Accéder au contenu principal

Mémorisation peropératoire

Par


  • La mémorisation est un évènement indésirable rare (autour de 1 cas/1000 AG) mais toujours possible au cours d’une anesthésie générale, malgréles mesures de prévention qui doivent néanmoins être appliquées.
  • Elle représente un traumatisme psychologique qui peut se chroniciser en syndromede stress post-traumatique, ou donner lieu à une plainte médicolégale.
  • Elle est le plus souvent associée à un réveil peropératoire.
  • Ce réveil est favorisé par la diminution des doses d’agent hypnotique, soit paraccident, soit en raison d’une mauvaise tolérance ce qui définit des populationsà risque.
  • La curarisation ne favorise pas le réveil, mais empêche son diagnostic.
  • La prévention repose sur la connaissance des concentrations de perte de conscienceet la gestion équilibrée de l’association hypnotique-morphinique, ajustéeà chaque individu par le monitoring de l’EEG.

Commentaires

Enregistrer un commentaire

Posts les plus consultés de ce blog

The Muse Brooklyn

Par
http://abcirque.com http://www.amny.com/things-to-do/circus-class-at-the-muse-brooklyn-teaches-acrobatic-skills-1.13781898 https://www.instagram.com/p/Bx-D67pAxGz/ https://www.instagram.com/p/Bx7e3GFgpp2/ https://www.instagram.com/p/Bx5xpoPn_hm/ https://www.instagram.com/p/Bx40FSvj2Tf/ https://www.instagram.com/p/Bx0p224DkxE/ https://www.instagram.com/p/BxzxjhqFO1S/ https://www.instagram.com/p/BxyJmIaAeSd/ https://www.instagram.com/p/BxxweSaF6q4/ https://www.instagram.com/p/BxxSsdcAjFg/ https://www.instagram.com/p/Bxvr0SSgpPs/ https://new.mta.info/L-Project http://themusegowanus.com http://instagram.com/themusebrooklyn https://www.facebook.com/TheMuseBrooklyn/ https://twitter.com/TheMuseBrooklyn https://www.youtube.com/channel/UCkzh62AIfOI7XU3I0P6rWIQ
Enregistrer un commentaire
Lire la suite

Systemic Lidocaine Decreased the Perioperative Opioid Analgesic Requirements but Failed to Reduce Discharge Time After Ambulatory Surgery

Par
Perioperative systemic lidocaine significantly reduces opioid requirements in the ambulatory setting without affecting time to discharge. Postoperative pain is the most common reason for delay in discharge and unplanned hospital admission after ambulatory surgery. 1–3 Because postoperative pain is to a large extent an inflammatory phenomenon, administration of systemic local anesthetics, which have inflammatory modulatory properties, 4 could significantly reduce pain and therefore allow more rapid discharge. 5 Lidocaine has an excellent safety record when administered by low-dose infusion. 5–7 However, whereas decreased hospital stay after inpatient surgery has been demonstrated, the effect of intraoperative and early postoperative lidocaine infusion on duration of stay after ambulatory surgery is not known. Although it see...
Enregistrer un commentaire
Lire la suite

Government Health Policy and Nurse Anesthetists

Par
Recent federal legislation and changes to the U.S. Medicare program have expanded opportunities for certified registered nurse anesthetists (CRNAs) to provide care to more patients and receive reimbursement for their services, yet many states still restrict their scope of practice and limit their pay. A special section in the current issue of  Clinical Scholars Review , the journal of advanced practice nursing published by Columbia Nursing, explores how the Affordable Care Act (ACA) empowers CRNAs to help make anesthesia services more accessible to patients; it also highlights laws in New York and other states that may impede the expanded access to care envisioned by ACA. FULL ARTICLE
Enregistrer un commentaire
Lire la suite