Publications by authors named "Romain Genre Grandpierre"
Does serum neutrophil gelatinase-associated lipocalin level predict acute kidney injury in patients with acute rhabdomyolysis in the emergency department? A multicentre prospective study.
BMJ Open
November 2024
Article Synopsis
- The study examined the effectiveness of serum neutrophil gelatinase-associated lipocalin (NGAL) as an early biomarker for predicting acute kidney injury (AKI) in patients with rhabdomyolysis who visited emergency departments in France.
- Conducted across five adult EDs, the research included 197 patients with high creatine phosphokinase levels, assessing NGAL levels upon admission and evaluating its correlation with AKI development within 48 hours.
- Out of those studied, 29% developed AKI by day two, with NGAL showing moderate predictive ability, indicated by an area under the receiver operating characteristic curve (AUC-ROC) of 0.60, meaning further refinement and research are needed
Introduction: Right diaphragmatic excursion is a reliable and reproducible technique used in intensive care to assess diaphragmatic function. The aim of this study was to investigate the relationship between the appearance of diaphragmatic motion and the etiological diagnosis of patients admitted to the emergency department with acute respiratory failure (ARF).
Materials: A prospective, observational, and multicenter pilot study was conducted.
Introduction: Assessment of left ventricular ejection fraction (LVEF) is one of the primary objectives of echocardiography. The gold standard assessment technique in emergency medicine is eyeballing. A new tool is now available on pocket ultrasound devices (PUD): automatic LVEF.
View Article and Find Full Text PDFBackground: The diagnostic of primary or secondary headaches in emergency units is mostly based on brain imaging, which is expensive and sometimes hardly accessible. An increase in serum S100B protein has already been found in several neurological conditions inducing brain damage. The objective of this study was to assess the diagnostic performance of S100B serum assay to distinguish primary and secondary headaches among patients with non-traumatic headaches in the emergency department.
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- Management of first episodes of primary spontaneous pneumothorax (air in the chest cavity) is debated, with this study comparing simple aspiration and chest tube drainage as treatment methods.
- The trial involved 402 adults aged 18-50 and measured lung expansion 24 hours post-treatment, finding a higher failure rate in the aspiration group (29%) compared to the chest tube group (18%).
- Despite higher failure rates, the aspiration method resulted in less overall pain and fewer complications, with recurrence rates of pneumothorax being 20% for aspiration and 27% for drainage.
Introduction: Ultrasound-guidance of radial artery catheter insertion improves the first attempt success and reduces the occurrence of hematomas. Needle-tracking devices optimize needle-ultrasound beam alignment by displaying in real-time the needle tip position. We compared the median time need by experienced physicians to achieve radial artery puncture using either a conventional ultrasonography device (CUD) or a magnetic needle-tracking ultrasound device (MUD) in a simulation training arm model.
View Article and Find Full Text PDFObjective: Minimizing out-of-hospital time reduces morbidity and mortality in patients with severe trauma, acute coronary syndrome, or acute stroke. Our objective was to compare out-of-hospital times by helicopter versus ground services when the estimated time of arrival on the scene was over 20 minutes.
Methods: We proposed a retrospective observational monocentric study following 2 cohorts.
Background: Ultrasound (US) guidance has yet to prove its applicability in radial arterial blood gas analysis (ABGA) punctures. The main objective of our study was to compare the number of first-attempt successes (NFAS) for radial arterial puncture in difficult patients with or without US guidance. The Secondary aims were to compare the number of punctures (NOP), puncture time, and patient pain.
View Article and Find Full Text PDFIntroduction: Transcutaneous CO₂ (PtCO₂) is a continuous and non-invasive measure recommended by scientific societies in the management of respiratory distress. The objective of this study is to evaluate the correlation between PtCO₂ and blood pressure of CO₂ (PaCOv) by blood gas analysis in emergency patients with dyspnoea and to determine the factors that interfere in this correlation.
Methods: From January to June 2014, all patients admitted to resuscitation room of the emergency department targeted for arterial blood gases were included prospectively.
Unlabelled: STUDY OBJECTIVE AND BACKGROUND: Arterial puncture for blood gas analysis is a frequent procedure and could be difficult in the emergency setting. The aim of the study was to compare ultrasonographically guided arterial radial puncture vs conventional sampling.
Materials And Methods: This is a prospective, randomized study.
Hospital out-lying through lack of beds and its impact on care and patient outcome.
Scand J Trauma Resusc Emerg Med
March 2013
Background: When medical wards become saturated, the common practice is to resort to outlying patients in another ward until a bed becomes free.
Objectives: Compare the quality of care provided for inpatients who are outlying (O) in inappropriate wards because of lack of vacant beds in appropriate specialty wards to the care given to non outlying (NO) patients.
Methods: We propose a matched-pair cluster study.