Annales Francaises D Anesthesie Et De Reanimation最新文献

{"title":"Hémorragie sous-arachnoïdienne et pistolet électrique","authors":"C. Di Roio","doi":"10.1016/j.annfar.2014.07.745","DOIUrl":"10.1016/j.annfar.2014.07.745","url":null,"abstract":"","PeriodicalId":7913,"journal":{"name":"Annales Francaises D Anesthesie Et De Reanimation","volume":"33 11","pages":"Pages 601-602"},"PeriodicalIF":0.0,"publicationDate":"2014-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annfar.2014.07.745","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32853107","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":"Élaboration et validation d’une fiche d’aide à la décision de limitation ou d’arrêt des traitements aux urgences","authors":"A. Chirac ,&nbsp;G. David ,&nbsp;N. Rieg ,&nbsp;A.-M. Schott-Pethelaz ,&nbsp;J. Bohe ,&nbsp;F. Carpentier ,&nbsp;X. Jacob ,&nbsp;W. Rhondali ,&nbsp;M. Filbet","doi":"10.1016/j.annfar.2014.09.004","DOIUrl":"10.1016/j.annfar.2014.09.004","url":null,"abstract":"<div><h3>Objectives</h3><p>Active treatment withholding and withdrawing decisions in the emergency room (ER) must be taken collegially according to ethical and juridical statements. Specific tools can support this process and our main goal was to create and validate such a tool.</p></div><div><h3>Method</h3><p>We created a first version of a tool to help for treatment withholding and withdrawing decisions inspired by similar documents from literature. Every item of this tool was then assessed by a group of experts (ER physicians and nurses) using the Delphi method to reach a consensus.</p></div><div><h3>Results</h3><p>Thirty-four experts from eleven ER (academic, regional centre) were included and participate to the first round and twenty-seven to the second round. From the eighty-two-item tool, sixty-five items reach a consensus during these two rounds and were kept to constitute the final version of the tool.</p></div><div><h3>Conclusion</h3><p>We have been able to create a tool to help for treatment withholding and withdrawing decisions adapted to the guidelines for end of life patient's management in the ER. This tool has been validated using a Delphi method by a group of experts from different centres. This multicentre validation will help for the diffusion and use of this tool in the different ER of the Rhône-Alpes region.</p></div>","PeriodicalId":7913,"journal":{"name":"Annales Francaises D Anesthesie Et De Reanimation","volume":"33 11","pages":"Pages 555-562"},"PeriodicalIF":0.0,"publicationDate":"2014-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annfar.2014.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32860400","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":"Rapport Véran sur l’intermittence médicale hospitalière : une évaluation partiale et partielle (ou comment mal compter des hommes dont on n’a que faire des qualités)","authors":"T. Lieutaud","doi":"10.1016/j.annfar.2014.05.008","DOIUrl":"10.1016/j.annfar.2014.05.008","url":null,"abstract":"","PeriodicalId":7913,"journal":{"name":"Annales Francaises D Anesthesie Et De Reanimation","volume":"33 11","pages":"Pages 606-609"},"PeriodicalIF":0.0,"publicationDate":"2014-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annfar.2014.05.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32444624","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":"Effet du sévoflurane sur l’activité electroencéphalographique du nouveau-né prématuré. Étude pilote","authors":"C. Freihuber, M. Roussel, A. Vermersch, F. Michel","doi":"10.1016/J.ANNFAR.2014.07.153","DOIUrl":"https://doi.org/10.1016/J.ANNFAR.2014.07.153","url":null,"abstract":"","PeriodicalId":7913,"journal":{"name":"Annales Francaises D Anesthesie Et De Reanimation","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73737762","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":"Effet analgésique du STR-324 après administration intrathécale dans un modèle de douleur post-opératoire chez le rat","authors":"P. Sitbon, L. Hamdi, A. V. Elstraete, J. Mazoit, D. Benhamou, C. Rougeot","doi":"10.1016/J.ANNFAR.2014.07.280","DOIUrl":"https://doi.org/10.1016/J.ANNFAR.2014.07.280","url":null,"abstract":"","PeriodicalId":7913,"journal":{"name":"Annales Francaises D Anesthesie Et De Reanimation","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74448800","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":"Intérêt de la variabilité instantanée du diamètre pupillaire pour l’évaluation de la douleur en postopératoire chez des patients conscients","authors":"M.-C. Vogler ,&nbsp;M. Courbon ,&nbsp;D. Zantour ,&nbsp;D. Charier ,&nbsp;S. Molliex","doi":"10.1016/j.annfar.2014.07.065","DOIUrl":"10.1016/j.annfar.2014.07.065","url":null,"abstract":"<div><h3>Introduction</h3><p>Le diamètre pupillaire (DP) varie sous la double influence des systèmes sympathique (Σ), dilatateur de la pupille, et parasympathique (pΣ), irido-constricteur. Il diminue en réponse à un flash lumineux de manière réflexe, appelé réflexe photomoteur (RPM), médié par le pΣ. Si l’on exerce un stimulus douloureux, la diminution réflexe du DP induite par la lumière est inhibée pendant la stimulation nociceptive, et cet effet est bloqué par les morphiniques <span>[1]</span>. L’abolition du RPM pourrait ainsi constituer une mesure objective de l’efficacité de l’analgésie chez les patients non communicants. Il existe d’autre part des fluctuations permanentes du DP, dues aux interactions constantes entre les systèmes Σ et pΣ. Peu de données ont été publiées à ce jour sur cette variabilité du DP. Nous proposons d’évaluer l’intérêt de cette mesure pour évaluer la douleur chez le patient conscient.</p></div><div><h3>Matériel et méthodes</h3><p>Après accord du Comité d’Éthique et information, 207 patients ont été enregistrés au bloc opératoire (103 femmes/104 hommes, âgés de 18 à 90<!--> <!-->ans, en postopératoire de chirurgies cardiovasculaire, maxillo-faciale, gynécologique, ORL, ortho-traumatologique, urologique ou de neurochirurgie). Le protocole anesthésique était laissé libre, de même que l’analgésie postopératoire. Chaque mesure a été effectuée sur 10<!--> <!-->secondes et la douleur du patient évaluée par l’Échelle Visuelle Analogique (EVA). Nous avons étudié la variation du DP lors d’un flash lumineux de 320 Lux, et les fluctuations permanentes du DP en dehors d’un flash lumineux. Nous avons recherché ensuite la corrélation entre ces deux paramètres et l’EVA.</p></div><div><h3>Résultats</h3><p>Les variations du DP lors d’un flash lumineux ne sont pas corrélées à l’EVA (coefficient de Pearson (<em>r</em>)<!--> <!-->=<!--> <!-->0,031 ; non significatif). Les fluctuations du DP présentent par contre une bonne corrélation avec l’EVA (<em>r</em> <!-->=<!--> <!-->0,53 ; <em>p</em> <!-->&lt;<!--> <!-->0,001), comme le montre le graphe 1. La capacité des fluctuations du DP à prédire la survenue d’une EVA<!--> <!-->≥<!--> <!-->4 en salle de réveil est de 0,93 (intervalle de confiance : 0,89–0,96 ; <em>p</em> <!-->&lt;<!--> <!-->0,05). Des fluctuations du DP<!--> <!-->&gt;<!--> <!-->19 % (cut-off de Youden) sont corrélées à une EVA<!--> <!-->≥<!--> <!-->4 (valeur prédictive (VP) positive<!--> <!-->=<!--> <!-->0,96 ; VP négative<!--> <!-->=<!--> <!-->0,84 ; sensibilité<!--> <!-->=<!--> <!-->0,68 ; spécificité<!--> <!-->=<!--> <!-->0,98) (<span>Fig. 1</span>).</p></div><div><h3>Discussion</h3><p>Les fluctuations du DP mesurées sur 10<!--> <!-->secondes sont plus fortement corrélées à la douleur évaluée à l’aide de l’échelle EVA que les simples variations du DP lors d’un flash lumineux. Elles sont en outre indépendantes des conditions de réalisation de la mesure (conditions d’éclairage, occlusion ou non de l’œil controlatéral). Ce pa","PeriodicalId":7913,"journal":{"name":"Annales Francaises D Anesthesie Et De Reanimation","volume":"33 ","pages":"Pages A36-A37"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annfar.2014.07.065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74693406","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":"Pronostic des péritonites à germes résistants aux antibiothérapie(s) de la conférence de consensus de 2000","authors":"Gilles Arpajou","doi":"10.1016/J.ANNFAR.2014.07.673","DOIUrl":"https://doi.org/10.1016/J.ANNFAR.2014.07.673","url":null,"abstract":"","PeriodicalId":7913,"journal":{"name":"Annales Francaises D Anesthesie Et De Reanimation","volume":"5 1","pages":"76"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74901389","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":"Bilan d’un an de consultations faites 3 mois après une hospitalisation dans un service de réanimation polyvalente","authors":"J. Dumont, A. Loundou, A. Maurice, N. Bruder","doi":"10.1016/J.ANNFAR.2014.07.529","DOIUrl":"https://doi.org/10.1016/J.ANNFAR.2014.07.529","url":null,"abstract":"","PeriodicalId":7913,"journal":{"name":"Annales Francaises D Anesthesie Et De Reanimation","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72940293","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":"Faisabilité et efficacité du bloc paravertébral échoguidé chez l’enfant : étude prospective descriptive","authors":"I. Gaudet-Ferrand, C. Sola, O. Raux, A. Rochette, C. Dadure, X. Capdevila","doi":"10.1016/J.ANNFAR.2014.07.685","DOIUrl":"https://doi.org/10.1016/J.ANNFAR.2014.07.685","url":null,"abstract":"","PeriodicalId":7913,"journal":{"name":"Annales Francaises D Anesthesie Et De Reanimation","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75337305","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":"Anxiété lors de l’induction inhalatoire en pédiatrie : position assise versus couchée","authors":"B. Cohen, A. Thévenin, J. Moënne-Loccoz, B. M. Zemmoura, M. Laffon","doi":"10.1016/j.annfar.2014.07.156","DOIUrl":"https://doi.org/10.1016/j.annfar.2014.07.156","url":null,"abstract":"","PeriodicalId":7913,"journal":{"name":"Annales Francaises D Anesthesie Et De Reanimation","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75554121","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}