Nicolas Libert

ORCID: 0000-0003-2085-8031
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About
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Research Areas
  • Trauma, Hemostasis, Coagulopathy, Resuscitation
  • Trauma and Emergency Care Studies
  • Cardiac Arrest and Resuscitation
  • Cardiac, Anesthesia and Surgical Outcomes
  • Bacterial Identification and Susceptibility Testing
  • Traumatic Brain Injury and Neurovascular Disturbances
  • Antimicrobial Resistance in Staphylococcus
  • Streptococcal Infections and Treatments
  • Venous Thromboembolism Diagnosis and Management
  • Healthcare professionals’ stress and burnout
  • Muscle and Compartmental Disorders
  • Sepsis Diagnosis and Treatment
  • COVID-19 Clinical Research Studies
  • Emergency and Acute Care Studies
  • Phonocardiography and Auscultation Techniques
  • Ultrasound in Clinical Applications
  • Anesthesia and Neurotoxicity Research
  • Respiratory Support and Mechanisms
  • Musculoskeletal pain and rehabilitation
  • Travel-related health issues
  • Disaster Response and Management
  • Poisoning and overdose treatments
  • Anesthesia and Sedative Agents
  • Noise Effects and Management
  • Blood transfusion and management

Hôpital d'instruction des Armées Percy
2012-2024

Université Paris-Saclay
2024

Service de Santé des Armées
2024

Université Paris Cité
2018-2022

Institut de Médecine Tropicale du Service de Santé des Armées
2022

Hôpital Lariboisière
2020

Hypertension pulmonaire : physiopathologie et innovation thérapeutique
2020

Centre Chirurgical Marie Lannelongue
2020

Assistance Publique – Hôpitaux de Paris
2018

Délégation Paris 6
2014-2017

Objective: Early identification of causative microorganism(s) in patients with severe infection is crucial to optimize antimicrobial use and patient survival. However, current culture-based pathogen slow unreliable such that broad-spectrum antibiotics are often used insure coverage all potential organisms, carrying risks overtreatment, toxicity, selection multidrug-resistant bacteria. We compared the results obtained using a novel, culture-independent polymerase chain reaction/electrospray...

10.1097/ccm.0000000000001249 article EN cc-by-nc-nd Critical Care Medicine 2015-09-01

Herpes viruses can be reactivated among immunocompetent patients in intensive care unit (ICU). Cytomegalovirus (CMV) and herpes simplex virus (HSV) have been the most studied. We hypothesized that Epstein-Barr (EBV) could also during their stay ICU this would associated with morbidity mortality.This prospective observational study included 90 an of ≥ 5 days. CMV HSV were considered when clinically suspected DNA was researched blood or bronchoalveolar lavage (BAL). EBV viral quantification...

10.4103/2319-4170.132905 article EN cc-by-nc-nd Biomedical Journal 2014-05-21

Three patients with extensive necrotizing pneumonia due to Panton-Valentine leukocidin-positive Staphylococcus aureus strains and aggravating factors (leukopenia count of less than 3x10(9)/liter in all three cases hemoptysis two cases) were successfully treated toxin-suppressing agents introduced rapidly after hospital admission.

10.1128/jcm.01892-09 article EN Journal of Clinical Microbiology 2010-02-04

Closed-loop resuscitation can improve personalization of care, decrease workload and bring expert knowledge in isolated areas. We have developed a new device to control the administration fluid or simultaneous co-administration norepinephrine using arterial pressure.We evaluated performance our prototype rodent model haemorrhagic shock. After shock, rats were randomized five experimental groups: three resuscitated with two norepinephrine. Among groups fluid, one was by physician according...

10.1186/s13613-018-0436-0 article EN cc-by Annals of Intensive Care 2018-09-17

Ventilation of Acute Respiratory Distress Syndrome (ARDS) is a challenge, and there definitely need for lack variations between delivered set tidal volume (Vt). We have assessed the ability ventilator T-birdVS02 LTV-1000 to deliver lung model with ARDS Vt at different simulated altitudes.We used decompression chamber mimic hypobaric environment range cabin altitudes 1,500, 2,500, 3,000 m (4,000, 6,670, 8,000 feet, respectively). Ventilators were tested realistic parameters. was 400 mL 250 in...

10.1097/ta.0b013e3181e8fd8b article EN Journal of Trauma and Acute Care Surgery 2010-08-28

Rationale: Norepinephrine (NE) is commonly used in combination with fluid during resuscitation of hemorrhagic shock, but its impact on kidney microcirculation, oxygenation, and function still unknown this setting. Objectives: During shock resuscitation, does a NE affect oxygenation tension, microcirculatory perfusion, 48-hour function, as compared alone? Methods: Hemorrhagic was induced 24 pigs, 8 pigs were included sham group. Resuscitation performed, using closed-loop device, either by...

10.1164/rccm.202109-2120oc article EN American Journal of Respiratory and Critical Care Medicine 2022-04-08

Hemorrhagic shock is the leading cause of preventable early death in trauma patients. Transfusion management guided by international guidelines promoting and aggressive transfusion strategies. This study aimed to describe timelines a center identify key points performing efficient transfusions.This monocentric retrospective 108 severe patients, transfused within first 48 h hospitalized an intensive care unit between January 2017 May 2019.One hundred eight patients were with 1250 labile blood...

10.1111/trf.16953 article EN Transfusion 2022-07-04

Background Hemorrhagic shock (HS) and rhabdomyolysis (RM) are two important risk factors for acute kidney injury after severe trauma; however, the effects of combination RM HS on function unknown. The purpose this study was to determine impact renal function, oxygenation, perfusion, morphology in a pig model. Methods Forty-seven female pigs were divided into five groups: sham, RM, HS, moderate (RM4/HS), (RM8/HS). Rhabdomyolysis induced by intramuscular injection glycerol 50% with dose (4...

10.1097/aln.0000000000005097 article EN Anesthesiology 2024-05-24
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