Publications by authors named "H Harkouk"
Article Synopsis
- The study aimed to assess how deep neuromuscular blockade (NMB) affects pain and opioid use during laparoscopic colorectal surgery compared to moderate NMB.
- 100 patients were randomly divided into deep and moderate NMB groups, with the deep group requiring significantly less remifentanil (an opioid) during surgery.
- Results indicated that deep NMB improved surgical conditions, evidenced by a better Leiden Surgical Rating Scale and lower intra-abdominal pressure, while postoperative pain and analgesic use were similar to the moderate group.
Article Synopsis
- Scientists wanted to find out if propofol is better than sevoflurane at reducing pain during surgery.
- They studied 60 adult patients who were having laparoscopic surgery and used either propofol or sevoflurane to put them to sleep.
- The results showed that both anesthetics were about the same at blocking pain, but sevoflurane had a slightly better effect after a specific pain test.
Non-anaesthetists commonly administer procedural sedation worldwide, posing the risk of respiratory events that can lead to severe complications. This study aimed to evaluate whether simulation-based learning could lead to enhancements in the clinical proficiency of non-anaesthesiology residents in managing sedation and related respiratory complications. Following the evaluation of baseline clinical performance through a pre-test simulation, 34 residents were randomly allocated to either participate in an innovative simulation-based learning module (intervention group) or view a brief self-learning video (control group).
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- Chronic postsurgical pain (CPSP) is a significant issue requiring further research to understand its incidence, characteristics, and risk factors, particularly after various surgeries like breast cancer operations and knee arthroplasties.
- An extensive observational study involved 3,297 patients from 18 European hospitals, revealing a 6-month CPSP incidence rate of 10.5%, with variations based on surgery type, and highlighting a common occurrence of neuropathic pain symptoms.
- While the study did not succeed in creating a new predictive score for CPSP, it provided valuable insights into its prevalence and impact on patients' quality of life following different surgical procedures.
Background: The COVID-19 pandemic has required urgent organisational and managerial adaptation, with hospital medical and administrative leaders under considerable pressure.
Methods: At a single French university hospital, we performed a sociological analysis of management adaptation by medical and administrative leaders during the first wave of the COVID-19 crisis. Two sociologists performed interviews with representative members of staff from all the structures involved in managing the crisis to analyse adaptation and the solutions found during this period.