Garrigue Bruno - Academia.edu (original) (raw)

Papers by Garrigue Bruno

Research paper thumbnail of L'infirmier en situation isolée hors présence médicale

Research paper thumbnail of Salvador 2001

Prehospital and Disaster Medicine, 2001

Research paper thumbnail of Prospective evaluation of peripheral venous access difficulty in emergency care

Intensive Care Medicine, 2007

Although frequently used and crucial in emergency care, peripheral intravenous access has been po... more Although frequently used and crucial in emergency care, peripheral intravenous access has been poorly documented. We examined whether criteria related to patient characteristics, underlying disease, devices, or environment were associated with difficult peripheral intravenous access. Prehospital prospective observational study. For each peripheral intravenous access attempt a questionnaire was filled in until final success or procedure abandonment. This questionnaire included data on the patient, operator, disease, degree of emergency, cannulation, nature of fluid infused and the use of gloves, environment, and particular medical observations such as recent peripheral intravenous access and chemotherapy. Criteria associated with peripheral intravenous access difficulty were identified comparing successful and unsuccessful attempts. A total of 671 attempts at peripheral intravenous access in 495 patients were studied. The first attempt was successful in 368 cases (74%) and unsuccessful in 127 (26%). Final success was reported in all cases, including the use of central venous access in three cases. No abandonment was reported. Significantly correlated with a successful attempt were: the caliber of the catheter (OR 0.793), cannulation performed by a nurse specialized in emergency care (OR 3.959), lack of particular observations (OR 0.120), and a clean patient (OR 0.505). Peripheral intravenous access was achieved in 99% of the patients in out-of-hospital settings. Improved success rate was reported when attempts were performed by a nurse specialized in emergency care using a 16- or 18-G catheter in clean patients without a particular medical history.

Research paper thumbnail of Les urgences aortiques

Research paper thumbnail of 158 - Transferts inter-hospitaliers sans médecins : quel infirmier pour ce type de transport ?

Journal Européen des Urgences, 2004

Research paper thumbnail of Utilisation extrahospitalière d’un dispositif automatique de compression thoracique (Autopulse®). Trois ans d’expérience au Samu 93

Journal Européen des Urgences, 2008

Research paper thumbnail of Unconventional venous access in an emergency case

Research paper thumbnail of Prospective evaluation of peripheral venous access difficulty in emergency care

Intensive Care Medicine, 2007

Although frequently used and crucial in emergency care, peripheral intravenous access has been po... more Although frequently used and crucial in emergency care, peripheral intravenous access has been poorly documented. We examined whether criteria related to patient characteristics, underlying disease, devices, or environment were associated with difficult peripheral intravenous access. Prehospital prospective observational study. For each peripheral intravenous access attempt a questionnaire was filled in until final success or procedure abandonment. This questionnaire included data on the patient, operator, disease, degree of emergency, cannulation, nature of fluid infused and the use of gloves, environment, and particular medical observations such as recent peripheral intravenous access and chemotherapy. Criteria associated with peripheral intravenous access difficulty were identified comparing successful and unsuccessful attempts. A total of 671 attempts at peripheral intravenous access in 495 patients were studied. The first attempt was successful in 368 cases (74%) and unsuccessful in 127 (26%). Final success was reported in all cases, including the use of central venous access in three cases. No abandonment was reported. Significantly correlated with a successful attempt were: the caliber of the catheter (OR 0.793), cannulation performed by a nurse specialized in emergency care (OR 3.959), lack of particular observations (OR 0.120), and a clean patient (OR 0.505). Peripheral intravenous access was achieved in 99% of the patients in out-of-hospital settings. Improved success rate was reported when attempts were performed by a nurse specialized in emergency care using a 16- or 18-G catheter in clean patients without a particular medical history.

Research paper thumbnail of Intracuff Pressures of Endotracheal Tubes in the Management of Airway Emergencies: The Need for Pressure Monitoring

Annals of Emergency Medicine, 2006

Study objective: Excessive pressure exerted on the tracheal mucosa is an avoidable factor implica... more Study objective: Excessive pressure exerted on the tracheal mucosa is an avoidable factor implicated as a cause of damage after intubation of the trachea with cuffed tubes. Many patients are intubated in the out-of-hospital setting by emergency medical teams. The time spent in the out-of-hospital setting could very well be long enough for tracheal mucosal damage to occur if cuff pressure is not controlled. The objective of this study is to assess the incidence of intracuff excessive pressure in the out-of-hospital setting.

Research paper thumbnail of Intravenous fluid temperature management by infrared thermometer

The American Journal of Emergency Medicine, 2006

Background: The management of intravenous (IV) fluid temperature is a daily challenge in critical... more Background: The management of intravenous (IV) fluid temperature is a daily challenge in critical care, anesthesiology, and emergency medicine. Infusion of IV fluids at the right temperature partly influences clinical outcomes of critically ill patients. Nowadays, intravenous fluid temperature is poorly managed, as no suitable device is routinely available. Infrared (IR) thermometers have been recently developed for industrial, personal, or medical purposes. The aim of this study was to evaluate the accuracy of an IR thermometer in measuring temperature of warmed and cooled infusion fluids in fluid bags. Methods: This study compared temperatures simultaneously recorded by an infrared thermometer and a temperature sensor. Temperatures of warmed (418C) and cooled (48C) infusion fluids in fluid bags were recorded by 2 independent operators every minute until IV bags' temperature reached ambient temperature. Results: The relation curve was established with 576 measures. Temperature measures performed with an IR thermometer were perfectly linear and perfectly correlated with the reference method (R 2 = 0.995, P b 10 À5 ). Conclusion: Infrared thermometers are efficient to measure IV fluid bag temperature in the range of temperatures used in clinical practice. As these devices are easy to use and inexpensive, they could be largely used in critical care, anesthesiology, or emergency medicine. D

Research paper thumbnail of Évaluation Du Respect Des Recommandations Pour La Mise en Place Des Voies Veineuses Périphériques en Médecine D’Urgence Préhospitalière

Annales Françaises d'Anesthésie et de Réanimation, 2005

Research paper thumbnail of L'infirmier en situation isolée hors présence médicale

Research paper thumbnail of Salvador 2001

Prehospital and Disaster Medicine, 2001

Research paper thumbnail of Prospective evaluation of peripheral venous access difficulty in emergency care

Intensive Care Medicine, 2007

Although frequently used and crucial in emergency care, peripheral intravenous access has been po... more Although frequently used and crucial in emergency care, peripheral intravenous access has been poorly documented. We examined whether criteria related to patient characteristics, underlying disease, devices, or environment were associated with difficult peripheral intravenous access. Prehospital prospective observational study. For each peripheral intravenous access attempt a questionnaire was filled in until final success or procedure abandonment. This questionnaire included data on the patient, operator, disease, degree of emergency, cannulation, nature of fluid infused and the use of gloves, environment, and particular medical observations such as recent peripheral intravenous access and chemotherapy. Criteria associated with peripheral intravenous access difficulty were identified comparing successful and unsuccessful attempts. A total of 671 attempts at peripheral intravenous access in 495 patients were studied. The first attempt was successful in 368 cases (74%) and unsuccessful in 127 (26%). Final success was reported in all cases, including the use of central venous access in three cases. No abandonment was reported. Significantly correlated with a successful attempt were: the caliber of the catheter (OR 0.793), cannulation performed by a nurse specialized in emergency care (OR 3.959), lack of particular observations (OR 0.120), and a clean patient (OR 0.505). Peripheral intravenous access was achieved in 99% of the patients in out-of-hospital settings. Improved success rate was reported when attempts were performed by a nurse specialized in emergency care using a 16- or 18-G catheter in clean patients without a particular medical history.

Research paper thumbnail of Les urgences aortiques

Research paper thumbnail of 158 - Transferts inter-hospitaliers sans médecins : quel infirmier pour ce type de transport ?

Journal Européen des Urgences, 2004

Research paper thumbnail of Utilisation extrahospitalière d’un dispositif automatique de compression thoracique (Autopulse®). Trois ans d’expérience au Samu 93

Journal Européen des Urgences, 2008

Research paper thumbnail of Unconventional venous access in an emergency case

Research paper thumbnail of Prospective evaluation of peripheral venous access difficulty in emergency care

Intensive Care Medicine, 2007

Although frequently used and crucial in emergency care, peripheral intravenous access has been po... more Although frequently used and crucial in emergency care, peripheral intravenous access has been poorly documented. We examined whether criteria related to patient characteristics, underlying disease, devices, or environment were associated with difficult peripheral intravenous access. Prehospital prospective observational study. For each peripheral intravenous access attempt a questionnaire was filled in until final success or procedure abandonment. This questionnaire included data on the patient, operator, disease, degree of emergency, cannulation, nature of fluid infused and the use of gloves, environment, and particular medical observations such as recent peripheral intravenous access and chemotherapy. Criteria associated with peripheral intravenous access difficulty were identified comparing successful and unsuccessful attempts. A total of 671 attempts at peripheral intravenous access in 495 patients were studied. The first attempt was successful in 368 cases (74%) and unsuccessful in 127 (26%). Final success was reported in all cases, including the use of central venous access in three cases. No abandonment was reported. Significantly correlated with a successful attempt were: the caliber of the catheter (OR 0.793), cannulation performed by a nurse specialized in emergency care (OR 3.959), lack of particular observations (OR 0.120), and a clean patient (OR 0.505). Peripheral intravenous access was achieved in 99% of the patients in out-of-hospital settings. Improved success rate was reported when attempts were performed by a nurse specialized in emergency care using a 16- or 18-G catheter in clean patients without a particular medical history.

Research paper thumbnail of Intracuff Pressures of Endotracheal Tubes in the Management of Airway Emergencies: The Need for Pressure Monitoring

Annals of Emergency Medicine, 2006

Study objective: Excessive pressure exerted on the tracheal mucosa is an avoidable factor implica... more Study objective: Excessive pressure exerted on the tracheal mucosa is an avoidable factor implicated as a cause of damage after intubation of the trachea with cuffed tubes. Many patients are intubated in the out-of-hospital setting by emergency medical teams. The time spent in the out-of-hospital setting could very well be long enough for tracheal mucosal damage to occur if cuff pressure is not controlled. The objective of this study is to assess the incidence of intracuff excessive pressure in the out-of-hospital setting.

Research paper thumbnail of Intravenous fluid temperature management by infrared thermometer

The American Journal of Emergency Medicine, 2006

Background: The management of intravenous (IV) fluid temperature is a daily challenge in critical... more Background: The management of intravenous (IV) fluid temperature is a daily challenge in critical care, anesthesiology, and emergency medicine. Infusion of IV fluids at the right temperature partly influences clinical outcomes of critically ill patients. Nowadays, intravenous fluid temperature is poorly managed, as no suitable device is routinely available. Infrared (IR) thermometers have been recently developed for industrial, personal, or medical purposes. The aim of this study was to evaluate the accuracy of an IR thermometer in measuring temperature of warmed and cooled infusion fluids in fluid bags. Methods: This study compared temperatures simultaneously recorded by an infrared thermometer and a temperature sensor. Temperatures of warmed (418C) and cooled (48C) infusion fluids in fluid bags were recorded by 2 independent operators every minute until IV bags' temperature reached ambient temperature. Results: The relation curve was established with 576 measures. Temperature measures performed with an IR thermometer were perfectly linear and perfectly correlated with the reference method (R 2 = 0.995, P b 10 À5 ). Conclusion: Infrared thermometers are efficient to measure IV fluid bag temperature in the range of temperatures used in clinical practice. As these devices are easy to use and inexpensive, they could be largely used in critical care, anesthesiology, or emergency medicine. D

Research paper thumbnail of Évaluation Du Respect Des Recommandations Pour La Mise en Place Des Voies Veineuses Périphériques en Médecine D’Urgence Préhospitalière

Annales Françaises d'Anesthésie et de Réanimation, 2005