Publications by authors named "Clavier T"

Background: Intensive care units (ICUs) handle the most critical patients with a high risk of mortality. Due to those conditions, close monitoring is necessary and therefore, a large volume of data is collected. Collaborative ventures have enabled the emergence of large open access databases, leading to numerous publications in the field.

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Article Synopsis
  • The study aimed to evaluate the effectiveness of two indicators, pulmonary artery pulse pressure indexed (PAPi) and radial artery pulse pressure (rPP), in predicting the success of weaning patients off venoarterial extracorporeal membrane oxygenation (VA-ECMO) used for cardiogenic shock.
  • Conducted as a retrospective cohort study at a single tertiary hospital, researchers analyzed data from patients who received VA-ECMO between 2017 and 2021 and explored the relation between these pressures and weaning outcomes.
  • Results showed that higher values of PAPi and rPP were significantly correlated with successful weaning, indicating that these measurements could serve as reliable predictors for clinicians managing VA-ECMO patients.
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Background: Social media (SoMe) have taken a major place in the medical field, and younger generations are increasingly using them as their primary source to find information.

Objective: This study aimed to describe the use of SoMe for medical education among French medical students and assess the prevalence of smartphone addiction in this population.

Methods: A cross-sectional web-based survey was conducted among French medical students (second to sixth year of study).

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Background: Working long consecutive hours' is common for anaesthesia and critical care physicians. It is associated with impaired medical reasoning's performance of anaesthesiology and serious medical errors. However, no study has yet investigated the impact of working long consecutive hours' on medical reasoning.

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Article Synopsis
  • - This study evaluates how well the OMOP common data model standardizes Continuous Renal Replacement Therapy (CRRT) data from ICU patients in two French hospitals.
  • - Researchers successfully extracted and transformed data from 1,696 ICU stays into the OMOP format, aligning 46 standard concepts related to CRRT, despite facing issues with data variability.
  • - The findings indicate that while the OMOP model shows promise for harmonizing ICU data, further improvements are needed to enhance clinical decision-making and patient outcomes in critical care.
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Background And Purpose: Measurement of gastro-intestinal motility is increasingly performed under general anesthesia during endoscopic or surgical procedures. The aim of the present study was to review the impact of different anesthetic agents on digestive motility measurements in humans.

Methods: This systematic review was performed using the Medline-Pubmed and Web of Science databases.

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Introduction: Links have been established between SARS-CoV-2 and endoplasmic reticulum stress (ERS). However, the relationships between inflammation, ERS, and the volume of organ damage are not well known in humans. The aim of this study was to explore whether ERS explains lung damage volume (LDV) among COVID-19 patients admitted to the intensive care unit (ICU).

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Using microorganisms for bioproduction requires the reorientation of metabolic fluxes from biomass synthesis to the production of compounds of interest. We previously engineered a synthetic growth switch in Escherichia coli based on inducible expression of the β- and β'-subunits of RNA polymerase. Depending on the level of induction, the cells stop growing or grow at a rate close to that of the wild-type strain.

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Background: Indirect calorimetry (IC) is the gold standard to monitor energy expenditure in critically ill patients. In several intensive care units (ICUs), nurses are responsible for carrying out the measurements.

Aim: The aim of this study was to assess nurses' perception of their involvement in IC.

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Randomized controlled trials have shown a higher risk of postoperative hypoxemia and delayed extubation with opioid-free anesthesia (OFA), compared with opioid anesthesia. The practice of OFA is not standardized. The objective of this study is to investigate the association between the dexmedetomidine administration protocol used and the occurrence of postoperative respiratory complications.

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Background: Cardiopulmonary bypass (CPB) during cardiac surgery leads to deleterious systemic inflammation. We hypothesized that TREM-1, a myeloid receptor shed after activation, drives systemic inflammation during CPB.

Methods: Prospective observational bi-centric study.

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Background: Pyloric distensibility has been reported as a predictive measure in gastroparesis. Measures can be obtained either during endoscopy under anesthesia or in unsedated patients. However, the impact of anesthetic drugs on the results of pyloric characteristics remains unknown.

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Background: With the generalization of social network use by health care workers, we observe the emergence of breaches in medical confidentiality. Our objective was to determine, among anesthesiology and intensive care health care workers, the rate of medical confidentiality breaches among professional tweets.

Methods: We performed a retrospective analysis of public Twitter data available through the official Twitter application program interface.

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Introduction: The prevention of respiratory complications is a major issue after thoracic surgery for lung cancer, and requires adequate post-operative pain management. The erector spinae plane block (ESPB) may decrease post-operative pain. The objective of this study was to evaluate the impact of ESPB on pain after video or robot-assisted thoracic surgery (VATS or RATS).

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Background: Recent studies highlight that female anaesthesiology researchers have lower visibility on professional social networks (PSNs) than male researchers.

Objective: The objective of this work was to compare the use of PSNs between women and men in critical care research.

Methods: We included the first/last authors (FAs/LAs) among the most frequently cited articles in 2018 and 2019 in three critical care journals (Intensive Care Medicine, Critical Care Medicine, and Critical Care).

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Objectives: Adequate pain management after thoracoscopic surgery is a major issue in the prevention of respiratory complications. The combination of the paravertebral block (PVB) with the serratus anterior plane block (SAPB) may decrease postoperative pain. The objective of this study was to evaluate the impact of the combination of PVB and SAPB on the consumption of morphine and pain after video- or robot-assisted thoracic surgery.

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Background: Postoperative pain after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) is important. It appears essential to reduce postoperative pain and morphine consumption.

Methods: Retrospective study in a university hospital comparing patient benefiting from CRS-HIPEC under opioid-free anesthesia (OFA; dexmedetomidine) to those anesthetized with opioid anesthesia (OA; remifentanil) using a propensity score matching method.

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Objectives: Viscoelastic tests allow a reduction in blood product transfusion. Three modern devices are currently available (rotational thromboelastometry [ROTEM] sigma, thromboelastography [TEG] 6S, and Quantra). No study has compared the performances of these 3 devices simultaneously.

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Background: Many studies explored the impact of ventilation during cardiopulmonary bypass (CPB) period with conflicting results. Functional residual capacity or End Expiratory Lung Volume (EELV) may be disturbed after cardiac surgery but the specific effects of CPB have not been studied. Our objective was to compare the effect of two ventilation strategies during CPB on EELV.

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Purpose: Participating in international conferences is an essential way to promote scholarly work. We aimed to assess the trend of women's visibility at the European Society for Clinical Nutrition and Metabolism (ESPEN) congress by describing the evolution of the proportion of women speakers between 2011 and 2019.

Materials And Methods: This is a retrospective study including public data obtained from the 2011, 2015, and 2019 ESPEN congresses.

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