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  1. Article: Environmentally Sustainable Practices in the Operating Room: A French Nationwide Cross-Sectional Survey of Anaesthesiologists and Nurse Anaesthesiologists.

    Tordjman, Maëlle / Pernod, Cyril / Bouvet, Lionel / Lamblin, Antoine

    Turkish journal of anaesthesiology and reanimation

    2022  Volume 50, Issue 6, Page(s) 424–429

    Abstract: Objective: In France, healthcare facilities account for 7% of greenhouse gas emissions and 3.5% of total waste generation. Operating rooms generate 30% of hospital waste and hence should be a primary focus of environmental sustainability initiatives. ... ...

    Abstract Objective: In France, healthcare facilities account for 7% of greenhouse gas emissions and 3.5% of total waste generation. Operating rooms generate 30% of hospital waste and hence should be a primary focus of environmental sustainability initiatives. The aim of this study was to evaluate environmentally sustainable anaesthesiology practices in France in 2020 and understand the barriers to their adoption.
    Methods: An anonymous survey of 28 questions was published online. The website did not record participants' IP addresses. The survey's link was sent by email to anaesthesiologist and anaesthesia nurse members of the French Society of Anesthesia and Intensive Care Medecine (SFAR), in February and June 2020. The survey was closed in August 2020.
    Results: Of the 10 877 recipients, 1092 (10%) responded to the questionnaire. Waste sorting was organized in 69% of respondents' workplaces (691/1007), and 90% (793/879) of respondents stated that they most often followed the instructions. Sixty-five percent (659/1007) of respondents avoided using the most polluting anaesthetic gases. Thirty-nine percent of respondents (417/1064) had already received environmental sustainability training and 73% (705/972) stated that they wanted more training. The main barriers to the adoption of recycling identified by respondents were staff training (by 70% of respondents, 691/993), budget constraints (66%, 652/993), and a lack of administrative support (60%, 602/993).
    Conclusion: French anaesthesiologists and anaesthesia nurses who responded to the survey are environmentally aware and want to improve sustainable practices in the operating room. More widespread adoption could be achieved by offering training to all healthcare professionals and administrative staff and by creating local environmental focus groups to coordinate actions.
    Language English
    Publishing date 2022-12-21
    Publishing country Turkey
    Document type Journal Article
    ISSN 2667-677X
    ISSN 2667-677X
    DOI 10.5152/TJAR.2022.21410
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Reusable laryngoscope blades: not a thing of the past but a choice for the future.

    Pernod, Cyril / Bonnet, Laure / Muret, Jane / Jouot, Thomas / Moulin, Matthieu / Lamblin, Antoine

    Minerva anestesiologica

    2023  Volume 89, Issue 5, Page(s) 479–480

    MeSH term(s) Humans ; Laryngoscopes ; Intubation, Intratracheal ; Equipment Design
    Language English
    Publishing date 2023-04-30
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 123584-9
    ISSN 1827-1596 ; 0026-4717 ; 0375-9393
    ISSN (online) 1827-1596
    ISSN 0026-4717 ; 0375-9393
    DOI 10.23736/S0375-9393.22.16965-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Evolution of Practices in a French Trauma Centre: Decrease in Blood Transfusions and Fresh Frozen Plasma to Red Blood Cell Ratios.

    Pernod, Cyril / Fraticelli, Laurie / Marcotte, Guillaume / Floccard, Bernard / Girardot, Thibaut / Claustre, Clement / Khoury, Carlos El / Rimmele, Thomas

    Turkish journal of anaesthesiology and reanimation

    2022  Volume 49, Issue 5, Page(s) 365–372

    Abstract: Objective: The aim of this study was to describe the evolution of transfusion practices following the introduction of tranexamic acid (TXA) and ROTEMVR in a trauma resuscitation unit (TRU) from a French teaching hospital (FTH).: Methods: This is a ... ...

    Abstract Objective: The aim of this study was to describe the evolution of transfusion practices following the introduction of tranexamic acid (TXA) and ROTEMVR in a trauma resuscitation unit (TRU) from a French teaching hospital (FTH).
    Methods: This is a single-centre, retrospective study at a TRU from a FTH. All trauma patients aged 18 years or more and transfused with at least 4 red blood cells (RBCs) within 24 hours after trauma, from 2011 to 2016, were included. The primary objective was to analyse transfusion practices over this time period. The secondary objectives aimed at assessing differences between populations according to the fresh frozen plasma (FFP):RBC ratio applied.
    Results: A total of 122 patients were included. There was a significant decrease in the proportion of patients requiring at least 4 RBCs 24 hours after trauma (9% vs. 3%, P trend < .0001) as well as a decrease in the proportion of patients with a high FFP:RBC ratio (86% vs. 62% at 6 hours, P trend ¼ .0056 and 86% vs. 56% at 24 hours, P trend ¼ .0047). After 2013, fibrinogen was administered to more than 70% of patients and TXA to 100% of them. The observed mortality was lower than the predicted one, irrespective of FFP:RBC ratio.
    Conclusion: An important evolution of practices occurred including a decrease in the proportion of transfusions and use of high FFP:RBC ratios. The origin of these changes is multifactorial, likely including the systematic use of TXA and optimisation of the ROTEM protocol for fibrinogen administration.
    Language English
    Publishing date 2022-01-31
    Publishing country Turkey
    Document type Journal Article
    ISSN 2667-677X
    ISSN 2667-677X
    DOI 10.5152/TJAR.2021.1229
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Use of Gentamicin for Sepsis and Septic Shock in Anaesthesia-Intensive Care Unit: A Clinical Practice Evaluation.

    Pernod, Cyril / Lamblin, Antoine / Cividjian, Andrei / Gerome, Patrick / Pierre-François, Wey

    Turkish journal of anaesthesiology and reanimation

    2019  Volume 48, Issue 5, Page(s) 399–405

    Abstract: Objective: Numerous cases of gentamicin underdosing have been described in the literature in the context of sepsis and septic shock in anaesthesia-intensive care units (ICU). A survey of clinical practice was conducted with the aim to rationalise the ... ...

    Abstract Objective: Numerous cases of gentamicin underdosing have been described in the literature in the context of sepsis and septic shock in anaesthesia-intensive care units (ICU). A survey of clinical practice was conducted with the aim to rationalise the use of gentamicin in the unit. The secondary objective was to propose a corrective formula for adjusting individual dosage.
    Methods: A single-centre survey was used to determine the initial dose of gentamicin administered, in an anaesthesia-ICU, during the first hours of sepsis/septic shock. An initial retrospective phase allowed focusing on the points of improvement in terms of prescription. A second prospective phase enabled the evaluation of benefits following the implemented changes.
    Results: Fifty-one patients were included during the retrospective phase (2014-2015) and 28 patients during the prospective phase (2016-2017). Out-of-guideline prescriptions significantly decreased between these two study periods (i.e., pulmonary infections decreased from 70.5% to 18%, p<0.001) and the mean±standard deviation administered dosage increased from 7.3±1.2 mg kg
    Conclusion: The present study allowed improvement in gentamicin prescription in an anaesthesia-ICU. A Cmax ≥30 mg L
    Language English
    Publishing date 2019-12-26
    Publishing country Turkey
    Document type Journal Article
    ISSN 2667-677X
    ISSN 2667-677X
    DOI 10.5152/TJAR.2019.57255
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Injection intraveineuse d’adrénaline : attention au risque de dysfonction cardiaque iatrogène.

    Siriphone, Tanovan / Radavidson, Anthony / Gagnon, Nicolas / Pernod, Cyril / Wey, Pierre-François / Lamblin, Antoine

    Presse medicale (Paris, France : 1983)

    2019  Volume 48, Issue 6, Page(s) 720–722

    Title translation Intravenous injection of epinephrin: Be careful with iatrogenic cardiac dysfunction.
    MeSH term(s) Adult ; Akathisia, Drug-Induced/diagnosis ; Bradycardia/chemically induced ; Bradycardia/diagnosis ; Bronchial Spasm/chemically induced ; Bronchial Spasm/diagnosis ; Contrast Media/administration & dosage ; Contrast Media/adverse effects ; Drug Hypersensitivity/diagnosis ; Drug Hypersensitivity/etiology ; Epinephrine/administration & dosage ; Epinephrine/adverse effects ; Female ; Humans ; Iatrogenic Disease ; Injections, Intravenous ; Vasoconstrictor Agents/administration & dosage ; Vasoconstrictor Agents/adverse effects
    Chemical Substances Contrast Media ; Vasoconstrictor Agents ; Epinephrine (YKH834O4BH)
    Language French
    Publishing date 2019-05-28
    Publishing country France
    Document type Case Reports ; Letter
    ZDB-ID 120943-7
    ISSN 2213-0276 ; 0032-7867 ; 0755-4982 ; 0301-1518
    ISSN (online) 2213-0276
    ISSN 0032-7867 ; 0755-4982 ; 0301-1518
    DOI 10.1016/j.lpm.2019.05.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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