A5024127082- Respiratory Support and Mechanisms
- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Hemodynamic Monitoring and Therapy
- Cardiac, Anesthesia and Surgical Outcomes
- Traumatic Brain Injury and Neurovascular Disturbances
- Ultrasound in Clinical Applications
- Elbow and Forearm Trauma Treatment
- Non-Invasive Vital Sign Monitoring
- COVID-19 and healthcare impacts
- Healthcare Policy and Management
- Thermal Regulation in Medicine
- Emergency and Acute Care Studies
- Orthopedic Surgery and Rehabilitation
- Hospital Admissions and Outcomes
- Sports injuries and prevention
- Infection Control and Ventilation
- COVID-19 epidemiological studies
- Bone fractures and treatments
- Shoulder and Clavicle Injuries
- Trauma Management and Diagnosis
- Climate Change and Health Impacts
University Medical Center Groningen
2013-2025
University of Groningen
2022
Medisch Centrum Leeuwarden
2018
Abstract Background As iatrogenic hyperoxia has been related to adverse outcomes in critically ill patients, guidelines advise titrate oxygen physiological levels. In the prehospital setting where partial arterial (PaO 2 ) values are often not readily available, titration of is based on peripheral saturations (SpO2). this study we aimed investigate efficacy SpO guided prevention hyperoxia. Methods a retrospective observational cohort patients included Acutelines data- and biobank University...
Background Point-of-care ultrasound (POCUS) can potentially be used in the triage of patients with elbow injuries. However, diagnostic accuracy POCUS performed by non-radiologists for exclusion fractures is yet unknown. This study aimed to investigate potential posterior fatpad workup adult presenting Methods A multicentre, prospective cohort was conducted between January 2021 and August 2022 four EDs determine an elevated on demonstrate or exclude fracture injuries ED. The population...
Liberal oxygen therapy has been a cornerstone in the treatment of critically ill patients. Recently, awareness hyperoxia toxicity emerged. We investigated partial pressure arterial blood (PaO2) sepsis patients admitted to emergency department treated with reduced inspired fraction 0.4 instead 0.6-0.8. A prospective pilot study was carried out over 3-month period. Patients two or more SIRS criteria and suspicion infection were included. They received 10 l O2/min through VentiMask 40%. Of 83...
Abstract Background Previous studies have demonstrated an association between hyperoxia and increased mortality in various patient groups. Critically unwell injured patients are routinely given high concentration oxygen the pre-hospital phase of care. We aim to investigate incidence major trauma receiving emergency anesthesia (PHEA) setting determine factors that may help guide clinicians with administration these patients. Methods A retrospective cohort study was performed all who received...
Healthcare personnel working in the emergency department (ED) is at risk of acquiring severe acute respiratory syndrome coronavirus-2 (SARS-Cov-2). So far, it unknown if reported variety infection rates among healthcare related to use personal protective equipment (PPE) or other factors.The aim this study was investigate association between PPE and SARS-CoV-2 infections ED Netherlands.A nationwide survey, consisting 42 questions about PPE-usage, layout - workflow permanent staff, sent...
Background Little is known about optimal fluid therapy for patients with sepsis without shock who present to the ED. In this study, we aimed quantify effect of a challenge on non-invasively measured Cardiac Index (CI) in presenting shock. Methods prospective cohort CI, stroke volume (SV) and systemic vascular resistance (SVR) were 30 ED large teaching hospital Netherlands between May 2018 March 2019 using ClearSight system. After baseline measurements performed, passive leg raise (PLR) was...
Liberal use of oxygen in an emergency situation is common. Today, most health care professionals do not adjust the amount given when a saturation 100% or PaO2 which exceeds normal range reached- may result hyperoxia. There increasing evidence for toxic effects Therefore, it seems justified to aim normoxia giving oxygen. This study evaluates whether feasible therapy patients at department (ED).A prospective cohort was performed ED University Medical Center Groningen (UMCG). A protocol...
Previous studies show that prolonged exposure to a high inspired oxygen concentration (FiO 2 ) is associated with unfavourable haemodynamic effects. Until now, it unknown if similar effects also occur after therapy of limited duration in the emergency department (ED). Objectives To investigate FiO administered for time patients who receive preoxygenation procedural sedation and analgesia (PSA) ED. Design, settings participants In prospective cohort study, cardiac output (CO), stroke volume...
Procedural sedation and analgesia (PSA) is frequently used in the emergency department (ED) to facilitate painful unpleasant procedures. PSA generally achieved by intravenous (IV) administration of sedatives (propofol midazolam) or dissociative agents (ketamine), often combination with short-acting opioids (fentanyl). As may result cardiovascular collapse (hypotension), careful hemodynamic monitoring ECG [heart rate (HR)] noninvasive blood pressure measurements standard care [1–3]....
Komdeur, Annemarijn; Theunissen, Joris; Stolmeijer, Renate; ter Avest, Ewoud; Lameijer, Heleen; van der Vaart, Taco; Land, Martin Author Information
During closed reduction of displaced distal radius fractures, physical examination is used to determine the need for further manipulation before radiographic confirmation and cast application. Manipulation performed under ultrasound guidance has potential decrease number attempts.This multicentre randomised controlled trial was undertaken between December 2018 July 2020 in ED four hospitals Netherlands. Patients aged ≥16 years presenting with a fracture requiring were either point-of-care...