Publications by authors named "A Charvet"

Background: Global warming presents major public health challenges, with healthcare transportation significantly contributing to carbon dioxide equivalent emissions (eCO). While the greenhouse effects of anaesthetic gases are well-documented, the eCO of pre-anaesthesia consultations remains underexplored. This study aims to evaluate and propose strategies to reduce the carbon impact of these consultations at a Tertiary University Hospital.

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Purpose: To report on the oncological outcomes of active surveillance (AS) in low-grade prostate cancer (PCa) patients using the French SurACaP protocol, with a focus on long-term outcomes.

Methods: This multicenter study recruited patients with low-grade PCa between 2007 and 2013 in four referral centers in France. The cohort included patients meeting the SurACaP inclusion criteria, i.

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Article Synopsis
  • - This study investigates two strategies for initiating venoarterial extracorporeal membrane oxygenation (VA-ECMO) during lung transplantation (LTx) for patients with severe lung diseases, comparing an 'on-demand' approach versus a 'systematic' pre-emptive method.
  • - The trial will include adult patients needing bilateral LTx, excluding those with severe pre-existing conditions, and aims to identify which initiation strategy results in more ventilator-free days post-surgery.
  • - Outcomes will be assessed not only on ventilator-free days but also on various health metrics, like vital status at different intervals, while following ethical standards for patient care and data sharing.
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Article Synopsis
  • In minimally invasive thoracic surgery, paravertebral block (PVB) is a common technique for postoperative pain relief but relies heavily on the surgeon's skill and available resources, prompting a search for better methods when pain control fails.
  • The study aimed to compare the effectiveness of PVB performed by surgeons during video-assisted thoracoscopic surgery (PVB-VATS) against the traditional PVB technique done by anesthesiologists (PVB-US) to see if they produce similar pain management outcomes.
  • Conducted as a randomized clinical trial with 196 patients, the primary focus was on the differences in opioid consumption post-surgery, along with secondary measures such as pain scores
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Background: Fluid loading-based goal-directed therapy is a cornerstone of anaesthesia management in major surgery. Its widespread application has contributed to a significant improvement in perioperative morbidity and mortality. In theory, only hypovolemic patients should receive fluid therapy.

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