ABSTRACT
Among all fields of healthcare about 45% of medical errors occur in the operating theatre. Wrong site procedures remain one of the most preventable medical errors. Unintentional wrong-sided peripheral nerve block is relatively a rare event in anesthesia care. However, the incidence is unknown but each time wrong-sided block occurs it represents a mistake and a potential for harm. The surgical safety checklist was established in 2008 by the world Health organization (WHO) as a part of the "Safe surgery save Lives" initiative. We report in this article a case of wrong sided continuous popliteal sciatic nerve block and discuss the role of the WHO's checklist in preventing wrong side peripheral nerve block and surgery.
Subject(s)
Checklist , Medical Errors , Nerve Block/adverse effects , Anesthetics, Local/administration & dosage , Female , Humans , Medical Errors/prevention & control , Middle Aged , Nerve Block/methods , Sciatic Nerve , World Health OrganizationABSTRACT
Ultrasound imaging is a major technological advance in the practice of regional anesthesia. For the social security, their rationale relies on the concept of a global medical act i.e., each medical act is worked out, in order to describe the realized medical act totally. At present the social security uses this concept to prevent the anesthetists from quoting a supplementary ultrasound act. In this article we discuss the legitimacy of quoting ultrasound-guided regional anaesthesia.
Subject(s)
Anesthesia, Conduction/methods , Anesthesiology/legislation & jurisprudence , National Health Programs/legislation & jurisprudence , Ultrasonography , France , Humans , National Health Programs/economics , Terminology as Topic , Ultrasonography/economics , Ultrasonography/statistics & numerical dataSubject(s)
Anesthetics, Inhalation/chemistry , Anesthetics, Intravenous/chemistry , Drugs, Generic/chemistry , Methyl Ethers/chemistry , Propofol/chemistry , Anesthetics, Inhalation/chemical synthesis , Anesthetics, Inhalation/isolation & purification , Anesthetics, Intravenous/chemical synthesis , Anesthetics, Intravenous/isolation & purification , Chemistry, Pharmaceutical , Drug Contamination , Drug Industry , Drug Packaging , Drug Stability , Drugs, Generic/isolation & purification , Excipients , Methyl Ethers/chemical synthesis , Methyl Ethers/isolation & purification , Propofol/isolation & purification , SevofluraneSubject(s)
Amides/adverse effects , Analgesia, Epidural/adverse effects , Anesthetics, Local/adverse effects , Sensation Disorders/chemically induced , Humans , Hyperesthesia/chemically induced , Male , Middle Aged , Pain, Postoperative/prevention & control , Postoperative Complications/chemically induced , RopivacaineABSTRACT
The physiopathology of respiratory accident will be discussed after a short summary of the respiratory system anatomy and its function at rest. The second part of this article will review the main reasons for respiratory deficiencies which are classified in four chapters: attack of the diaphragm attack of the wall attack of the respiratory tracts attack of the alveolo-capillary exchange The principal consequences, hypoxia and hypercapnia will be seen in the conclusion.
Subject(s)
Respiratory Insufficiency/physiopathology , Respiratory Mechanics , Humans , Hypercapnia/physiopathology , Hypoxia/physiopathologyABSTRACT
Angina pectoris results from an insufficient flow of oxygen to the myocardia cells. It is not an unusual complication in the dental office, the most frequent factors that trigger angina are: -stress, -pain, -exercise. The treatment consists in providing oxygen and vasodilators. Hypertension is characterized by an increase in the diastolic arterial blood pressure over 120 mmHg and by other clinical manifestations. Stress, pain, and exercise are the most frequent factors responsible for hypertensive disease. Hypertensive disease can lead to various complications ranging from a headache to myocardial infarct or hemiplegia. Treatment consists of different types of vasodilators.
