Anaesthesia Critical Care & Pain Medicine

Could improved survival after cancer surgery be the ultimate benefit of ERAS?
Slim K and Ruscio L
Early multimodal vasopressors for vasodilatory shock on veno-arterial ECMO
Wieruszewski PM, Leone M and Mongardon N
High Cost, Limited Impact: From the Vasa to HPI-The Danger of Under-Tested Innovation
Jacquet-Lagrèze M and Mallat J
Gap PCO in the operating room: lessons from cardiopulmonary bypass
Hørsdal OK, Abou-Arab O, Berg-Hansen K and Mongardon N
Cost-utility of point-of-care viscoelastic hemostatic assays in the management of bleeding during cardiac surgery: a single-blinded prospective multicenter stepped wedge cluster randomized trial in French context
Vourc'h M, Boissier E, Lakhal K, Grosjean S, Labaste F, Robin E, Bougle A, Mattei M, Morel J, Wurtz V, Mertes PM, Zlotnik D, Lagier D, Beurton A, Rineau E, Fischer MO, May MA, Médard A, Guimbretiere G, Durand-Zaleski I, Pere M, Rozec B and Rigal JC
The IMOTEC study aims to determine whether a point-of-care viscoelastic hemostatic assay (VHA)-guided algorithm is cost-effective for the management of ongoing bleeding.
Machine Learning and the Fourth Industrial Revolution: Transforming Immunocompromise Assessment in Critical Care
Pappada SM, Papadimos TJ and Dumas G
Postoperative hemodynamic stability of patients treated with the sacubritil-valsartan combination in cardiac surgery
Abdallah S, Villiers T, Piccardo A, Chauvet R, Marsaud JP, Pihan F, Tricard J and Vandroux D
The Sacubitril-Valsartan combination (SVC) has been gaining an important role in the treatment of heart failure with reduced ejection fraction. We aimed to evaluate the immediate postoperative hemodynamic profile of patients usually treated with the SVC and undergoing elective cardiac surgery.
Comparison of effects of remimazolam and propofol on mask ventilation during general anaesthesia induction: A randomised controlled trial
Lee JH, Kim JH, Lee J, Han SH and Park JW
Benzodiazepines facilitate mask ventilation due to their airway relaxant properties. Remimazolam, an ultra-short-acting benzodiazepine, may offer advantages during anaesthesia induction. This study evaluated the difficulty of mask ventilation between remimazolam and propofol during the induction of general anaesthesia.
Text validated by the SFAR Clinical Reference Committee on April 30, 2024, the SFAR Board of Directors on May 27, 2024, and the SFPC Board of Directors on September 12, 2024
Theissen A, Collomp R, Vacheron CH, Bagel S, Benhamou D, Bordes J, Cabelguenne D, Chapuis C, Cogniat B, Doudet C, Fuzier R, Goyer I, Macquer I, Morau E, Parat S, Piriou V, Untereiner O, Salvi N, Soufir L, Trouiller P, Reiter-Schatz A, Nguyen M and Charbonneau H
The French Society of Anaesthesia and Intensive Care (SFAR) and the French Society of Clinical Pharmacy (SFPC) have joined forces to propose recommendations for professional practice in the prevention of medication errors in anaesthesia and intensive care DESIGN: A group of 19 French experts from the French Society of Anaesthesia and Intensive Care (SFAR) and the French Society of Clinical Pharmacy (SFPC) was assembled. Potential conflicts of interest were formally declared at the outset of the recommendations development process, which was conducted independently of any industry funding. The authors followed the GRADE→ (Grading of Recommendations Assessment, Development and Evaluation) methodology to assess the level of evidence in the literature.
Acute mesenteric ischemia: do specialized centres show the way forward?
Lakbar I, Delamarre L and Blaser AR
Preventing Medication Errors in Anaesthesia and Intensive Care
Carillon A, Caillard A, James A and Zappella N
Generative artificial intelligence and peer reviewing: preserve judgment, restore trust
Rozencwajg S and Benhamou D
Mortality Associated with the Perioperative Management of Patients with Proximal Femur Fractures: A Machine Learning Prediction Model
Rocco T, Antonini F, Florant T, Lassale B, Malet A, Sanzeri O, Durieux S, Delbrel A, Natale L, Blondel B, Prost S, Ambrosino R, Lami D, Jacquet C, Pastène B, Bechis C, Poirier M, Kubacsi L, Flecher X, Le Baron M, Takerkart S, Agard G, Velly L, Leone M and Simeone P
Proximal femur fractures (PFF) are common in the elderly, representing a significant public health issue. This study aims to define the epidemiology and morbidity of PFF and identify factors associated with 90-day mortality in patients with osteoporotic PFF.
Oral Prednisolone for Postoperative Analgesia Management in Paediatrics Tonsillectomy: A Meta-Analysis of Published Studies
Pardessus P, Benoit C, Brouns K, Cadre B, Bruneau B, Abdat R, Maroun Y, Stefan R, Deliere M, Van Den Abbeele T, Teissier N, Dahmani S and Julien-Marsollier F
Despite the available evidence for the use of non-steroidal anti-inflammatory drugs (NSAIDs) as the preferred therapeutic option for managing postoperative pain after tonsillectomy in children, many physicians still use postoperative corticosteroids as a therapeutic option in place of NSAIDS. The aim of the current meta-analysis was to explore the analgesic efficacy of oral prednisolone after tonsillectomy in children.
Early postoperative hypoxemia after cardiac surgery: from risk marker to therapeutic target
Le Pape S, Frat JP and Thille AW
Effect of preoperative oral iron on postoperative morbidity or mortality after major surgery: A French nationwide healthcare database study
Lasocki S, Théreaux J, Dalichampt M, Bennani M, Hauville C, Dialla O, Garrigue E and Theissen A
Correction of preoperative iron deficiency (with or without anemia) is widely recommended but data on oral iron therapy in this setting are limited. This study evaluated the impact of preoperative oral iron supplementation on postoperative morbidity and mortality in patients undergoing major surgery.
Pain Scores and Opioid Consumption after Robotic-assisted Abdominal Surgery: A Single Centre Historical Cohort Study
Nourian MM, Wingert T, Delaporte A, Grogan T, Alexander B, Boulos NM, Rahman S, Naim N, Antongiorgi ZD, Moon J, Kasanjian K, Rodriguez-Triana V, Chamie K, Cannesson M, Beloeil H and Joosten A
Effective postoperative pain control is essential for recovery. Pain has long been considered the "fifth vital sign" in the United States, making its assessment routinely documented. However, data on pain and opioid consumption following robotic-assisted surgeries remain limited despite their widespread adoption. This study evaluated pain scores and opioid consumption in patients undergoing intermediate-risk robotic-assisted abdominal, urological, or gynecological procedures. We hypothesized that pain would be minimal (numerical rating scale (NRS < 4)) and opioid use low (< 5 morphine milligram equivalents (MME) within 24 h post-surgery).
Hemodynamic optimization for cesarean delivery under spinal anesthesia: four recommendations to improve maternal and neonatal outcomes
Landau R
Intraoperative PEEP setting: should we measure the lung or the patient?
Lepeyre M, Pensier J and Scaramuzzo G
Editorial on the guidelines for perioperative hemodynamic optimization in adults of the French Society for Anaesthesia and Intensive Care
Saugel B
Effect of Preoperative Intravenous Ferric Carboxymaltose on Postoperative Transfusion Reduction in Iron Deficiency Anemia Patients Scheduled for Clipping Surgery for Unruptured Intracranial Aneurysms: A Single Center, Single-Blind Randomized Clinical Trial
Lee SU, Sung SB, Koo CH, Lim S, Lee SH, Choi TW, Kim YD, Ban SP, Kwon OK and Bang JS
This study aimed to evaluate the efficacy of preoperative ferric carboxymaltose (FCM) in reducing red blood cell transfusion (RBCT) in patients with iron deficiency anemia (IDA) undergoing microsurgical clipping of unruptured intracranial aneurysms (UIAs).