[Labour epidural analgesia for a woman with a factor XI deficiency: an illconsidered risk?].

Inherited bleeding disorders contraindicate epidural analgesia because of the risk of epidural haematoma. However, there is no consensus about a minimal rate of factor XI required for its performance. We report here a case of epidural analgesia in a pregnant woman with a moderate and symptomatic factor XI deficiency, despite this theoretical contraindication.

Focused training for goal-oriented hand-held echocardiography performed by noncardiologist residents in the intensive care unit.

Objective: We sought to evaluate the efficacy of a limited training dedicated to residents without knowledge in ultrasound for performing goal-oriented echocardiography in ICU patients.

Design: Prospective pilot observational study.

Setting: Medical-surgical ICU of a teaching hospital.