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                <title xml:lang="en">Open heart surgery under acupuncture? Decrypting a program broadcast on France 2</title>
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                <term xml:lang="en">mass media</term>
                <term xml:lang="en">anesthesia</term>
                <term xml:lang="en">critical thinking</term>
                <term xml:lang="fr">anesthésie</term>
                <term xml:lang="fr">mass-medias</term>
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              <p>Objectives: To analyze a clip from the program “Acupuncture, osteopathy, hypnosis: do complementary medicines have superpowers?” about acupuncture as an anesthetic for surgical procedures in China. To propose a rational explanation for the phenomena observed. To describe the processes leading a public service broadcasting channel to offer this type of content at prime time and the potential consequences in terms of public health.Method: Analysis using critical thinking attitudes and skills, along with a bibliographical search of Medline, Google Scholar and Cochrane Library databases.Results: The information delivered in the television clip is ambiguous. It does not allow the viewer to form an informed opinion on the relevance of acupuncture as an anesthetic for surgical procedures. It is reasonable to assume that the clip shows surgery performed with undisclosed epidural anesthesia coupled with mild intravenous anesthesia, sometimes performed in other countries. What needs to be highlighted here is the overestimation of acupuncture added to the protocol. The media tend to exaggerate the risks and expected effects of the treatments they report on, which can lead patients to turn to unproven therapies.Conclusion: Broadcasting such a clip at prime time underlines the urgent need for the public and all health professionals to be trained in sorting and critically analyzing health information.</p>
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              <p>Objectifs : Analyser une séquence de l’émission télévisée « Acupuncture, ostéopathie, hypnose : les médecines complémentaires ont-elles de super-pouvoirs ? », présentant un exemple d’« une opération à cœur ouvert, avec une anesthésie sous acupuncture » pratiquée dans un hôpital chinois. Proposer une explication plus rationnelle des phénomènes observés. Décrire les processus amenant une chaîne du service public audiovisuel à proposer ce type de séquence à une heure de grande écoute et les conséquences potentielles en matière de santé publique.Méthode : Analyse critique utilisant des principes et outils rationnels, accompagnés d’une recherche bibliographique sur les bases de données Medline, Google Scholar et Cochrane Library.Résultats : Les informations délivrées dans la séquence sont ambiguës et ne permettent pas de se faire un avis éclairé sur l’intérêt de l’acupuncture pour une chirurgie à cœur ouvert. Il est raisonnable de penser que la séquence montre une chirurgie pratiquée avec anesthésie péridurale non avouée, couplée à une sédation intraveineuse légère. La particularité est ici la surestimation de l’effet spécifique de l’acupuncture ajoutée au protocole. Les médias ont en effet tendance à exagérer les risques et les effets attendus des traitements sur lesquels ils communiquent, ce qui peut conduire les patients à se tourner vers des thérapies non éprouvées.Conclusion : La diffusion d’une telle séquence à une heure de grande écoute souligne l’impérieuse nécessité pour le grand public mais aussi et surtout les professionnels de santé d’être formés au tri et à l’analyse critique des informations en matière de santé.</p>
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