Publications by authors named "Avit Guirimand"

Objective: Spinal cord ischemia (SCI) is a devastating complication after thoracoabdominal aortic aneurysm (TAAA) repair. The benefit of prophylactic cerebrospinal fluid drainage (pCSFD) to prevent SCI is still under investigation. The aim of this study was to evaluate the SCI rate and the impact of pCSFD following complex endovascular repair (fenestrated or branched endovascular repair [F/BEVAR]) for type I to IV TAAA.

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We aimed to demonstrate the antalgic effectiveness of Scenar (Self-Controlled Electro Neuro Adaptative Regulation) in patients experiencing low back and neck pain. Sixty patients were included and equally assigned by randomization to a Scenar-On group and to a Scenar-Off group (sham group). All patients received a 20 min application of Scenar on the area where they experienced pain.

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Article Synopsis
  • - The study aimed to determine if intraoperative blood lactate levels can predict grade-3 primary graft dysfunction (PGD3-T72) after double-lung transplantation, contrasting with previously known factors.
  • - Analyzing data from 449 patients, researchers found that blood lactate levels increased during surgery, with higher levels associated with PGD3-T72. The critical threshold identified was 2.6 mmol/L, which could effectively predict the risk of PGD3-T72.
  • - Ultimately, patients who maintained blood lactate levels below this threshold after surgery were less likely to experience severe graft dysfunction, indicating the potential usefulness of monitoring lactate levels in clinical settings.
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Background: Hypnosis has a positive effect on peri-operative anxiety and pain.

Objective: The objective of this study was to assess the impact of a formal deep hypnosis session on the consumption of propofol for anaesthetic induction using automated administration of propofol guided by the bispectral index (BIS) in a closed loop.

Design: A 1 : 1 randomised, usual-care-controlled, single-centre trial.

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