A5065058859- Heart Failure Treatment and Management
- Emergency and Acute Care Studies
- Acute Myocardial Infarction Research
- Venous Thromboembolism Diagnosis and Management
- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Respiratory Support and Mechanisms
- Pneumonia and Respiratory Infections
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Ultrasound in Clinical Applications
- Cardiac Imaging and Diagnostics
- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Hemodynamic Monitoring and Therapy
- Respiratory viral infections research
- Acute Ischemic Stroke Management
- Intensive Care Unit Cognitive Disorders
- Health, Medicine and Society
- Clinical Reasoning and Diagnostic Skills
- Atrial Fibrillation Management and Outcomes
- Patient Safety and Medication Errors
- Cardiovascular Function and Risk Factors
- Healthcare Systems and Practices
- Trauma and Emergency Care Studies
- Phonocardiography and Auscultation Techniques
CHU Dijon Bourgogne
2018-2025
Université de Bourgogne
2018-2023
University of Cincinnati
2023
Centre Georges François Leclerc
2021
Assistance Publique – Hôpitaux de Paris
2010-2020
Infection, Anti-microbiens, Modélisation, Evolution
2019
Sorbonne Université
2010-2019
Hôpital Tenon
2010-2019
Hôpital Bichat-Claude-Bernard
2019
Maison des Sciences de l’Homme de Dijon
2019
Values of central venous pressure 8-12 mm Hg and pulmonary artery occlusion 12-15 have been proposed as volume resuscitation targets in recent international guidelines on management severe sepsis. By analyzing a large number challenges, our aim was to test the significance recommended target values terms prediction responsiveness.Retrospective study.A 24-bed medical intensive care unit.All consecutive septic patients monitored with catheter who underwent challenge between 2001 2004.None.A...
Our objectives were to determine the causes of acute respiratory failure (ARF) in elderly patients and assess accuracy initial diagnosis by emergency physician, that prognosis.In this prospective observational study, included if they admitted our department, aged 65 years or more with dyspnea, fulfilled at least one following criteria ARF: rate 25 minute-1; arterial partial pressure oxygen (PaO2) 70 mmHg less, peripheral saturation 92% less breathing room air; CO2 (PaCO2) > = 45 mmHg, pH <...
Rationale: Clinical decision making relative to community-acquired pneumonia (CAP) diagnosis is difficult. Chest radiograph key in establishing parenchymal lung involvement. However, radiologic performance may lead misdiagnosis, rendering questionable the use of chest computed tomography (CT) scan patients with clinically suspected CAP.Objectives: To assess whether early multidetector CT affects and management visiting emergency department CAP.Methods: A total 319 prospectively enrolled CAP...
Abstract Introduction Community-acquired pneumonia (CAP) requires prompt treatment, but its diagnosis is complex. Improvement of bacterial CAP by biomarkers has been evaluated using chest X-ray infiltrate as the gold standard, producing conflicting results. We analyzed diagnostic accuracy in suspected adults visiting emergency departments for whom was established an adjudication committee which founded judgment on a systematic multidetector thoracic CT scan. Methods In ancillary study...
Abstract Introduction Recently, newer assays for cardiac troponin (cTn) have been developed which are able to detect changes in concentration of the biomarker at or below 99th percentile a normal population. The objective this study was compare diagnostic performance new high-sensitivity T (HsTnT) assay that conventional cTnI diagnosis acute myocardial infarction (AMI) according pretest probability (PTP). Methods In consecutive patients who presented our emergency departments with chest pain...
Emergency departments (ED) are environments that at high risk for medical errors. Previous studies suggested the proportion of errors may decrease when more than 1 physician is involved.To reduce by implementing systematic cross-checking between emergency physicians.This cluster randomized crossover trial includes a random sample 14 adult patients (age ≥18 years) per day during two 10-day period in 6 EDs (n = 1680 patients) France.Systematic physicians, 3 times day, which included brief...
Objectives: Differentiating cardiogenic pulmonary edema (CPE) from respiratory causes of dyspnea is difficult in elderly patients. The aim this study was to compare the usefulness B‐type natriuretic peptide (BNP) and amino‐terminal fragment BNP (proBNP), diagnose CPE patients aged 65 older. Design: Prospective study. Setting: Medical emergency department a 2,000‐bed urban teaching hospital. Participants: Patients older presenting with acute rate 25 breaths/min or greater, partial pressure...
Background Mechanical ventilation is delivered to sedated patients during anesthesia, but also nonsedated (ventilator weaning, noninvasive ventilation). In these circumstances, patient-ventilator asynchrony may occur, provoking discomfort and unduly increasing work of breathing. certain cases, it associated with an increased inspiratory load. Inspiratory loading in awake humans activates the premotor cortical regions, as illustrated by occurrence electroencephalographic potentials. normal...
We describe 12 cases of AIDS-related primary pulmonary lymphoma occurring between 1986 and 1996 in a large French cohort HIV-infected patients. Diagnostic criteria were: (1) histologically proven lymphomatous involvement; (2) absence mediastinal and/or hilar adenopathy on chest radiography; (3) extrathoracic extension. All patients were severely immunodeficient at the time diagnosis. but one patient presented with B nonspecific respiratory symptoms. Chest radiography showed or more...
Abstract Background Cardiac asthma is common, but has been poorly investigated. The objective was to compare the characteristics and outcome of cardiac with that classical congestive heart failure (CHF) in elderly patients. Methods Prospective study an 1,800-bed teaching hospital. Results Two hundred twelve consecutive patients aged ≥ 65 years presenting dyspnea due CHF (mean age 82 ± 8 years) were included. Findings echocardiography natriuretic peptides levels used confirm CHF. defined as a...
Background. Age is an important prognostic factor in patients admitted to intensive care units (ICUs), but it not as illness severity. However, age seems remain independent triage criterion for ICU admission, and 90 years of represent a psychological barrier many physicians. The aim this preliminary study compare the management outcome aged or older respiratory with those 70 younger.