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SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Chronic Organ Insufficiency. ( Help ) immuno-compromised. and non operative and emerg. postoperative and elect. postoperative. Predicted death rate. Logit = -3,517+ ( Apache II) * 0,146. Predicted Death Rate =e Logit / (1+e Logit ) Predicted death rate (Adjusted) Logit = SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION 55.6%. Patients excluded : 1. Babies released to the regular nursery in 48 hours of age or after having been discharged home; 3. Moribund infants when an explicit physician decision not to provide life GESTION DU PATIENT DIABÉTIQUE EN PÉRI-OPÉRATOIRE Gestion du patient diabétique en péri-opératoire. Le site de la SFAR s’enrichit aujourd’hui d’un nouveau document qui, nous en sommes certains, sera d’une grand utilité au quotidien pour tous les anesthésistes réanimateurs francophones. La prise en charge périopératoire du diabète est souvent délicate, avec de nombreuses ANTIBIOPROPHYLAXIE EN CHIRURGIE ET MÉDECINETRANSLATE THIS PAGE RFE SFAR 2017 Texte mise à jour en juillet 2018: Source(s) : Site SFAR Référence de la publication : Résumé / Conclusion : Depuis 1992 la SFAR a établi et régulièrement actualisé des recommandations pour encadrer la prescription de l’ABP en chirurgie et en médecine interventionnelle pour les patients adultes. SFAR SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE …TRANSLATE THIS PAGEFORMATIONSRÉFÉRENTIELSCOVID-19CONTACTCONNEXIONLA SFAR BIENVENUE La SFAR est une société savante qui a pour mission de promouvoir la recherche, la formation et les bonnes pratiques professionnelles dans les domaines de l’ SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Record SBP as 0 if the patient is in cardiac arrest, record 30 if the patient is shocked and the blood pressure is so low that it cannot be measured. 2. Pupillary reactions to bright light are used as an index of brain function. Do not record an abnormal finding if this is due to drugs, toxins or local eye injury. 3. SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Use the patient's age in years at last birthday. Heart rate. Use the worst value in 24 hours, either low or high rate; if it varied from cardiac arrest (11pts) to extreme tachycardia (7pts), assign 11points. SBP. Use the same method as for hearth rate : eg, if it varied from 60 mmHg to 205 mmHg, assign 13 Points. SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE …TRANSLATE THIS PAGE Type d'admission. - Malade chirurgical programmé: malade dont l'intervention était prévue au moins 24 heures à l'avance. - Malade médical: malade non opéré dans la semaine qui précède ou suit l'admission en réanimation. Les malades de traumatologie non opérés sont considérés comme médicaux. SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Glasgow ( Help) < 8. (Data are collected during the first 24 hours after I.C.U. admission) Predicted Death Rate. Postoperative (cardiac surgery excluded) Predicted Death Rate. Age in months=. Logit = (0,207*PRISM- (0,005* (age in months))-0,433*1 (if postoperative )-4,782. Predicted Death Rate = SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION 1: A normal healthy patient. 2: A patient with mild systemic disease. 3: A patient with severe systemic disease. 4: A patient with severe systemic disease that is a constant threat to life. 5: A moribund patient who is not expected to survive without the operation. 6: A declared brain-dead patient whose organs are being removed for donorpurposes.
SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Chronic Organ Insufficiency. ( Help ) immuno-compromised. and non operative and emerg. postoperative and elect. postoperative. Predicted death rate. Logit = -3,517+ ( Apache II) * 0,146. Predicted Death Rate =e Logit / (1+e Logit ) Predicted death rate (Adjusted) Logit = SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION 55.6%. Patients excluded : 1. Babies released to the regular nursery in 48 hours of age or after having been discharged home; 3. Moribund infants when an explicit physician decision not to provide life GESTION DU PATIENT DIABÉTIQUE EN PÉRI-OPÉRATOIRE Gestion du patient diabétique en péri-opératoire. Le site de la SFAR s’enrichit aujourd’hui d’un nouveau document qui, nous en sommes certains, sera d’une grand utilité au quotidien pour tous les anesthésistes réanimateurs francophones. La prise en charge périopératoire du diabète est souvent délicate, avec de nombreuses ANTIBIOPROPHYLAXIE EN CHIRURGIE ET MÉDECINETRANSLATE THIS PAGE RFE SFAR 2017 Texte mise à jour en juillet 2018: Source(s) : Site SFAR Référence de la publication : Résumé / Conclusion : Depuis 1992 la SFAR a établi et régulièrement actualisé des recommandations pour encadrer la prescription de l’ABP en chirurgie et en médecine interventionnelle pour les patients adultes. SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Reference: Vincent JL et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction / failure. Intensive Care Med. 1996;22:707-710 SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION The serum creatinine concentration is measured without reference to the use of dialysis. Glasgow Coma Score is preferably calculated by the patient's nurse, and is scored conservatively ( for the patient receiving sedation or muscle relaxants, normal function is assumed, unless there is evidence of intrinsically altered mentation). EyesOpen.
SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Missing data is treated as being normal when PIM is calculated. 4. The PIM equation is used to calculate the PIM logit. If any information is missing, that variable should add nothing to the PIM logit. For example, if the PaO2 or the FiO2 is missing, the value of "0.415 x 100 x FiO2 / PaO2" should be set to zero. 5. SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Assign 5 points ( HR< 30 per minute) for cardiac arrest. SBP : use the same method as for heart rate. Renal system : Serum urea or serum urea nitrogen level : use the highest value. Urine output : if the patient is in the ICU for less than 24 h, make the calculation for 24 h. SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Ref : Copeland GP et al. POSSUM : a scoring system for surgical audit. Br J Surg. 1991;78: 356-60. Morbidity : definitions . Wound haemorrhage : local haematoma requiring evacuation. Deep haemorrhage: postoperative bleeding requiring re-exploration. Chest infection: production of purulent sputum with positive bacteriological cultures, with or without chest radiography changes or pyrexia, or SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION TISS explanation code. 4 Point Interventions : a) Point score for 2 days after more recent cardiac arrest. b) This does not mean intermittent mandatory ventilation wich is a 3-point intervention. It does mean that regardless of the internal plumbing of the ventilator,the patient's full
SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION 1 : A normal healthy patient. 2 : A patient with mild systemic disease. 3 : A patient with severe systemic disease. 4 : A patient with severe systemic disease that is a constant threat to life SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Biochemical and microbiological investigations. 1. yesno. Supplementary ventilatory support. Breathing spontaneously through endotracheal tube without PEEP; supplementary oxygen by any method except if mechanical ventilation parameters apply. 2. yes. Single medication, any route (IV, PO, IM, etc.). 2. SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Brunelli A. et al. Risk-adjusted morbidity and mortality models to compare the performance of two units after major lung resections. J Thorac Cardiovasc Surg 2007;133:88-96. Values were calculated by estimating the amount of functioning parenchyma removed during operation by means of bronchoscopy, computed tomography andquantitative lung
SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Extension to pain (2) none (1) Glasgow coma scale =. *Original description of Glasgow Coma Scale (see first reference) did not distinguish "Flexion (abnormal) to pain (3 points)" and "Withdraws to pain (4 points)". Consequently, maximum score for Best motor response was 5 and maximum score for Glasgow Coma Scale was 14. SFAR SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE …TRANSLATE THIS PAGEFORMATIONSRÉFÉRENTIELSCOVID-19CONTACTCONNEXIONLA SFAR BIENVENUE La SFAR est une société savante qui a pour mission de promouvoir la recherche, la formation et les bonnes pratiques professionnelles dans les domaines de l’ SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Record SBP as 0 if the patient is in cardiac arrest, record 30 if the patient is shocked and the blood pressure is so low that it cannot be measured. 2. Pupillary reactions to bright light are used as an index of brain function. Do not record an abnormal finding if this is due to drugs, toxins or local eye injury. 3. SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Use the patient's age in years at last birthday. Heart rate. Use the worst value in 24 hours, either low or high rate; if it varied from cardiac arrest (11pts) to extreme tachycardia (7pts), assign 11points. SBP. Use the same method as for hearth rate : eg, if it varied from 60 mmHg to 205 mmHg, assign 13 Points. SFAR - SOCIÉTÉ FRANÇAISE D'ANESTHÉSIE ET DE RÉANIMATION Predicted death rate = eLogit/ (1+eLogit) Total CRIB II score : Total CRIB II score = Sum (points) The range of possible CRIB II score is 0 to 27. Reference. G. Parry et al. CRIB II : an update of the Clinical Risk Index for Babies score. Lancet 2003;361 (9371):1789-91.Details
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