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Initial nutritional management during noninvasive ventilation and outcomes: a retrospective cohort study

, Angers Hospital, Angers, France); Christophe Adrie (ICU, Delafontaine Hospital, Saint Denis, and Physiology, Cochin Hospital, Paris); Michael Darmon (Medical ICU, Saint Etienne University Hospital, Saint ... , Hôpital Pierre Benite, Lyon France); Lila Bouadma (ICU, Bichat Hospital, Paris); Christine Cheval (ICU, Hyeres Hospital, Hyeres, France); Christophe Clec’h (ICU, Avicenne Hospital, Bobigny, France); Michael

Initial nutritional management during noninvasive ventilation and outcomes: a retrospective cohort study

, Angers Hospital, Angers, France); Christophe Adrie (ICU, Delafontaine Hospital, Saint Denis, and Physiology, Cochin Hospital, Paris); Michael Darmon (Medical ICU, Saint Etienne University Hospital, Saint ... ?pital Pierre Benite, Lyon France); Lila Bouadma (ICU, Bichat Hospital, Paris); Christine Cheval (ICU, Hyeres Hospital, Hyeres, France); Christophe Clec?h (ICU, Avicenne Hospital, Bobigny, France); Michael

Initial nutritional management during noninvasive ventilation and outcomes: a retrospective cohort study

, Angers Hospital, Angers, France); Christophe Adrie (ICU, Delafontaine Hospital, Saint Denis, and Physiology, Cochin Hospital, Paris); Michael Darmon (Medical ICU, Saint Etienne University Hospital, Saint ... , Hôpital Pierre Benite, Lyon France); Lila Bouadma (ICU, Bichat Hospital, Paris); Christine Cheval (ICU, Hyeres Hospital, Hyeres, France); Christophe Clec’h (ICU, Avicenne Hospital, Bobigny, France); Michael

Initial nutritional management during noninvasive ventilation and outcomes: a retrospective cohort study

, Angers Hospital, Angers, France); Christophe Adrie (ICU, Delafontaine Hospital, Saint Denis, and Physiology, Cochin Hospital, Paris); Michael Darmon (Medical ICU, Saint Etienne University Hospital, Saint ... , Hôpital Pierre Benite, Lyon France); Lila Bouadma (ICU, Bichat Hospital, Paris); Christine Cheval (ICU, Hyeres Hospital, Hyeres, France); Christophe Clec’h (ICU, Avicenne Hospital, Bobigny, France); Michael

Initial nutritional management during noninvasive ventilation and outcomes: a retrospective cohort study

, Angers Hospital, Angers, France); Christophe Adrie (ICU, Delafontaine Hospital, Saint Denis, and Physiology, Cochin Hospital, Paris); Michael Darmon (Medical ICU, Saint Etienne University Hospital, Saint ... , Hôpital Pierre Benite, Lyon France); Lila Bouadma (ICU, Bichat Hospital, Paris); Christine Cheval (ICU, Hyeres Hospital, Hyeres, France); Christophe Clec’h (ICU, Avicenne Hospital, Bobigny, France); Michael

Urine sodium concentration to predict fluid responsiveness in oliguric ICU patients: a prospective multicenter observational study

Background Oliguria is one of the leading triggers of fluid loading in patients in the intensive care unit (ICU). The purpose of this study was to assess the predictive value of urine Na + (uNa + ) and other routine urine biomarkers for cardiac fluid responsiveness in oliguric ICU patients. Methods We conducted a prospective multicenter observational study in five university ICUs...

Acute respiratory distress syndrome during neutropenia recovery

Acute respiratory failure is a life-threatening complication in cancer patients. During neutropenia, patients are at high risk for bacterial pneumonia or invasive fungal infections, when neutropenia is prolonged. A high proportion of patients in whom neutropenia had been complicated by pneumonia will present with substantial respiratory deterioration during neutropenia recovery...

Acute respiratory distress syndrome during neutropenia recovery

Acute respiratory failure is a life-threatening complication in cancer patients. During neutropenia, patients are at high risk for bacterial pneumonia or invasive fungal infections, when neutropenia is prolonged. A high proportion of patients in whom neutropenia had been complicated by pneumonia will present with substantial respiratory deterioration during neutropenia recovery...

Guidewire exchange vs new site placement for temporary dialysis catheter insertion in ICU patients: is there a greater risk of colonization or dysfunction?

Background Intensive care unit (ICU) patients require dialysis catheters (DCs) for renal replacement therapy (RRT). They carry a high risk of developing end-stage renal disease, and therefore their vascular access must be preserved. Guidewire exchange (GWE) is often used to avoid venipuncture insertion (VPI) at a new site. However, the impact of GWE on infection and dysfunction...

The prognostic value of ADAMTS13 (a disintegrin and metalloprotease with thrombospondin type 1 repeats, member 13) deficiency in septic shock patients involves interleukin-6 and is not dependent on disseminated intravascular coagulation

Introduction ADAMTS13 (a disintegrin and metalloprotease with thrombospondin type 1 repeats, member 13) deficiency has been reported in patients with sepsis but its clinical relevance and pathophysiology remain unclear. Our objectives were to assess the clinical significance, prognostic value and pathophysiology of ADAMTS13 deficiency in patients with septic shock with and...

Initial use of one or two antibiotics for critically ill patients with community-acquired pneumonia: impact on survival and bacterial resistance

Introduction Several guidelines recommend initial empirical treatment with two antibiotics instead of one to decrease mortality in community-acquired pneumonia (CAP) requiring intensive-care-unit (ICU) admission. We compared the impact on 60-day mortality of using one or two antibiotics. We also compared the rates of nosocomial pneumonia and multidrug-resistant bacteria. Methods...

Diagnostic accuracy of early urinary index changes in differentiating transient from persistent acute kidney injury in critically ill patients: multicenter cohort study

Introduction Urinary indices have limited effectiveness in separating transient acute kidney injury (AKI) from persistent AKI in ICU patients. Their time-course may vary with the mechanism of AKI. The primary objective of this study was to evaluate the diagnostic value of changes over time of the usual urinary indices in separating transient AKI from persistent AKI. Methods An...

Diagnostic performance of fractional excretion of urea in the evaluation of critically ill patients with acute kidney injury: a multicenter cohort study

Introduction Several factors, including diuretic use and sepsis, interfere with the fractional excretion of sodium, which is used to distinguish transient from persistent acute kidney injury (AKI). These factors do not affect the fractional excretion of urea (FeUrea). However, there are conflicting data on the diagnostic accuracy of FeUrea. Methods We conducted an observational...

Clinical review: Specific aspects of acute renal failure in cancer patients

Corresponding author: Michael Darmon 0 0 0 Assistance Publique des Hopitaux de Paris, Saint-Louis University Hospital, Medical ICU , Paris , France Acute renal failure (ARF) in cancer patients is a

Prognostic consequences of borderline dysnatremia: pay attention to minimal serum sodium change

Introduction To assess the prevalence of dysnatremia, including borderline changes in serum sodium concentration, and to estimate the impact of these dysnatremia on mortality after adjustment for confounders. Methods Observational study on a prospective database fed by 13 intensive care units (ICUs). Unselected patients with ICU stay longer than 48 h were enrolled over a 14-year...

Prognostic consequences of borderline dysnatremia: pay attention to minimal serum sodium change

To assess the prevalence of dysnatremia, including borderline changes in serum sodium concentration, and to estimate the impact of these dysnatremia on mortality after adjustment for confounders. Observational study on a prospective database fed by 13 intensive care units (ICUs). Unselected patients with ICU stay longer than 48 h were enrolled over a 14-year period were included...

Performance of N-terminal-pro-B-type natriuretic peptide in critically ill patients: a prospective observational cohort study

Introduction The purpose of this study was to assess the accuracy of N-terminal-pro-B-type natriuretic peptide (NT-proBNP) as a diagnostic tool to recognize acute respiratory failure of cardiac origin in an unselected cohort of critically ill patients. Methods We conducted a prospective observational study of medical ICU patients. NT-proBNP was measured at ICU admission, and...