A5045424080- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Hemodynamic Monitoring and Therapy
- Ultrasound in Clinical Applications
- Airway Management and Intubation Techniques
- Long-Term Effects of COVID-19
- Mechanical Circulatory Support Devices
- COVID-19 Clinical Research Studies
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Family and Patient Care in Intensive Care Units
- Neonatal Respiratory Health Research
- Tracheal and airway disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Thermal Regulation in Medicine
- Anesthesia and Neurotoxicity Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Inhalation and Respiratory Drug Delivery
- Renal function and acid-base balance
- COVID-19 diagnosis using AI
- Non-Invasive Vital Sign Monitoring
- Cardiovascular Health and Disease Prevention
- SARS-CoV-2 and COVID-19 Research
- Dysphagia Assessment and Management
Mahidol University
2016-2025
Ramathibodi Hospital
2016-2025
University of Genoa
2013-2021
Ospedale Policlinico San Martino
2013-2017
Universidade Federal do Rio de Janeiro
2016
Pulmonary and Critical Care Associates
2014
Istituti di Ricovero e Cura a Carattere Scientifico
2014
Abstract Introduction Percutaneous dilatational tracheostomy (PDT) is one of the most frequent procedures performed in intensive care unit (ICU). PDT may add potential benefit to clinical management critically ill patients. Despite this, no guidelines are available. We sought characterize current practice this international survey. Methods An survey, endorsed and peer reviewed by European Society Intensive Care Medicine (ESICM), was carried out from May October 2013. The questionnaire...
The aim of this study was to describe and compare the changes in ventilator management complications over time, as well variables associated with 28-day hospital mortality patients receiving mechanical ventilation (MV) after cardiac arrest.We performed a secondary analysis three prospective, observational multicenter studies conducted 1998, 2004 2010 927 ICUs from 40 countries. We screened 18,302 MV for more than 12 hours during one-month-period. included 812 arrest. collected data on...
Diaphragmatic dysfunction remains the main cause of weaning difficulty or failure. Ultrasonographic measurement diaphragmatic function can be used to predict outcomes from mechanical ventilation. Our primary objective was investigate performance various sonographic parameters for predicting success ventilation.We prospectively enrolled 68 adult patients requiring ventilation who were admitted intensive care unit June 2013 November 2013. The inspiratory excursion, time peak amplitude...
Abstract Background Immunocompromised patients with sepsis have greater odds of in-hospital mortality compared to immunocompetent patients. A study focused on bloodstream infection (BSI) and in critically ill immunocompromised (CII) has not been extensively explored. We investigated the epidemiology pathogens, risk factors, outcome, associated BSI among CII Methods retrospective cohort was conducted at Medical Intensive Care Unit between January 2022 December 2023. The participants included...
Identification of distinct clinical phenotypes diseases can guide personalized treatment. This study aimed to classify hospitalized COVID-19 pneumonia subgroups using an unsupervised machine learning approach. We included patients from July September 2021. K-means clustering, method, was performed identify based on and laboratory variables collected within 24 hours admission. Variables were normalized before clustering ensure equal contribution the analysis. The optimal number clusters...
Quality of life and mortality after percutaneous dilatational tracheotomy (PDT) has been poorly investigated. The aims this study were to evaluate the independent risk factors for Intensive Care Unit (ICU) investigate quality over first year PDT in critically ill patients.This was a prospective, single-center, cohort performed tertiary care University Hospital, enrolling consecutive ICU patients requiring elective PDT, collecting data during procedure stay. Follow-up at three, six twelve...
Background: Applying peripheral venous lactate instead of arterial in clinical practice is questionable because deviation between both values. We aimed to find the relationship and before reasoned that could be used substitution sepsis. Methods: conducted a prospective, cross-sectional study at university hospital. The patients with sepsis ICU who required level monitoring were enrolled this research. correlation agreement (A-LACT) (V-LACT) primary outcomes. Results: A total 63 paired...
To describe the changes in ventilator management over time patients with neurologic disease at ICU admission and to estimate factors associated 28-day hospital mortality.Secondary analysis of three prospective, observational, multicenter studies.Cohort studies conducted 2004, 2010, 2016.Adult who received mechanical ventilation for more than 12 hours.None.Among 20,929 enrolled, we included 4,152 (20%) mechanically ventilated due different diseases. Hemorrhagic stroke brain trauma were most...
Several parameters are used to predict successful extubation but their accuracy varies among studies. We hypothesized that combining conventional and diaphragmatic would be more effective than using just one. Our primary objective was evaluate the performance of respiratory rate in relation diaphragm thickening fraction (RR/DTF) ratio success extubation.We enrolled 130 adult patients who required invasive mechanical ventilation, planned extubated, a spontaneous breathing trial (SBT)...
Abstract Background Mechanical Ventilation (MV) is a complex and central treatment process in the care of critically ill patients. It influences acid–base balance can also cause prognostically relevant biotrauma by generating forces liberating reactive oxygen species, negatively affecting outcomes. In this work we evaluate use Recurrent Neural Network (RNN) modelling to predict outcomes mechanically ventilated patients, using standard mechanical ventilation parameters. Methods We performed...
The aim of this study was to evaluate the impact a hospital protocol in response patient deterioration general wards, stratified using national early warning score (NEWS), on primary outcomes in-hospital mortality and percentage patients transferred intensive care unit (ICU).We conducted prospective observational cohort among adult medical admitted university Bangkok. A 4-month pre-protocol period (November 2015 February 2016) assigned control group (March 2016 June allocated group. On...
Introduction: Several studies have shown that the number of B-lines was related to amount extravascular lung water (EVLW).In our study, we aimed demonstrate magnitude incremental in shock patients with positive net fl uid balance and association gas exchange impairment.Materials Methods: We performed trans-thoracic ultrasound at admission (T 0 ) follow-up period FL change B lines (ΔB-lines) after therapy.We compared total B-line score (TBS) T calculated Pearson's correlation coeffi cient...
Background Elderly patients are being increasingly admitted to the intensive care unit (ICU) for mechanical ventilation. Previous studies demonstrated that 20% 35% of elderly were reintubated within 48 72 hours after extubation. Given age-related physiologic changes and multiple comorbidities in patients, current conventional parameters predicting extubation outcomes may not be applicable this population. This study was performed identify association between failure patients. Methods...