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 (r¼e0.29; P<0.01), duration of PACU stay (r¼e0.21; P¼0.01), and duration of hospital stay (r¼e0.34; P<0.01). Cronbach's alpha was 0.81, split-half alpha was 0.83, and the global testeretest intra-class coefficient was 0.98 (0.95e0.99). 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.

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.Keywords: renal artery aneurysm (RAA), pregnancy, primary repair to have a higher incidence of RAAs, the cardiovascular changes associated with pregnancy increase the risk of rupture and subsequent fetal and/or maternal death. For this reason, the repair of RAAs with a maximum diameter of >2 cm is usually recommended in pregnant women and women of reproductive age. 1) Case ReportA 29-year-old woman, gravida 4 para 3, at 26 weeks and two days of gestation presented to the obstetric/gynecology clinic with worsening right flank pain. She had a history of a right RAA, which was diagnosed in her third pregnancy three years ago during the diagnostic workup for flank pain. At that time, Doppler ultrasound had shown a RAA in the right renal hilum with a diameter of 1.7 cm. Her family history was positive for a cousin with a ruptured RAA.Diagnostic studies were initiated at her current presentation. A MRI angiogram examination without intravenous contrast demonstrated a right RAA measuring 2.4 cm × 1.6 cm (Fig. 1). It was located at the bifurcation of the right main renal artery approximately 2.5 cm from the right lateral edge of the aorta. A segmental branch arising from the superior aspect of the aneurysm was noted. A Doppler ultrasound examination confirmed the above measurements and showed no evidence of active bleeding. Therefore, the patient's flank pain was controlled with minimal narcotics. In light of the increased risk of rupture of the aneurysm during pregnancy, especially during the imminent third trimester, the patient had close obstetric monitoring. The Maternal-Fetal Medicine team, together with our group, decided to plan the surgical repair of the right RAA for the postpartum period. At 37 weeks of gestation, the patient underwent a scheduled cesarean section without complications and delivered a healthy child.Fifty days postpartum the patient was admitted to the hospital for the elective surgical repair of a right RAA. A surgical repair was chosen over an endovascular approach due to the hilar location of the RAA, which would not

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.