Publications by authors named "J Jabot"
Purpose: Prognostic impact of left ventricular diastolic dysfunction (LVDD) in septic shock patients has not been determined using current diagnostic guidelines. We assessed the relation between LVDD during the first 3 days following intensive care unit (ICU) admission for septic shock and Day-28 mortality.
Methods: This prospective, multicenter, observational study enrolled 402 patients (age: 63 ± 13 year; 59% male; SAPS II: 59 ± 20; SOFA: 9.
Background: Veno-Venous Extracorporeal Membrane Oxygenation (VV-ECMO) is an efficient ventilatory support in patients with refractory Covid-19-related Acute Respiratory Distress Syndrome (ARDS), however the duration of invasive mechanical ventilation (IMV) before ECMO initiation as a contraindication is still controversial. The aim of this study was to investigate the impact of prolonged IMV prior to VV-ECMO in patients suffering from refractory Covid-19-related ARDS.
Methods: This single-center retrospective study included all patients treated with VV-ECMO for refractory Covid-19-related ARDS between January 1, 2020 and May 31, 2022.
Article Synopsis
- Acinetobacter baumannii (Ab) is a significant cause of severe community-acquired pneumonia (CAP) in tropical regions, particularly noted in a study from Réunion University Hospital, where eight cases were reviewed from 2014 to 2022.
- The majority of patients were middle-aged males with a history of smoking and chronic alcohol use, presenting during the rainy season and often experiencing septic shock and severe respiratory distress.
- The mortality rate was high at 62.5%, with all patients initially receiving inappropriate antibiotic treatment; however, Ab isolates were mostly susceptible to several key antibiotics.
Article Synopsis
- Leptospirosis is more prevalent in tropical regions but can require ICU care globally; this study compares severe cases in Réunion (tropical) and mainland France (temperate) to understand clinical outcomes and characteristics.
- The study analyzed two groups of ICU patients with severe leptospirosis, finding that while patient demographics differed (e.g., metropolitan patients were older), severity, length of stay, and mortality rates were similar across both regions.
- Three distinct clinical phenotypes were identified: hepato-renal leptospirosis (54.5% with 8.3% mortality), moderately severe leptospirosis (38.5% with 1.8% mortality), and very severe leptospirosis (7