A5011113680- Airway Management and Intubation Techniques
- Trauma and Emergency Care Studies
- Tracheal and airway disorders
- Hemodynamic Monitoring and Therapy
- Cardiac, Anesthesia and Surgical Outcomes
- Blood Pressure and Hypertension Studies
- Cardiac Arrest and Resuscitation
- Non-Invasive Vital Sign Monitoring
- Traumatic Brain Injury and Neurovascular Disturbances
- Respiratory Support and Mechanisms
- Cardiovascular Health and Disease Prevention
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Anesthesia and Sedative Agents
- Foreign Body Medical Cases
- Emergency and Acute Care Studies
- Neurosurgical Procedures and Complications
- Heart Rate Variability and Autonomic Control
- Intensive Care Unit Cognitive Disorders
- Injury Epidemiology and Prevention
- Trauma Management and Diagnosis
- Health, Medicine and Society
- Head and Neck Surgical Oncology
- Healthcare Systems and Practices
- Pain Management and Placebo Effect
- Simulation-Based Education in Healthcare
University of Lausanne
2016-2025
Hôpital Orthopédique de la Suisse Romande
2004-2024
Université de Montpellier
2023
Centre National de la Recherche Scientifique
2023
Centre Hospitalier Universitaire de Montpellier
2023
Western General Hospital
2023
Inserm
2023
NHS Lothian
2023
New York City Health and Hospitals Corporation
2023
Duke University
2023
Abstract Mobile health diagnostics have been shown to be effective and scalable for chronic disease detection management. By maximizing the smartphones’ optics computational power, they could allow assessment of physiological information from morphology pulse waves thus estimate cuffless blood pressure (BP). We trained parameters an existing wave analysis algorithm (oBPM), previously validated in anaesthesia on oximeter signals, by collecting optical signals 51 patients fingertips via a...
To provide an update to French guidelines about "Difficult intubation and extubation in adult anaesthesia 2006".A consensus committee of 13 experts was convened. A formal conflict-of-interest (COI) policy developed at the onset process enforced throughout. The entire conducted independent any industry funding. authors were advised follow principles Grading Recommendations Assessment, Development Evaluation (GRADE) system guide assessment quality evidence. potential drawbacks making strong...
Background: Cuffless blood pressure measurement technologies have attracted significant attention for their potential to transform cardiovascular monitoring.
To examine the accuracy of brain multimodal monitoring-consisting intracranial pressure, tissue PO2, and cerebral microdialysis--in detecting hypoperfusion in patients with severe traumatic injury.Prospective single-center study.Patients injury.Medico-surgical ICU, university hospital.Intracranial microdialysis monitoring (right frontal lobe, apparently normal tissue) combined blood flow measurements using perfusion CT.Cerebral was measured CT area around (regional flow) bilateral...
Orthostatic hypotension is a cardinal feature of multiple-system atrophy. The upright posture provokes syncopal episodes that prevent patients from standing and walking for more than brief periods. We implanted system to restore regulation blood pressure enable patient with atrophy stand walk after having lost these abilities because orthostatic hypotension. This involved epidural electrical stimulation delivered over the thoracic spinal cord accelerometers detected changes in body position....
Difficult tracheal intubation is a major cause of anesthesia-related injuries with potential life threatening complications. Detection and anticipation difficult airway in the preoperative period is, thus, crucial for patients' safety. We propose an automatic face-analysis approach to detect morphological traits related improve its prediction.For this purpose, we have collected database 970 patients including photos, videos, ground truth data. Specific statistical face models been learned...
This adult cohort determined the incidence and patients' short-term outcomes of severe traumatic brain injury (sTBI) in Switzerland age-related differences. A prospective study with a follow-up at 14 days was performed. Patients ≥16 years age sustaining sTBI admitted to 1 11 trauma centers were included. defined by an Abbreviated Injury Scale head (HAIS) score >3. The participated from 6 months 3 years. results are presented as percentages, medians, interquartile ranges (IQRs). Subgroup...
The aim of this study was to assess the accuracy OptiBP mobile application based on an optical signal recorded by placing patient's fingertip a smartphone's camera estimate blood pressure (BP). Measurements were carried out in general population according existing standards Association for Advancement Medical Instrumentation (AAMI), European Society Hypertension (ESH) and International Organization Standardization (ISO).Participants recruited during scheduled appointment at hypertension...
Summary Application of cervical collars may reduce spine movements but render tracheal intubation with a standard laryngoscope difficult if not impossible. We hypothesised that despite the presence Philadelphia Patriot ® collar and patient’s head taped to trolley, would be possible in 50 adult patients using GlideScope its dedicated stylet. Laryngoscopy was attempted Macintosh size 4 blade, modified Cormack–Lehane grade scored. Subsequently, laryngoscopy graded followed by intubation. All...
BACKGROUND: Intraoperative hypotension is associated with postoperative complications and death. Oscillometric brachial cuffs are used to measure arterial pressure (AP) in most surgical patients but may miss acute changes AP. We hypothesized that pulse oximeter waveform analysis help detect systolic AP (SAP) mean (MAP) during anesthesia induction. METHODS: In 40 scheduled for an elective surgery necessitating general invasive monitoring, we assessed the performance of a algorithm (optical...
Introduction: Hypertensive disorders present significant morbidity and mortality during pregnancy. Although ambulatory blood pressure measurement remains the standard of care for normotensive women, self-monitoring at home is increasingly prevalent. The widespread use smartphones worldwide has sparked interest in mobile applications that leverage built-in hardware estimation, yet few trials have assessed their accuracy. Methods: This prospective, longitudinal monocentric study evaluated...
Background: Enhanced Recovery After Surgery (ERAS) protocols have been implemented in various surgical specialties to improve patient outcomes and reduce opioid consumption. In cardiac surgery, the traditionally high-dose use is associated with prolonged ventilation, intensive care unit (ICU) stays, opioid-related adverse drug events (ORADEs). This study evaluates impact of an ERAS® Society-certified program on consumption patients undergoing elective surgery at Lausanne University Hospital....
BACKGROUND The potential benefit of videolaryngoscopy use in facilitating tracheal intubation has already been established, however its was actively encouraged during the COVID-19 pandemic as it likely to improve success and increase patient-operator distance. OBJECTIVES We sought establish before after early phases pandemic, whether institutions had acquired new devices there teaching on acquired. DESIGN designed a survey with 27 questions made available via Joint Information Scientific...
Summary Fibreoptic intubation remains a key technique for the management of difficult intubation. We randomly compared second generation single‐use Ambu ® aScope™ 2 videoscope with standard re‐usable flexible intubating fibrescope in 50 tracheal intubations patients airway simulated by semirigid collar. All patients’ tracheas were intubated successfully aScope or fibrescope. The median (IQR [range]) time to intubate was significantly longer 70 (55–97 [41?–226]) s vs (40–59 [27–175]) s, p =...
BACKGROUND Rotational thromboelastometry (ROTEM) is a whole blood point-of-test used to assess the patient's coagulation status. Three of available ROTEM tests are EXTEM, INTEM and HEPTEM. In latter, heparinase added reagent inactivates heparin reveal residual effect. Performing analysis during cardiopulmonary bypass (CPB) might allow anaesthesiologist anticipate need for products. OBJECTIVE The goal this study was validate in presence very high concentrations CPB. DESIGN Prospective,...
The National Advisory Committee for Aeronautics (NACA) score is used by many emergency medical services to assess the severity of prehospital patients. Little known about its discriminative performance regarding short-term mortality.We retrospectively included adult missions between 2008 and 2014 in a Swiss ground air-based services. We excluded uninjured or dead-on-scene Primary outcome was assessment NACA classify 48-h vital status Overall discrimination quantified using area under...