0000000000303987

AUTHOR

Jean-baptiste Roudaut

showing 4 related works from this author

Corporeal Compression at the Onset of Septic shock (COCOONs): a compression method to reduce fluid balance of septic shock patients

2019

AbstractFluid overload in septic intensive care unit (ICU) patients is common and strongly associated with poor outcome. There is currently no treatment for capillary leak, which is mainly responsible for high positive fluid balance (FB) in sepsis. We hypothesized that increasing interstitial pressure with extensive corporeal compression would reduce FB. The objective of this study was to evaluate the feasibility, efficacy, and safety of a compression treatment during sepsis. This pilot, two-center, single-arm trial enrolled critically ill, non-surgical, septic patients receiving mechanical ventilation. The therapeutic intervention was the early application of compression bandages on more t…

Male0301 basic medicineCritical Caremedicine.medical_treatmentlcsh:MedicinePilot ProjectsTherapeuticsArticlePhase II trialslaw.inventionSepsis03 medical and health sciencesPlateau pressure0302 clinical medicinelawCompression BandagesmedicineClinical endpointHumansProspective StudiesProspective cohort studylcsh:ScienceAgedMechanical ventilationMultidisciplinarybusiness.industrySeptic shocklcsh:RMiddle AgedWater-Electrolyte Balancemedicine.diseaseRespiration ArtificialShock SepticIntensive care unit030104 developmental biologyAnesthesiaShock (circulatory)Femalelcsh:Qmedicine.symptombusiness030217 neurology & neurosurgeryScientific Reports
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Family perceptions of clinical research and the informed consent process in the ICU

2020

Abstract Purpose We investigated experiences of families who provide consent for research on behalf of a loved-one hospitalized in intensive care (ICU). Methods Multicentre, qualitative, descriptive study using semi-directive interviews in 3 ICUs. Eligible relatives were aged >18 years, and had provided informed consent for a clinical trial on behalf of a patient hospitalized in ICU. Interviews were conducted from 06/2018 to 06/2019 by a qualified sociologist, recorded and transcribed. Results Fifteen relatives were interviewed; average age 50.3 ± 15 years. All emphasized their interest in clinical research, seeing it as a duty. Involving their loved-one in research allowed them to find mea…

Adultmedicine.medical_specialtyCritical Caremedia_common.quotation_subjectCritical Care and Intensive Care Medicine03 medical and health sciences0302 clinical medicineInformed consentPhysiciansIntensive careHumansMedicineFamilyDutyQualitative ResearchAgedmedia_commonClinical Trials as TopicInformed Consentbusiness.industryInformation quality030208 emergency & critical care medicineMiddle AgedClinical trialIntensive Care UnitsClinical researchCaregivers030228 respiratory systemFamily medicineDescriptive researchbusinessQualitative researchJournal of Critical Care
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Non-readmission decisions in the intensive care unit: A qualitative study of physicians' experience in a multicentre French study.

2021

Purpose Deciding not to re-admit a patient to the intensive care unit (ICU) poses an ethical dilemma for ICU physicians. We aimed to describe and understand the attitudes and perceptions of ICU physicians regarding non-readmission of patients to the ICU. Materials and methods Multicenter, qualitative study using semi-directed interviews between January and May 2019. All medical staff working full-time in the ICU of five participating centres (two academic and three general, non-academic hospitals) were invited to participate. Participants were asked to describe how they experienced non-readmission decisions in the ICU, and to expand on the manner in which the decision was made, but also on…

MalePalliative careMedical staffHealth Care ProvidersSocial SciencesNurseslaw.inventionCognition0302 clinical medicinelawSurveys and QuestionnairesMedicine and Health SciencesPsychologyMedicineMedical Personnel030212 general & internal medicineQualitative ResearchMultidisciplinaryPalliative CareQRMiddle AgedQualitative StudiesIntensive care unitHospitalsIntensive Care UnitsProfessionsResearch DesignMedicineFemaleFranceResearch ArticleAdultmedicine.medical_specialtyScienceClinical Decision-MakingDecision MakingMEDLINEResearch and Analysis Methods03 medical and health sciencesQuality of life (healthcare)PhysiciansHumansbusiness.industryCognitive PsychologyBiology and Life SciencesHealth Care030228 respiratory systemHealth Care FacilitiesContent analysisFamily medicinePeople and PlacesEthical dilemmaQuality of LifeCognitive SciencePopulation GroupingsbusinessNeuroscienceQualitative researchPLoS ONE
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Criteria deemed important by the relatives for designating a reference person for patients hospitalized in ICU

2020

Abstract Purpose We investigated the criteria that patients' relatives deem important for choosing, among themselves, the person best qualified to interact with the caregiving staff. Methods Exploratory, observational, prospective, multicentre study between 1st March and 31st October 2018 in 2 intensive care units (ICUs). A 12-item questionnaire was completed anonymously by family members of patients hospitalized in the ICU 3 and 5 days after the patient's admission. Relatives were eligible if they understood French and if no surrogate had been appointed by the patient prior to ICU admission. More than one relative per patient could participate. Results In total, 87 relatives of 73 patients…

AdultMalemedicine.medical_specialtyCritical Care[SDV]Life Sciences [q-bio]Decision MakingEmotionsCritical Care and Intensive Care MedicineProxy (climate)law.invention03 medical and health sciences0302 clinical medicineClinical historylawSurveys and QuestionnairesIntensive careHumansMedicineFamilyProspective StudiesAgedbusiness.industry030208 emergency & critical care medicineMiddle AgedIntensive care unitIcu admissionHospitalizationIntensive Care UnitsFamily memberCaregivers030228 respiratory systemSpouseFamily medicineFemaleObservational studyFamily RelationsbusinessJournal of Critical Care
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