Michèle Binhas - Academia.edu (original) (raw)
Papers by Michèle Binhas
Elsevier Masson, Apr 14, 2015
Annales françaises d'anesthèsie et de rèanimation, 2007
The World Health Organization (WHO) published guidelines to improve cancer pain control which all... more The World Health Organization (WHO) published guidelines to improve cancer pain control which allow to relieve noceptive cancer pain in 80% of adult patients. Nevertheless WHO recommendations do not include: various ways to start morphine treatment, how to manage opioids adverse effects, severe cancer pain management, postoperative pain and procedure-relatived pain. The goal of this review is to discuss these issues. The data were retrieved from PubMed years 2001 to 2006 (keywords used alone or in combination were: opioids, cancer, pain, pain killers, rotation, intraspinal, ketamine, side effects), the "Standard, Options and Recommendations on cancer nociceptive pain treatments for adult patients" published by the French Union of Comprehensive Cancer Centers (FNCLCC; Fédération nationale des centres de lutte contre le cancer) and the European Association for Palliative Care (EAPC) recommendations on morphine and alternative opioids in cancer pain. Data also include an anal...
BMC anesthesiology, Sep 23, 2004
BACKGROUND: In many studies investigating measures to attenuate the hemodynamic and humoral stres... more BACKGROUND: In many studies investigating measures to attenuate the hemodynamic and humoral stress response during induction of anaesthesia, primary attention was paid to the period of endotracheal intubation since it has been shown that even short-lasting sympathetic cardiovascular stimulation may have detrimental effects on patients with coronary artery disease. The aim of this analysis was, however, to identify the influencing factors on high catecholamine levels before induction of anaesthesia. METHODS: Various potential risk factors that could impact the humoral stress response before induction of anaesthesia were recorded in 84 males undergoing coronary aortic bypass surgery, and were entered into a stepwise linear regression analysis. The plasma level of norepinephrine measured immediately after radial artery canulation was chosen as a surrogate marker for the humoral stress response, and it was used as the dependent variable in the regression model. Accordingly, the mean art...
Annales françaises d'anesthèsie et de rèanimation, 2003
Annales Françaises d'Anesthésie et de Réanimation, 2012
Surgery Open Digestive Advance, 2021
The Journal of heart transplantation
Previous clinical experience in the use of a total artificial heart as a bridge to retransplantat... more Previous clinical experience in the use of a total artificial heart as a bridge to retransplantation in patients with acute major unresponsive cardiac rejection has shown an extremely high risk at various stages of the sequence. Unsatisfactory recovery during the period with the total artificial heart, surgical complications at retransplantation, and infection and/or rejection account for the lack of long-term survivors. A recent case permits the description of an original technique of implantation, which facilitates both the adequate positioning of the prosthetic ventricles and the surgery at retransplantation. The risks of rejection and infectious complications are discussed.
Archives des maladies du coeur et des vaisseaux, 1989
The haemodynamic effect of any drug being the resultant of its myocardial and vascular actions, i... more The haemodynamic effect of any drug being the resultant of its myocardial and vascular actions, it is often difficult to separate what is due to each of these components. Dobutamine is regarded as having an almost exclusive effect on the myocardium in therapeutic doses (1); its administration after implantation of an artificial heart would enable its peripheral vascular effects to be determined by exclusion of the native ventricles. Experiments were conducted on three calves weighing about 90 kg each. The artificial heart, two central venous catheters and a femoral arterial catheter were implanted under general anaesthesia. The study began on the first post-implantation day, the animals being awake, in stable haemodynamic status and with normal temperature. Dobutamine was infused through one of the venous catheter placed in the native atrium, in 6 stepwise doses of 5, 10, 15, 20, 25 and 30 mcg/kg/min, each dose being given over 10 min and separated from the other dose by a 10 min in...
Annales Françaises d'Anesthésie et de Réanimation, 2006
Objectif.-Une évaluation de la prise en charge des céphalées secondaires aux hémorragies sous-ara... more Objectif.-Une évaluation de la prise en charge des céphalées secondaires aux hémorragies sous-arachnoïdiennes (CHSA) a été réalisée en France dans les centres de neurochirurgie. Type d'étude.-Enquête nationale de pratique par voie postale. Méthodes.-Un questionnaire a été envoyé aux centres hospitalo-universitaires assurant les urgences neurochirurgicales. Il concernait les méthodes d'évaluation des CHSA, les antalgiques prescrits et leurs modes d'administration ainsi que l'opinion des centres vis-à-vis de l'efficacité de leurs protocoles antalgiques. Résultats.-Au total, 24 centres sur 34 ont répondu au questionnaire. Cinquante-quatre pour cent évaluaient l'intensité des céphalées par un interrogatoire non codifié et plus d'un centre sur deux ne faisaient aucune évaluation chez les patients ayant des troubles de la conscience. Le propacétamol et la morphine étaient le plus souvent utilisés. La morphine était administrée par voie sous-cutanée par 75 % des centres, mais 25 % utilisaient aussi la titration et l'analgésie contrôlée par le patient. Trente-sept pour cent des centres étaient réticents à l'utilisation de la morphine et 75 % aux anti-inflammatoires non stéroïdiens ; 96 % des centres déclaraient être peu ou moyennement efficaces sur les CHSA. Conclusions.-La majorité des centres de neurochirurgie évaluaient insuffisamment et de façon non codifiée les CHSA, l'usage de certains antalgiques était limité. Les équipes expliquaient le défaut d'efficacité de leurs prescriptions antalgiques par l'absence de consensus et l'usage restreint de la morphine et des AINS dans les CHSA.
Annales de Dermatologie et de Vénéréologie, 2011
Annales de Cardiologie et d'Angéiologie, 2019
Annales de Cardiologie et d'Angéiologie xxx (2018) xxx-xxx Fait clinique AVC révélant un fibroéla... more Annales de Cardiologie et d'Angéiologie xxx (2018) xxx-xxx Fait clinique AVC révélant un fibroélastome pendant la grossesse : case report Cardiac papillary fibroelastoma and stroke during pregnancy: Case report
Presse médicale (Paris, France : 1983), Jan 23, 1988
The implantation of an artificial Jarvik-type artificial heart while awaiting retransplantation r... more The implantation of an artificial Jarvik-type artificial heart while awaiting retransplantation raises a technical problem which has not yet been definitively solved. An original technique which consists of preserving the atrial portion of the graft and its vessels is presented and illustrated by a clinical case.
Annales Françaises d'Anesthésie et de Réanimation, 2012
Une erreur s'est glissé e dans le volume 30, numé ro 9/2011 des Annales françaises d'anesthe´sie-... more Une erreur s'est glissé e dans le volume 30, numé ro 9/2011 des Annales françaises d'anesthe´sie-re´animation. Dans la rubrique Recommandations formalisé es d'experts, pages e33-e35, la traduction anglaise du titre est : Ultrasound-guided regional anesthesia: French recommendations. Les recommandations ont é té validé es le 4 fé vrier 2011 par le conseil d'administration de la Socié té française d'anesthé sie et de ré animation. Nous prions nos lecteurs de nous excuser de cette erreur. Annales Françaises d'Anesthé sie et de Ré animation 31 (2012) 741
Journal de Chirurgie, 2009
Severe postsurgical pain contributes to prolonged hospital stay and is also believed to be a risk... more Severe postsurgical pain contributes to prolonged hospital stay and is also believed to be a risk factor for the development of chronic pain. Locoregional anesthesia, which results in faster patient recovery with fewer side effects, is favored wherever feasible, but is not applicable to every patient. Systemic analgesics are the most widely used method for providing pain relief in the postoperative period. Improvements in postoperative systemic analgesia for pain management should be applied and predictive factors for severe postoperative pain should be anticipated in order to control pain while minimizing opioid side effects. Predictive factors for severe postoperative pain include severity of preoperative pain, prior use of opiates, female gender, non-laparoscopic surgery, and surgeries involving the knee and shoulder. Pre- and intraoperative use of small doses of ketamine has a preventive effect on postoperative pain. Multimodal or balanced analgesia (the combined use of various analgesic agents) such as NSAID/morphine, NSAID/nefopam, morphine/ketamine improves analgesia with morphine-sparing effects. Nausea and vomiting, the principle side effects of morphine, can be predicted using Apfel's simplified score; patients with a high Apfel score risk should receive preemptive antiemetic agents aimed at different receptor sites, such as preoperative dexamethasone and intraoperative droperidol. Droperidol can be combined with morphine for postoperative patient-controlled anesthesia (PCA). When PCA is used, dosage parameters should be adjusted every day based on pain evaluation. Patients with presurgical opioid requirements will require preoperative administration of their daily opioid maintenance dose before induction of anesthesia: PCA offers useful options for effective postsurgical analgesia using a basal rate equivalent to the patient's hourly oral usage plus bolus doses as required.
Soins, 2010
∎ Apres avoir constate que 25 % des prescriptions de morphine n'etaient pas respectees par le... more ∎ Apres avoir constate que 25 % des prescriptions de morphine n'etaient pas respectees par les infirmieres, le centre hospitalier universitaire Henri-Mondor, a Creteil (AP-HP, 94), a conduit une enquete pour en comprendre les causes ∎ Les resultats de celle-ci ont ensuite ete diffuses aux medecins et aux infirmieres afin d'etablir des recommandations de bonnes pratiques.
Annales Françaises d'Anesthésie et de Réanimation, 2012
Annales Françaises d'Anesthésie et de Réanimation, 2003
Annales Françaises d'Anesthésie et de Réanimation, 2012
Annales Françaises d'Anesthésie et de Réanimation, 2009
Incidences et causes d'insatisfaction des patients vis-à-vis de la prise en charge de la douleur ... more Incidences et causes d'insatisfaction des patients vis-à-vis de la prise en charge de la douleur postopératoire
Elsevier Masson, Apr 14, 2015
Annales françaises d'anesthèsie et de rèanimation, 2007
The World Health Organization (WHO) published guidelines to improve cancer pain control which all... more The World Health Organization (WHO) published guidelines to improve cancer pain control which allow to relieve noceptive cancer pain in 80% of adult patients. Nevertheless WHO recommendations do not include: various ways to start morphine treatment, how to manage opioids adverse effects, severe cancer pain management, postoperative pain and procedure-relatived pain. The goal of this review is to discuss these issues. The data were retrieved from PubMed years 2001 to 2006 (keywords used alone or in combination were: opioids, cancer, pain, pain killers, rotation, intraspinal, ketamine, side effects), the "Standard, Options and Recommendations on cancer nociceptive pain treatments for adult patients" published by the French Union of Comprehensive Cancer Centers (FNCLCC; Fédération nationale des centres de lutte contre le cancer) and the European Association for Palliative Care (EAPC) recommendations on morphine and alternative opioids in cancer pain. Data also include an anal...
BMC anesthesiology, Sep 23, 2004
BACKGROUND: In many studies investigating measures to attenuate the hemodynamic and humoral stres... more BACKGROUND: In many studies investigating measures to attenuate the hemodynamic and humoral stress response during induction of anaesthesia, primary attention was paid to the period of endotracheal intubation since it has been shown that even short-lasting sympathetic cardiovascular stimulation may have detrimental effects on patients with coronary artery disease. The aim of this analysis was, however, to identify the influencing factors on high catecholamine levels before induction of anaesthesia. METHODS: Various potential risk factors that could impact the humoral stress response before induction of anaesthesia were recorded in 84 males undergoing coronary aortic bypass surgery, and were entered into a stepwise linear regression analysis. The plasma level of norepinephrine measured immediately after radial artery canulation was chosen as a surrogate marker for the humoral stress response, and it was used as the dependent variable in the regression model. Accordingly, the mean art...
Annales françaises d'anesthèsie et de rèanimation, 2003
Annales Françaises d'Anesthésie et de Réanimation, 2012
Surgery Open Digestive Advance, 2021
The Journal of heart transplantation
Previous clinical experience in the use of a total artificial heart as a bridge to retransplantat... more Previous clinical experience in the use of a total artificial heart as a bridge to retransplantation in patients with acute major unresponsive cardiac rejection has shown an extremely high risk at various stages of the sequence. Unsatisfactory recovery during the period with the total artificial heart, surgical complications at retransplantation, and infection and/or rejection account for the lack of long-term survivors. A recent case permits the description of an original technique of implantation, which facilitates both the adequate positioning of the prosthetic ventricles and the surgery at retransplantation. The risks of rejection and infectious complications are discussed.
Archives des maladies du coeur et des vaisseaux, 1989
The haemodynamic effect of any drug being the resultant of its myocardial and vascular actions, i... more The haemodynamic effect of any drug being the resultant of its myocardial and vascular actions, it is often difficult to separate what is due to each of these components. Dobutamine is regarded as having an almost exclusive effect on the myocardium in therapeutic doses (1); its administration after implantation of an artificial heart would enable its peripheral vascular effects to be determined by exclusion of the native ventricles. Experiments were conducted on three calves weighing about 90 kg each. The artificial heart, two central venous catheters and a femoral arterial catheter were implanted under general anaesthesia. The study began on the first post-implantation day, the animals being awake, in stable haemodynamic status and with normal temperature. Dobutamine was infused through one of the venous catheter placed in the native atrium, in 6 stepwise doses of 5, 10, 15, 20, 25 and 30 mcg/kg/min, each dose being given over 10 min and separated from the other dose by a 10 min in...
Annales Françaises d'Anesthésie et de Réanimation, 2006
Objectif.-Une évaluation de la prise en charge des céphalées secondaires aux hémorragies sous-ara... more Objectif.-Une évaluation de la prise en charge des céphalées secondaires aux hémorragies sous-arachnoïdiennes (CHSA) a été réalisée en France dans les centres de neurochirurgie. Type d'étude.-Enquête nationale de pratique par voie postale. Méthodes.-Un questionnaire a été envoyé aux centres hospitalo-universitaires assurant les urgences neurochirurgicales. Il concernait les méthodes d'évaluation des CHSA, les antalgiques prescrits et leurs modes d'administration ainsi que l'opinion des centres vis-à-vis de l'efficacité de leurs protocoles antalgiques. Résultats.-Au total, 24 centres sur 34 ont répondu au questionnaire. Cinquante-quatre pour cent évaluaient l'intensité des céphalées par un interrogatoire non codifié et plus d'un centre sur deux ne faisaient aucune évaluation chez les patients ayant des troubles de la conscience. Le propacétamol et la morphine étaient le plus souvent utilisés. La morphine était administrée par voie sous-cutanée par 75 % des centres, mais 25 % utilisaient aussi la titration et l'analgésie contrôlée par le patient. Trente-sept pour cent des centres étaient réticents à l'utilisation de la morphine et 75 % aux anti-inflammatoires non stéroïdiens ; 96 % des centres déclaraient être peu ou moyennement efficaces sur les CHSA. Conclusions.-La majorité des centres de neurochirurgie évaluaient insuffisamment et de façon non codifiée les CHSA, l'usage de certains antalgiques était limité. Les équipes expliquaient le défaut d'efficacité de leurs prescriptions antalgiques par l'absence de consensus et l'usage restreint de la morphine et des AINS dans les CHSA.
Annales de Dermatologie et de Vénéréologie, 2011
Annales de Cardiologie et d'Angéiologie, 2019
Annales de Cardiologie et d'Angéiologie xxx (2018) xxx-xxx Fait clinique AVC révélant un fibroéla... more Annales de Cardiologie et d'Angéiologie xxx (2018) xxx-xxx Fait clinique AVC révélant un fibroélastome pendant la grossesse : case report Cardiac papillary fibroelastoma and stroke during pregnancy: Case report
Presse médicale (Paris, France : 1983), Jan 23, 1988
The implantation of an artificial Jarvik-type artificial heart while awaiting retransplantation r... more The implantation of an artificial Jarvik-type artificial heart while awaiting retransplantation raises a technical problem which has not yet been definitively solved. An original technique which consists of preserving the atrial portion of the graft and its vessels is presented and illustrated by a clinical case.
Annales Françaises d'Anesthésie et de Réanimation, 2012
Une erreur s'est glissé e dans le volume 30, numé ro 9/2011 des Annales françaises d'anesthe´sie-... more Une erreur s'est glissé e dans le volume 30, numé ro 9/2011 des Annales françaises d'anesthe´sie-re´animation. Dans la rubrique Recommandations formalisé es d'experts, pages e33-e35, la traduction anglaise du titre est : Ultrasound-guided regional anesthesia: French recommendations. Les recommandations ont é té validé es le 4 fé vrier 2011 par le conseil d'administration de la Socié té française d'anesthé sie et de ré animation. Nous prions nos lecteurs de nous excuser de cette erreur. Annales Françaises d'Anesthé sie et de Ré animation 31 (2012) 741
Journal de Chirurgie, 2009
Severe postsurgical pain contributes to prolonged hospital stay and is also believed to be a risk... more Severe postsurgical pain contributes to prolonged hospital stay and is also believed to be a risk factor for the development of chronic pain. Locoregional anesthesia, which results in faster patient recovery with fewer side effects, is favored wherever feasible, but is not applicable to every patient. Systemic analgesics are the most widely used method for providing pain relief in the postoperative period. Improvements in postoperative systemic analgesia for pain management should be applied and predictive factors for severe postoperative pain should be anticipated in order to control pain while minimizing opioid side effects. Predictive factors for severe postoperative pain include severity of preoperative pain, prior use of opiates, female gender, non-laparoscopic surgery, and surgeries involving the knee and shoulder. Pre- and intraoperative use of small doses of ketamine has a preventive effect on postoperative pain. Multimodal or balanced analgesia (the combined use of various analgesic agents) such as NSAID/morphine, NSAID/nefopam, morphine/ketamine improves analgesia with morphine-sparing effects. Nausea and vomiting, the principle side effects of morphine, can be predicted using Apfel's simplified score; patients with a high Apfel score risk should receive preemptive antiemetic agents aimed at different receptor sites, such as preoperative dexamethasone and intraoperative droperidol. Droperidol can be combined with morphine for postoperative patient-controlled anesthesia (PCA). When PCA is used, dosage parameters should be adjusted every day based on pain evaluation. Patients with presurgical opioid requirements will require preoperative administration of their daily opioid maintenance dose before induction of anesthesia: PCA offers useful options for effective postsurgical analgesia using a basal rate equivalent to the patient's hourly oral usage plus bolus doses as required.
Soins, 2010
∎ Apres avoir constate que 25 % des prescriptions de morphine n'etaient pas respectees par le... more ∎ Apres avoir constate que 25 % des prescriptions de morphine n'etaient pas respectees par les infirmieres, le centre hospitalier universitaire Henri-Mondor, a Creteil (AP-HP, 94), a conduit une enquete pour en comprendre les causes ∎ Les resultats de celle-ci ont ensuite ete diffuses aux medecins et aux infirmieres afin d'etablir des recommandations de bonnes pratiques.
Annales Françaises d'Anesthésie et de Réanimation, 2012
Annales Françaises d'Anesthésie et de Réanimation, 2003
Annales Françaises d'Anesthésie et de Réanimation, 2012
Annales Françaises d'Anesthésie et de Réanimation, 2009
Incidences et causes d'insatisfaction des patients vis-à-vis de la prise en charge de la douleur ... more Incidences et causes d'insatisfaction des patients vis-à-vis de la prise en charge de la douleur postopératoire