A5075336445- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Anesthesia and Pain Management
- Patient Safety and Medication Errors
- Health, Medicine and Society
- Hemodynamic Monitoring and Therapy
- Healthcare Systems and Practices
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Medical Malpractice and Liability Issues
- Trauma and Emergency Care Studies
- Spine and Intervertebral Disc Pathology
- Disaster Response and Management
- Emergency and Acute Care Studies
- Anesthesia and Sedative Agents
- Blood transfusion and management
- Cardiac Arrest and Resuscitation
- Blood donation and transfusion practices
- Anesthesia and Neurotoxicity Research
- Enhanced Recovery After Surgery
- Intraocular Surgery and Lenses
- Occupational Health and Safety Research
- Palliative Care and End-of-Life Issues
- Healthcare Technology and Patient Monitoring
- Healthcare Operations and Scheduling Optimization
- Ultrasound in Clinical Applications
HIA du Val-de-Grâce à Paris
2010-2018
Institut de Médecine Tropicale du Service de Santé des Armées
2007-2018
Service de Santé des Armées
2009-2017
Hôpital d'Instruction des Armées Sainte-Anne
2017
Imation (United States)
2016
Délégation Paris 6
2014
REseau NAtional de Rpe interDisciplinaire
2014
Hôpital d'instruction des Armées Percy
2003-2012
Hôpital d'Instruction des Armées Bégin
1997-2011
Military Hospital
1998-2010
Background Serious complications related to regional anesthesia have previously been described primarily in case reports and retrospective surveys. The authors prospectively evaluated a multicenter series of anesthetics, using preplanned criteria measure the incidence characteristics associated serious complications. Methods Requests were sent 4,927 French anesthesiologists advance subsequent 5-month study period. Participating asked for detailed occurring during or after anesthetics...
Background Several previous surveys have estimated the rate of major complications that occur after regional anesthesia. However, because increase in use anesthesia recent years and introduction new techniques, reappraisal incidence characteristics is useful. Methods All French anesthesiologists were invited to participate this 10-month prospective survey based on (1) voluntary reporting related occurring during study period using a telephone hotline service available 24 h day managed by...
Although debate continues over estimates of the amount preventable medical harm that occurs in health care, there seems to be a consensus care is not as safe and reliable it might be. It often assumed copying adapting success stories nonmedical industries, such civil aviation nuclear power, will make medicine these industries. However, solution simple. This article explains why benchmarking approach safety high-risk industries needed help translate lessons so they are usable long lasting...
This study describes a nationwide survey that estimates the number and characteristics of anesthesia-related deaths for year 1999.Death certificates from French national mortality database were selected International Classification Diseases, Ninth Revision codes using variable sampling fraction. Medical certifiers sent questionnaire (response rate, 97%), anesthesiologist in charge was offered peer review (acceptance 97%). Files reviewed to determine mechanism each perioperative death its...
Background To identify the growth in number of anesthetic procedures since 1980 and changes practice anesthesia, present survey was designed to collect analyze activity performed France 1996, from a representative sample collected all French hospitals clinics. Methods This study, initiated by Society Anesthesia Intensive Care, information that included characteristics patients (age, sex, American Anesthesiologists status), techniques nature procedure for which anesthesia required. All...
To assess the psychometric properties of French version Hospital Survey on Patient Safety Culture questionnaire (HSOPSC) and study hierarchical structure measured dimensions. Cross-sectional survey safety culture. 18 acute care units seven hospitals in South-western France. Full- part-time healthcare providers who worked units. None. Item responses with 5-point agreement or frequency scales. A principal component analysis was used to identify emerging components. Two structural equation...
Summary Death certificates from the French national mortality database for calendar year 1999 were reviewed to analyse cases in which airway complications had contributed peri‐operative death. Respiratory deaths (and comas) found a previous 1978–82 survey (1 : 7960; 95% CI 1 12 700 5400) compared with death rate present one: 48 200 (95% 140 000 27 500). In 1999, associated failure of breathing circuit and equipment no longer encountered was be related undetected hypoxia recovery unit. Deaths...
To the Editor: Excessive anesthesia-related morbidity and mortality in children has been explained part by a lack of competency pediatric anesthesiology [1]. As result, precise guidelines defining minimum volume anesthetics this subspecialty have established United Kingdom. We studied occurrence complications anesthesia its relationship to practice France through an anonymous retrospective postal survey. A survey packet consisting questionnaire requesting information about anesthesiologists...
The aim of this study was to assess the incidence perioperative myocardial damage detected by serial measurements troponin I after hip surgery and its association with late cardiovascular outcome.Troponin measured during first three postoperative days in 88 consecutive patients undergoing surgery. Values above 99th percentile (0.08 ng mL(-1)) were considered positive. Major cardiac events (cardiac death, infarction failure) recorded hospital stay 1 yr surgery.Eleven (12.5%) exhibited...
The French Military Health Service has standardized its military prehospital care policy in a ''Sauvetage au Combat'' (SC) program (Forward Combat Casualty Care). A major part of the SC training relies on simulations, which are challenging and costly when dealing with more than 80,000 soldiers. In 2014, decided to develop deploy 3D-SC1, serious game (SG) intended train assess soldiers managing early steps SC.The purpose this paper is describe creation production 3D-SC1 present deployment.A...
Background The aim of this study performed in patients undergoing major orthopedic surgery was to assess the impact changes practice on both incidence postoperative myocardial ischemia (PMI) detected by serial measurements troponin Ic and long-term cardiac outcome. Methods During a 3-yr period, measured first 3 days after multidisciplinary hospital. After 16 months study, care improved. Cardiac death, infarction, failure were considered adverse events recorded during hospital stay year....
A survey of anesthesia practice was conducted among French residents in at the end their training. This study performed mainly to evaluate residents' experience peripheral nerve blocks.Two short clinical cases were proposed all during a telephone interview immediately before certification. The first described case young asthmatic patient admitted for an elbow fracture. second elderly woman with severe aortic stenosis supracondylar fracture femur. questionnaire had been prepared and filled...
<h3>Background</h3> Safety rules continue growing rapidly, as if constraining human behaviour was the unique avenue for reaching ultimate safety. are essential a safe system, but their multiplication can have counterproductive effects. <h3>Objective</h3> To monitor, in an anaesthesia ward, compliance with process-oriented safety rule, and understand barriers facilitators which help hinder physicians from following guidelines. <h3>Methods</h3> The rule stipulated that day before surgery...