Publications by authors named "A Douillard"

Objective: To assess the inspiratory demand in young infants with acute viral bronchiolitis to provide a physiological basis for initial flow setting for patients supported with high flow nasal cannula.

Study Design: Prospective study in 44 infants up to 6 months old with acute viral bronchiolitis, admitted to a pediatric intensive care unit from November 2017 to March 2019. Airflow measurements were performed using spirometry.

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Background: After a proximal lower limb deep vein thrombosis (DVT; involving popliteal veins or above), up to 40% of patients develop postthrombotic syndrome (PTS) as assessed by the Villalta scale (VS). Poor initial anticoagulant treatment is a known risk factor for PTS. The risk of developing PTS after isolated distal DVT (infra-popliteal DVT without pulmonary embolism), and the impact of anticoagulant treatment on this risk, are uncertain.

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Introduction: Venous thromboembolism (pulmonary embolism and deep-vein thrombosis) is a frequent, serious but also chronic disease. Studies reported that both general practitioners (GPs) and vascular medicine physicians (VMPs) report participating in patient education concerning venous thromboembolic disease.

Objective: To assess the role of GPs and VMPs in venous thromboembolic disease patient education, examining the patient's perspective.

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Article Synopsis
  • The study aimed to compare the effectiveness of two different flow rates (2 L/kg/min and 3 L/kg/min) for high-flow nasal cannula therapy in infants with acute viral bronchiolitis.
  • Results showed similar failure rates in both groups, with respiratory distress being the main reason for failure; however, discomfort and length of stay in the pediatric ICU were greater in the 3 L/kg/min group.
  • The conclusion indicated that increasing the flow rate to 3 L/kg/min did not provide any additional benefits over 2 L/kg/min for managing respiratory support in these infants.
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EMAP (Extensive Macular Atrophy with Pseudodrusen) is a maculopathy we recently described that shares pseudodrusen and geographic atrophy with Age-related Macular Disease (AMD). EMAP differs from AMD by an earlier age of onset (50-55 years) and a characteristic natural history comprising a night blindness followed by a severe visual loss. In a prospective case-control study, ten referral centers included 115 EMAP (70 women, 45 men) patients and 345 matched controls to appraise dietary, environmental, and genetic risk factors.

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