratan.2025.04.003","url":null,"abstract":"<div><div>L’endoscopie digestive est la procédure la plus fréquemment réalisée par les anesthésistes. La diversité des pratiques dans le monde rend les études peu homogènes et les conclusions pour la pratique clinique plus difficiles à établir. La sédation et la place de l’intubation orotrachéale restent la question principale de l’anesthésiste pour ce type de procédure. De nouveaux outils et de nouvelles molécules permettent désormais d’adapter nos pratiques et améliorer la sécurité des patients. Le rémimazolam semble prometteur pour améliorer la qualité de l’endoscopie ainsi que la satisfaction et la sécurité des patients. Des outils déjà utilisés en réanimation comme l’oxygénothérapie haut débit prennent désormais leur place dans les blocs opératoires et permettent de diminuer les complications associées à l’hypoxémie chez les patients à risque. L’échographie gastrique permet d’éviter l’intubation lorsque celle-ci est réalisée pour des facteurs de risque d’estomac plein et a fortiori évite l’induction séquence rapide avec le risque anaphylactique qui lui est associé. De nouvelles recommandations sur l’antibioprophylaxie et la prévention de la pancréatite aiguë post-cholangio-pancréatographie rétrograde endoscopique (CPRE) sont venues modifier les prises en charges peropératoires.</div></div><div><div>Gastrointestinal endoscopy is the most frequent anaesthetic procedure. However, the current level of evidence for this specialty is low, leading to a heterogeneous practice. The choice of sedation or intubation remains the main question in daily practice. Advances have however been made to increase safety. Remimazolam seems to be a valuable drug improving patients’ safety and satisfaction, even in high-risk patients. Additionally, tools commonly used in critical care, such as high-flow oxygen therapy, are now being integrated into the operating room to prevent complications associated with hypoxemia. Evaluation of gastric content by ultrasonography is also gaining value as a method assessing gastric contents and avoiding unnecessary intubations thus reducing the need for rapid sequence induction and the risks associated, such as anaphylaxis. New guidelines for antibioprophylaxis and prevention of post-endoscopic retrograde cholangio-pancreatography (ERCP) acute pancreatitis, have changed our daily practice.</div></div>","PeriodicalId":52613,"journal":{"name":"Praticien en Anesthesie Reanimation","volume":"29 3","pages":"Pages 143-153"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084560","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.2025.04.009","DOIUrl":"10.1016/j.pratan.2025.04.009","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 de mise au point 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 3","pages":"Pages 169-177"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084562","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":"2025-06-01","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":"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":"2025-06-01","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}