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The field of interventional pulmonology is expanding rapidly with increasingly complex endoscopic procedures. Pulmonologists and anesthesiologists are both airway specialists. When they cooperate in performing flexible bronchoscopies, they must share a common anatomical space. A close and dynamic collaboration helps to optimize patient management by enhancing safety, facilitating the procedures and improving patient satisfaction. Several challenges are to be taken up, notably managing frail and often polymorbid patients, working outside the usual operating-room area, and the need to be quickly available, given the frequently semi-urgent setting of these procedures. In this context, the optimization of collaborative procedures is essential.

Le domaine de la pneumologie interventionnelle est en pleine expansion, avec des procédures endoscopiques de plus en plus complexes. Le pneumologue et le médecin anesthésiste sont deux spécialistes des voies aériennes. Lorsqu'ils coopèrent dans la réalisation des bronchoscopies souples, ils doivent partager un espace anatomique commun. Une collaboration étroite et dynamique permet d'optimiser la prise en charge en renforçant la sécurité, en facilitant la réalisation des procédures et en améliorant la satisfaction du patient. Plusieurs défis sont à relever, notamment la fragilité des patients souvent polymorbides, les conditions de travail hors bloc opératoire et la nécessité de plages d'anesthésie rapidement disponibles au vu d'indications le plus souvent semi-urgentes. Dans ce contexte, l'optimisation des procédures de collaboration est essentielle.

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BACKGROUND: Quality of recovery is an important component of perioperative health status. The 15-item Quality of Recovery (QoR-15) scale is a validated multidimensional questionnaire that measures postoperative quality of recovery. The aim of this study was to translate and assess the psychometric properties of a French version of the QoR-15 scale (QoR-15F) to measure postoperative recovery in French-speaking patients. METHODS: After translation into French of the original English version of the QoR-15 scale, psychometric validation of the QoR-15F scale to measure postoperative quality of recovery was performed. This psychometric validation included validity, reliability, responsiveness, and feasibility. The QoR-15F scale was administered before operation and on Postoperative day 1 in French-speaking patients. Patient-perceived global recovery assessment was measured at Postoperative day 1 using a VAS. RESULTS: We enrolled 150 patients, and 144 completed the study protocol. The completion rate of administered questionnaires was 100%. Pearson (r) correlation between postoperative QoR-15F and the global recovery assessment by the patient was 0.60 (P<0.0001). As expected, there was a significant negative correlation between QoR-15F score and duration of surgery (r=-0.29; P<0.01), duration of PACU stay (r=-0.21; P=0.01), and duration of hospital stay (r=-0.34; P<0.01). Cronbach's alpha was 0.81, split-half alpha was 0.83, and the global test-retest intra-class coefficient was 0.98 (0.95-0.99). CONCLUSIONS: The QoR-15F is a valid and reliable tool to measure postoperative quality of recovery in French-speaking patients. The psychometric properties to measure postoperative quality of recovery were similar to the seminal English version. CLINICAL TRIAL REGISTRATION: NCT03578068.

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Complications of renal artery aneurysms (RAAs) can be life threatening and include the spontaneous rupture which may lead to severe retroperitoneal hemorrhage, loss of the kidney, or death. As the incidence and diagnosis of RAAs is expected to rise, it is becoming increasingly important to enhance our awareness and knowledge of this rare clinical entity. Here, we present the case of a hilar right RAA and the surgical approach for primary repair during the postpartum period. Additionally, we discuss current pathophysiologic mechanisms, associated symptoms as well as current treatment modalities for RAAs.