Search results for "Réanimation"
showing 3 items of 3 documents
Do ventilatory parameters influence outcome in patients with severe acute respiratory infection? Secondary analysis of an international, multicentre1…
2021
Purpose: To investigate the possible association between ventilatory settings on the first day of invasive mechanical ventilation (IMV) and mortality in patients admitted to the intensive care unit (ICU) with severe acute respiratory infection (SARI). Materials and methods: In this pre-planned sub-study of a prospective, multicentre observational study, 441 patients with SARI who received controlled IMV during the ICU stay were included in the analysis. Results: ICU and hospital mortality rates were 23.1 and 28.1%, respectively. In multivariable analysis, tidal volume and respiratory rate on the first day of IMV were not associated with an increased risk of death; however, higher driving pr…
Fluid challenges in intensive care: the FENICE study: a global inception cohort study
2015
Background: Fluid challenges (FCs) are one of the most commonly used therapies in critically ill patients and represent the cornerstone of hemodynamic management in intensive care units. There are clear benefits and harms from fluid therapy. Limited data on the indication, type, amount and rate of an FC in critically ill patients exist in the literature. The primary aim was to evaluate how physicians conduct FCs in terms of type, volume, and rate of given fluid; the secondary aim was to evaluate variables used to trigger an FC and to compare the proportion of patients receiving further fluid administration based on the response to the FC. Methods: This was an observational study conducted i…
Assessment of diaphragm and lung ultrasound interest as a diagnostic and monitoring tool in acute respiratory diseases by the physiotherapist in crit…
2021
Thoracic ultrasound is a non-invasive, ionization-free and easily available tool at the bedside of the critical care patient. The aim of this thesis is to assess the lung and diaphragm ultrasound interest in the diagnosis and monitoring of the acute pulmonary disorders by the critical care physiotherapist.Our narrative review showed a high diagnostic accuracy of lung ultrasound to diagnose acute pulmonary disorders commonly encountered by the physiotherapist. The review of the lung ultrasound semiology allowed us to propose a chest physiotherapy strategy depending the ultrasound findings in the patients. Our multicenter clinical trial enrolled 151 ICU patients and highlighted the high impac…