Publications by authors named "M Vourch"
Background: Whether the optimization of cerebral oxygenation based on regional cerebral oxygen saturation (rSO) monitoring reduces the occurrence of cerebral ischemic lesions is unknown.
Methods: This multicenter, randomized, controlled trial recruited adults admitted for scheduled carotid endarterectomy. Patients were randomized between the standard of care or optimization of cerebral oxygenation based on rSO monitoring using near-infrared spectroscopy.
The objective was to investigate the outcomes of concomitant venoarterial extracorporeal membrane oxygenation (ECMO) and left ventricular unloading with Impella (ECPELLA) compared with ECMO alone to treat patients affected by cardiogenic shock. Data from patients needing mechanical circulatory support from 4 international centers were analyzed. Of 438 patients included, ECMO alone and ECPELLA were adopted in 319 (72.
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- - This study investigates two strategies for initiating venoarterial extracorporeal membrane oxygenation (VA-ECMO) during lung transplantation (LTx) for patients with severe lung diseases, comparing an 'on-demand' approach versus a 'systematic' pre-emptive method.
- - The trial will include adult patients needing bilateral LTx, excluding those with severe pre-existing conditions, and aims to identify which initiation strategy results in more ventilator-free days post-surgery.
- - Outcomes will be assessed not only on ventilator-free days but also on various health metrics, like vital status at different intervals, while following ethical standards for patient care and data sharing.
Background: Studies demonstrating the potential utility of reflectance confocal microscopy (RCM) have been performed under experimental conditions.
Objective: To provide an overview of RCM practice in real-life.
Methods: A multicenter, prospective study carried out in 10 university dermatology departments in France.
Article Synopsis
- The PREOPTI-DAM study investigated the effectiveness of high-flow nasal cannula (HFNC) versus facemask for preoxygenation in patients with anticipated difficult airway management, finding no significant difference in oxygen desaturation rates during intubation between the two methods.
- The study enrolled 186 patients who were randomly assigned to either HFNC or facemask groups, with the primary outcome being oxygen desaturation or the need for bag-mask ventilation.
- Results showed that while incidence rates for complications were similar, patients using HFNC reported better intubation experiences compared to those using facemasks, indicating a potential benefit for HFNC in difficult airway management scenarios.