ANESTHESIOLOGIE REANIMATION HAITI (HUEH)

18 JUIN 2011 - 18 JUIN 2014

AUJOURD'HUI LE RESEAU ANESTHESIOLOGIE HUEH/HAITI FETE SES 3 ANS. MERCI DE VOTRE SOUTIEN   ANESTHESIOLOGIE HUEH/HAITI C'EST  1 BLOG                              :  http://sarhueh.blogspot.com ( 47708 pages vues  -  291 articles ,) 1 COMPTE FACEBOOK :  https://www.facebook.com/anesthesiologie.hueh (3500 amis) 4 GROUPES FACEBOOK :  a) Residents et MDS : 27 membres b) SHA & International : 90 membres c) Amis-SAR                 : 394 membres d) Collaborateurs           : 1062 membres 1 COMPTE GOOGLE+    :    google.com/+AnesthesiologieHAITI (107 amis) 2 PAGES COMMUNAUTAIRES FACEBOOK :  a)Anesthesiologie reanimation hueh haiti : https://www.facebook.com/AnesthesiologieReanimationHuehHaiti (1060 j'aime) b)Videolaryngoscopie Haiti :  https://www...

Compartment syndrome (CS) occurs when fascial compartment pressures exceed perfusion pressure, leading to irreversible tissue ischemia and necrosis .While literature emphasizes the acute phase, it is important to note that compartment syndrome exists on a spectrum, ranging from acute to chronic. With careful attention to details such as intraoperative positioning, anesthetic choice, and placement of stockings and splints, orthopedic surgeons have the opportunity to modify risk. The sequelae of compartment syndrome have functional, cosmetic, and legal ramifications. Effective treatment begins with early diagnosis. It is the intent of this article to review common and uncommon causes of compartment syndrome, to highlight the difficulties associated with the identification of patients at risk, and to discuss unique problems surrounding the diagnosis and management of compartment syndrome. Further, we present an algorithm designed to provide a standardized method of patient assessment g...

Ambulatory surgery is becoming increasingly adopted and today more complex procedures and not only ASA 1–2 patients are scheduled to undergo surgery according to a fast track concept. Rapid recovery and resumption of capacity to stand, walk, void, eat and drink is essential for safe discharge. There is, however, an increasing need for better way to assess and measure recovery and outcome after surgery and anaesthesia. Morbidity and unplanned admission are no longer deemed adequate for assessing quality of performance or to use as tool to measure efforts to improve the medical care and or logistics. There are several aspects that should be considered when analysing the recovery process and measuring outcome after ambulatory surgery and anaesthesia. The Postoperative Quality of Recovery scale is a multi-dimensional tool that has been shown to be able to quantify and discriminate the recovery process. This review will provide an overview of recovery and outcome following ambulatory surger...

Recent introduction of new analgesics into the clinic is best described as a slow process with activity classified into two main areas: improving analgesic efficacy/potency and reducing side-effect profile. This review article describes some of the recent advances with an emphasis on use in the acute setting. In this respect, opioids continue to be the mainstay (but not the only) analgesic and there have been important improvements in their clinical effect profile. For example, tapentadol has been introduced as a mixed opioid and norepinephrine uptake inhibitor which, unlike tramadol, does not require metabolic activation and does not suffer from isomer-dependent pharmacodynamics. Opioid antagonists have received much attention recently either used alone, methylnaltrexone (s.c) or alvimopan (p.o), or in combination, Targinact (oxycodone/naloxone), and appear to be effective in reducing opioid side-effects such as those in the gastrointestinal tract. Other agents where there has been re...

DR. GERALD BARTHOLD (R3)     : 2 JUIN DR. SYBILLE MICHEL        (MDS) : 3 JUIN

Background: Research regarding difficult mask ventilation (DMV) combined with difficult laryngoscopy (DL) is extremely limited even though each technique serves as a rescue for one another. Methods: Four tertiary care centers participating in the Multicenter Perioperative Outcomes Group used a consistent structured patient history and airway examination and airway outcome definition. DMV was defined as grade 3 or 4 mask ventilation, and DL was defined as grade 3 or 4 laryngoscopic view or four or more intubation attempts. The primary outcome was DMV combined with DL. Patients with the primary outcome were compared to those without the primary outcome to identify predictors of DMV combined with DL using a non-parsimonious logistic regression. Results: Of 492,239 cases performed at four institutions among adult patients, 176,679 included a documented face mask ventilation and laryngoscopy attempt. Six hundred ninety-eight patients experienced the primary outcome, an overall incidenc...