Publications by authors named "Jean-Baptiste Bouchet"

Background: Electrical storm (ES) is a life-threatening condition, associated with substantial early and subacute mortality. Catheter ablation (CA) is a well-established therapy for ES. However, data regarding the impact of CA on the short-term and midterm survival of patients admitted for ES remain unclear.

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Objective: Assessment of fluid responsiveness is problematic in intensive care unit patients. Lung recruitment maneuvers (LRM) can be used as a functional test to predict fluid responsiveness. We propose a new test to predict fluid responsiveness in mechanically ventilated patients by analyzing the variations in central venous pressure (CVP) and systemic arterial parameters during a prolonged sigh breath LRM without the use of a cardiac output measuring device.

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The purpose of this study was to assess urinary (TIMP-2)*(IGFBP7) for prevention of acute kidney injury (AKI) in patients undergoing elective cardiac surgery. Two retrospective cohorts were analyzed before and after the implementation of urinary (TIMP-2)*(IGFBP7). The control cohort had a standard supportive care.

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Article Synopsis
  • - The study aimed to assess changes in health-related quality of life (HRQOL) 6 months after elective cardiac surgery and identify predictors of poor HRQOL.
  • - A total of 326 patients participated, with 26.6% showing a decline in physical HRQOL and 28.2% in mental HRQOL post-surgery; factors like acute renal failure and prolonged mechanical ventilation were linked to these declines.
  • - Overall, while most patients experienced improved HRQOL after surgery, over a quarter faced deterioration, highlighting the need for clinicians to better inform patients about potential outcomes.
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Article Synopsis
  • Tissue perfusion issues significantly contribute to organ dysfunction, which can lead to worse outcomes after cardiac surgery.
  • A study analyzed 220 patients post-cardiac surgery, measuring central venous-arterial difference in CO tension (ΔCO) at various time points to evaluate its relation to outcomes.
  • The findings revealed that a low ΔCO (below 6 mmHg) was linked to higher SOFA scores and mortality rates; however, ΔCO had a low predictive value for outcomes in cardiac surgery, contrary to other surgical contexts.
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Objective: Passive leg raising (PLR) provides a reversible fluid-loading challenge and can be used to predict fluid responsiveness. The amount of blood volume recruited by this maneuver called stressed volume (Vs) is unknown. The present study aims to assess the quantitative effects of passive leg raising on venous return at bedside.

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