Publications by authors named "Cyrille Robert"
Background: The Aldrete's score is used to determine when a patient can safely leave the Post-Anaesthesia Care Unit (PACU) and be transferred to the surgical ward. The Aldrete score is based on the evaluation of vital signs and consciousness. Cognitive functions according to the anaesthetic strategy at the time the patient is judged fit for discharge from the PACU (Aldrete's score ≥ 9) have not been previously studied.
View Article and Find Full Text PDFProgress in epidemiological, molecular and clinical genetics with the development of new techniques has improved knowledge on genetic syndromes associated with autism spectrum disorder (ASD). The objective of this article is to show the diversity of genetic disorders associated with ASD (based on an extensive review of single-gene disorders, copy number variants, and other chromosomal disorders), and consequently to propose a hierarchical diagnostic strategy with a stepwise evaluation, helping general practitioners/pediatricians and child psychiatrists to collaborate with geneticists and neuropediatricians, in order to search for genetic disorders associated with ASD. The first step is a clinical investigation involving: (i) a child psychiatric and psychological evaluation confirming autism diagnosis from different observational sources and assessing autism severity; (ii) a neuropediatric evaluation examining neurological symptoms and developmental milestones; and (iii) a genetic evaluation searching for dysmorphic features and malformations.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to evaluate how implementing Computerized Physician Order Entry (CPOE) combined with pharmacist checks affects medication errors in an orthopaedic surgery unit during the prescribing, dispensing, and administration phases.
- An observational study monitored medication errors before and after CPOE implementation in a Paris hospital, observing 111 patients before and 86 after, analyzing error frequencies across the three stages of drug management.
- Results showed a dramatic 92% reduction in prescribing errors and a 17.5% decrease in administration errors due to CPOE, while dispensing errors did not significantly change, indicating that CPOE improves drug management safety and quality.
Purpose: To assess the suitability of ultrasound-guided (USG), single-injection distal block(s) for pain management after outpatient hand and wrist bone surgery.
Methods: We conducted a retrospective review of 125 of 198 consecutive ambulatory surgery patients who underwent hand and wrist bone surgery between June 2010 and January 2012. All patients received a USG axillary block using a short-acting local anesthetic (lidocaine) and secondary 1, 2, or 3 (median, radial, or ulnar) USG distal analgesic block(s) using a long-acting local anesthetic (ropivacaine).