Ward H. van der Ven
- Hemodynamic Monitoring and Therapy
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- Sepsis Diagnosis and Treatment
- Intensive Care Unit Cognitive Disorders
- Cardiac Arrest and Resuscitation
- Long-Term Effects of COVID-19
- Blood Pressure and Hypertension Studies
- Airway Management and Intubation Techniques
- Thermal Regulation in Medicine
- Cardiovascular Health and Disease Prevention
- Traumatic Brain Injury and Neurovascular Disturbances
- Colorectal Cancer Treatments and Studies
- Cardiovascular Function and Risk Factors
- Health Systems, Economic Evaluations, Quality of Life
- Neonatal Respiratory Health Research
- Medical Malpractice and Liability Issues
- HER2/EGFR in Cancer Research
- Lung Cancer Treatments and Mutations
- Anesthesia and Pain Management
- Hip and Femur Fractures
- Non-Invasive Vital Sign Monitoring
- Healthcare cost, quality, practices
- Ultrasound in Clinical Applications
- COVID-19 Clinical Research Studies
Amsterdam University Medical Centers
2020-2024
University of Amsterdam
2020-2024
Rode Kruis Ziekenhuis
2023
Amsterdam UMC Location University of Amsterdam
2013-2021
Radboud University Nijmegen
2021
Radboud University Medical Center
2021
Vrije Universiteit Amsterdam
2021
The intensity of ventilation, reflected by driving pressure (ΔP) and mechanical power (MP), has an association with outcome in invasively ventilated patients or without acute respiratory distress syndrome (ARDS). It is uncertain if a similar exists coronavirus disease 2019 (COVID-19) failure.We aimed to investigate the impact ventilation on patient outcome. PRoVENT-COVID study national multicenter observational COVID-19 receiving invasive ventilation. Ventilator parameters were collected...
Although hypotension in ICU patients is associated with adverse outcome, currently used definitions are unknown and no universally accepted definition exists.We conducted an international, peer-reviewed survey among physicians nurses to provide insight definitions, estimations of incidence, duration hypotension.Out 1394 respondents (1055 (76%) 339 (24%)), 1207 (82%) completed the questionnaire. In all patient categories, were predominantly based on absolute MAP 65 mmHg, except for...
The Hypotension Prediction Index (HPI) is a commercially available machine-learning algorithm that provides warnings for impending hypotension, based on real-time arterial waveform analysis. HPI was developed with data of surgical and intensive care unit (ICU) patients, but has never been externally validated in the latter group. In this study, we evaluated diagnostic ability invasively collected blood pressure 41 patients COVID-19 admitted to ICU mechanical ventilation. Predictive at...
Cardiac surgery is associated with perioperative complications, some of which might be attributable to hypotension. The Hypotension Prediction Index (HPI), a machine-learning-derived early warning tool for hypotension, has only been evaluated in noncardiac surgery. We investigated whether using HPI diagnostic guidance reduced hypotension during cardiac and the ICU.
Hypotension in the ICU is common, yet management challenging and variable. Insight by physicians nurses may improve patient care guide future hypotension treatment trials guidelines.We conducted an international survey among personnel to provide insight monitoring, management, perceived consequences of hypotension.Out 1464 respondents, 1197 (81.7%) were included (928 (77.5%) 269 (22.5%)). The majority indicated that underdiagnosed (55.4%) largely preventable (58.8%). Nurses are primarily...
Abstract Background Increasing evidence indicates the potential benefits of restricted fluid management in critically ill patients. Evidence lacks on optimal strategy for invasively ventilated COVID-19 We hypothesized that cumulative balance would affect successful liberation invasive ventilation patients with acute respiratory distress syndrome (ARDS). Methods analyzed data from multicenter observational ‘PRactice VENTilation patients’ study. Patients confirmed and ARDS who required during...
Introduction Hypotension is common during cardiac surgery and often persists postoperatively in the intensive care unit (ICU). Still, treatment mainly reactive, causing a delay its management. The Prediction Index (HPI) can predict hypotension with high accuracy. Using HPI combined guidance protocol resulted significant reduction severity of four non-cardiac trials. This randomised trial aims to evaluate effectiveness combination diagnostic on reducing occurrence coronary artery bypass...
Abstract Background High-flow nasal oxygen (HFNO) is increasingly used in patients with acute hypoxemic respiratory failure. It uncertain whether a broadened Berlin definition of distress syndrome (ARDS), which ARDS can be diagnosed who are not receiving ventilation, results similar groups HFNO as ventilation. Methods We applied multicenter, observational study adult critically ill failure due to coronavirus disease 2019 (COVID-19), wherein the requirement for minimal level 5 cm H 2 O PEEP...
We investigated changes in ARDS severity and associations with outcome COVID–19 patients. compared outcomes patients classified as 'mild', 'moderate' or 'severe' at calendar day 1, after reclassification 2. The primary endpoint was 28–day mortality. also identified which ventilatory parameters had an association presence of severe repeated the analysis for 4. Of 895 patients, 8.5%, 60.1% 31.4% mild, moderate 1. These proportions were 13.5%, 72.6% 13.9% mortality 25.3%, 31.3% 32.0% 1 (p =...
Patients with coronavirus disease 2019 (COVID-19) may need hospitalization for supplemental oxygen, and some intensive care unit (ICU) admission escalation of care. Practice adjunctive supportive treatments remain uncertain vary widely between countries, within countries hospitals, possibly even ICUs. We aim to investigate practice treatments, their associations outcome, in critically ill COVID-19 patients.The 'PRactice Adjunctive Treatments Intensive Care Unit Coronavirus Disease 2019'...
BACKGROUND: Postinduction hypotension (PIH) may be associated with increased morbidity and mortality. In earlier studies, the definition of PIH is solely based on different absolute or relative thresholds. However, time-course (eg, how fast blood pressure drops during induction) rarely incorporated, whereas it might represent hemodynamic instability a patient. We propose comprehensive model to distinguish hemodynamically unstable from stable patients by combining thresholds magnitude speed...
To identify the influence of modifiable factors in anesthesia induction strategy on post-induction hypotension (PIH), specifically type, dosage and speed administration agents. A secondary aim was to patient related non-modifiable associated with PIH.