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3. Cohen B, Cohen PJ. Do-not-resuscitate order in the operating room. NEJM 1991; 325:1879–1882. 4. Keffer KJ, Keffer HI. Do-not-resuscitate in the operating room: moral obligations of anesthesiologist. Anesth Analg 1992;74:901–905. 5. Miller RB. Do not resuscitate orders in the operating room: a topic whose time has come. Semin Anesth 1991;12:295–303. 6. Truog RD. “Do not resuscitate” orders during anesthesia and surgery. Anesthesiology 1991;74:606–608. 7. Younger SJ, Cascorbe HF, Shuck JM. DNR in the operating room, not really a paradox.

In: Barash PG, Cullen BF, Stoelting RK, eds. Clinical Anesthesia. 3rd ed. Philadelphia: Lippincott-Raven Publishers; 1996: 137–559. 50 17 Mise en place hâtive de l’amplificateur de brillance : recette pour un désastre Vous avez endormi un patient en bonne santé pour une intervention neurochirurgicale. Il a 54 ans, pèse 110 kg et mesure 183 cm. Il est placé en décubitus latéral gauche. , Morgan Hill, Californie, États-Unis) sans attendre que le patient soit convenablement sécurisé. Brutalement la table se penche en roulis à gauche, sans que quiconque ait actionné les contrôles situés à sa tête.

Chaque événement étrange et bizarre qui survient en salle d’opération, la sécurité et le bien-être du patient sont de la plus haute importance. Je me souviens d’une femme de 140 kg pour 162 cm endormie en position de lithotomie pour une intervention gynécologique. Elle commença à glisser hors de la table la tête la première lorsque le chirurgien demanda plus de Trendelenburg. Comme elle prenait de la vitesse, il n’y avait plus assez de temps pour actionner les contrôles de la table et retirer le Trendelenburg.

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