Publications by authors named "Pierre-Gildas Guitard"
Introduction: In case of COVID-19 related scarcity of critical care resources, an early French triage algorithm categorized critically ill patients by probability of survival based on medical history and severity, with four priority levels for initiation or continuation of critical care: P1 -high priority, P2 -intermediate priority, P3 -not needed, P4 -not appropriate. This retrospective multi-center study aimed to assess its classification performance and its ability to help saving lives under capacity saturation.
Methods: ICU patients admitted for severe COVID-19 without triage in spring 2020 were retrospectively included from three hospitals.
Background: The respiratory consequences of daily nursing care interventions in patients with acute respiratory distress syndrome (ARDS) are not clearly established.
Aims And Objectives: The main objective of this study was to assess the feasibility of alveolar collapse analysis by the measurement of lung impedance distribution technique during nursing care in patients with ARDS.
Design: Prospective observational pilot physiologic study in a surgical intensive care unit of a tertiary care hospital including adult intubated patients with moderate-to-severe ARDS.
Article Synopsis
- The study focuses on improving the classification of the weaning process for patients on mechanical ventilation, moving beyond outdated definitions that ignored weaning failure.* -
- Conducted across 36 intensive care units with 2,729 patients, the new classification categorizes patients into four groups based on the duration and success of the weaning process.* -
- Findings reveal that prolonged weaning is associated with increased ICU stay, ventilation duration, and mortality rates; specifically, the risk of dying significantly increases with each additional day without successful weaning.*
Extreme hypernatremia in intensive care unit are frequently associated with a poor prognosis and their treatment, when associated with acute renal failure, is not consensual. We report the case of a 39-year-old man admitted in our intensive care unit for coma who presented extreme hyperosmolar hypernatremia (sodium 180 mmol/L, osmolarity 507 mOsm/L) associated with acute renal failure (urea 139.3 mmol/L, creatinine 748 μmol/L) and many other metabolic abnormalities.
View Article and Find Full Text PDFBackground: This pilot study attempted to evaluate the impact of a practice exchange group (PEG) tutored by a senior anaesthesiologist on clinical reasoning performance of anaesthesiology residents for uncertain situations. Changes in clinical reasoning were measured by script concordance tests (SCT).
Methods: First, a curriculum, with educational objectives and assessment tools, was proposed to all residents at the beginning of their 6-month training.
Is continuous subglottic suctioning cost-effective for the prevention of ventilator-associated pneumonia?
Infect Control Hosp Epidemiol
February 2011
Objective: To establish whether continuous subglottic suctioning (CSS) could be cost-effective.
Design: Cost-benefit analysis, based on a hypothetical replacement of conventional ventilation (CV) with CSS.
Setting: A surgical intensive care unit (SICU) of a tertiary care university hospital in France.