A5032861446- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Influenza Virus Research Studies
- Leptospirosis research and findings
- Mechanical Circulatory Support Devices
- Travel-related health issues
- Hemodynamic Monitoring and Therapy
- Electroconvulsive Therapy Studies
- Mosquito-borne diseases and control
- Viral Infections and Outbreaks Research
- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory viral infections research
- Takotsubo Cardiomyopathy and Associated Phenomena
- Intensive Care Unit Cognitive Disorders
- Respiratory Support and Mechanisms
- Inhalation and Respiratory Drug Delivery
- Infections and bacterial resistance
- Myeloproliferative Neoplasms: Diagnosis and Treatment
- Genomics and Rare Diseases
- Non-Invasive Vital Sign Monitoring
- SARS-CoV-2 and COVID-19 Research
- Nosocomial Infections in ICU
- Asthma and respiratory diseases
- Malaria Research and Control
- Heart Failure Treatment and Management
Centre Hospitalier Universitaire de La Réunion
2014-2024
National Heart Institute
2024
Écologie Marine Tropicale des Océans Pacifique et Indien
2023
Centre Hospitalier Saint-Denis
2015
Bicêtre Hospital
2008
Objective: To determine whether use of a sedation algorithm to promote high level tolerance the intensive care environment and preserve consciousness affected time arousal duration mechanical ventilation in patients without acute brain injury. Design: Two-phase, prospective, controlled study. Setting: University-affiliated medical unit. Patients: Patients injury requiring for at least 24 hrs. Interventions: During control phase, sedatives analgesics were adjusted according physician's...
Leptospirosis causes reversible multiple organ failure, and its mortality remains high. The aim of this study was to determine the rate leptospirosis in an ICU offering all types support available nowadays compare it with bacterial sepsis.Retrospective, descriptive, single-center cohort study.The largest Reunion Island (Indian Ocean) a teaching hospital.Consecutive patients hospitalized for from January 2004 2015.None.We report 134 cases ICU. median age 40 years (interquartile range, 30-52...
Objective: Although stress cardiomyopathy has been described in association with epilepsy, its frequency patients convulsive status epilepticus remains unknown. Accordingly, we sought to determine the prevalence and risk factors of admitted ICU for epilepticus. Design: Prospective, descriptive, single-center study. Setting: Medical-surgical a teaching hospital. Patients: Thirty-two consecutive ventilated (21 men; age, 50 ± 18 yr; Simplified Acute Physiology Score II, 53 15; Sequential Organ...
The therapeutic effect of aminoglycosides is highest and optimal when the peak plasma concentration (C max)/minimal inhibitory (MIC) ratio between 8 10. French guidelines recommend to use high doses for empiric antibiotic therapy in patients suffering from severe sepsis or septic shock. In clinical practice, recommended target an amikacin C max 60 80 mg/L, which corresponds approximately times MIC breakpoint, as defined by European Committee on Antimicrobial Susceptibility Testing. aim this...
Stress cardiomyopathy (SC) is a transient ventricular dysfunction rarely described in the critical care setting. To evaluate mechanisms, incidence, treatment and prognosis of SC. This retrospective observational study every critically-ill patient admitted to ICU over period two years. Among 1314 patients ICU, 20 (1.5%) were diagnosed with A total 249 experienced cardiogenic shock, whereas 8% suffering from SC was suspected because hemodynamic impairment (80% cases), ECG modifications (15%)...
Ventilator-associated pneumonia (VAP) caused by Stenotrophomonas maltophilia is poorly described in the literature. However, it has been shown to be associated with increased morbidity and mortality. Probabilistic antibiotic therapy against S. often ineffective as this pathogen resistant many antibiotics. There no consensus at present on best therapeutic strategy adopt (class of antibiotics, combination, dosage, treatment duration). The aim study was evaluate effect prognosis patients VAP...
Background: In Reunion Island, influenza is not considered a serious illness despite significant mortality in intensive care unit (ICU). We assess the post-pandemic of by comparing it to other community-acquired pneumonia our ICU.Methods: Retrospective, descriptive, and single-centre cohort study. The main aim was determine standardized ratio (SMR) for based on quartiles SAPSII score reference population 954 patients hospitalized pneumonia. Another analyze risk factors patients.Results: 127...
Patients with acute severe asthma (ASA) may in rare cases require invasive mechanical ventilation (IMV). However, recent data on this issue are lacking.In retrospective and bicentric study conducted a 10 year period, we investigate the in-hospital mortality patients ASA requiring IMV. We compare to that of other types respiratory distress using standardized ratio (SMR) model.Eighty-one episodes IMV were evaluated. Factors significantly associated cardiac arrest day admission, as reason for...
Background Leptospirosis is an anthropozoonosis that occurs worldwide but more common in tropical regions. Severe forms may require intensive care unit (ICU) admission. Whether the clinical patterns and outcomes differ between non-tropical regions with similar healthcare systems unclear. Our objective here was to address this issue by comparing two cohorts of ICU patients leptospirosis managed mainland France overseas French department Réunion, respectively. Methodology/Principal findings We...
High-frequency oscillatory ventilation (HFOV) does not improve the prognosis of ARDS patients despite an improvement in oxygenation. This paradox may partly be explained by HFOV hemodynamic side-effects on right ventricular function. Our goal was to study link between and effects test if pre-HFOV over left end-diastolic area (RVEDA/LVEDA) ratio, as a simple parameter afterload-related RV dysfunction, could used predict intolerance with severe ARDS. Twenty-four were studied just before within...
BackgroundVeno-Venous Extracorporeal Membrane Oxygenation (VV-ECMO) is an efficient ventilatory support in patients with refractory Covid-19-related Acute Respiratory Distress Syndrome (ARDS), however the duration of invasive mechanical ventilation (IMV) before ECMO initiation as a contraindication still controversial. The aim this study was to investigate impact prolonged IMV prior VV-ECMO suffering from ARDS.MethodsThis single-center retrospective included all treated for ARDS between...
Dengue disease is found worldwide and has been spreading exponentially in the past decades. Severe forms affect about 2% of patients, sometimes leading to organ failure. Recent studies have shown that fulminant dengue myocarditis more common than previously thought, fatal cases reported. The treatment remains supportive very challenging cardiogenic shock. Here, we describe four presenting with treated extracorporeal membrane oxygenation, among two survived.