Publications by authors named "Guillaume Ducos"
Objective: Central venous catheter (CVC) insertion is a common practice for anesthetists, but this invasive procedure generates anxiety and pain in patients that are often underestimated. We compared target-controlled infusion of remifentanil and local lidocaine infiltration with placebo and local lidocaine infiltration to decrease pain scores during CVC placement.
Materials And Methods: We included conscious, adult patients without contraindication to remifentanil or lidocaine.
Article Synopsis
- ICU residents often feel unprepared for end-of-life care due to a lack of training, which can negatively impact their ability to support dying patients and their families.
- Formal ethics training was introduced from 2007 to 2012, and a survey of 430 junior intensivists showed increased participation and improved comfort levels in handling life-sustaining treatment decisions after the training.
- The study found that factors like age and sex positively influenced perceptions of the dying process, while anxiety about family reactions and lack of training were linked to more negative views, highlighting the importance of training for better patient care.
The Script Concordance Test in anesthesiology: Validation of a new tool for assessing clinical reasoning.
Anaesth Crit Care Pain Med
February 2015
Objective: To evaluate whether the Script Concordance Test (SCT) can discriminate between levels of experience among anesthesiology residents and attending physicians.
Study Type: Multicenter (Toulouse, Nantes, Bordeaux and Limoges), prospective, observational study.
Patients And Methods: A SCT made of 60 items was used to evaluate "junior residents" (n=60), "senior residents" (n=47) and expert anesthesiologists (n=10).
Thrombotic microangiopathies (TMAs) in patients with metastatic cancer are poorly characterized. We recorded 17 patients who had TMAs associated with disseminated solid cancer in our intensive care unit over an 11-year period. We compared them with a group of 20 patients with proven idiopathic thrombotic thrombocytopenic purpura hospitalized during the same period.
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