SRLF https://www.srlf.org French Intensive Care Society Fri, 11 Oct 2019 10:57:54 +0000 en-GB hourly 1 https://www.srlf.org/wp-content/uploads/2015/12/cropped-SMIR_iconeapplisite-1-32x32.png SRLF https://www.srlf.org 32 32 Morpho-functional evaluation of lung aeration as a marker of sickle-cell acute chest syndrome severity in the ICU: a prospective cohort study https://www.srlf.org/en/morpho-functional-evaluation-of-lung-aeration-as-a-marker-of-sickle-cell-acute-chest-syndrome-severity-in-the-icu-a-prospective-cohort-study-2/ https://www.srlf.org/en/morpho-functional-evaluation-of-lung-aeration-as-a-marker-of-sickle-cell-acute-chest-syndrome-severity-in-the-icu-a-prospective-cohort-study-2/#respond Tue, 01 Oct 2019 08:26:10 +0000 https://www.srlf.org/?p=65353 Background Acute chest syndrome (ACS) is the main cause of morbi-mortality in patients with sickle-cell disease in the intensive care unit (ICU). ACS definition encompasses many types of lung damage, making early detection of the most severe forms challenging. We aimed to describe ACS-related lung ultrasound (LU) patterns and determine LU performance to assess ACS… […]

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High-flow nasal cannula therapy: clinical practice in intensive care units https://www.srlf.org/en/high-flow-nasal-cannula-therapy-clinical-practice-in-intensive-care-units-2/ https://www.srlf.org/en/high-flow-nasal-cannula-therapy-clinical-practice-in-intensive-care-units-2/#respond Wed, 11 Sep 2019 09:25:47 +0000 https://www.srlf.org/?p=65059 Background Despite the extensive use of high-flow nasal cannula (HFNC) therapy in intensive care units (ICU) for acute respiratory failure (ARF), its daily clinical practice has not been assessed. We designed a regional survey in ICUs in North-west France to evaluate ICU physicians’ clinical practice with HFNC. Materials and methods We sent an observational survey… […]

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PIC 2020 https://www.srlf.org/en/pic-2020/ https://www.srlf.org/en/pic-2020/#respond Wed, 04 Sep 2019 14:25:52 +0000 https://www.srlf.org/?p=64978 Join us in June 2020. More informations will be available soon. Last updated: 04/09/2019

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Diagnosis and management of metabolic acidosis: guidelines from a French expert panel https://www.srlf.org/en/diagnosis-and-management-of-metabolic-acidosis-guidelines-from-a-french-expert-panel-2/ https://www.srlf.org/en/diagnosis-and-management-of-metabolic-acidosis-guidelines-from-a-french-expert-panel-2/#respond Mon, 26 Aug 2019 12:41:02 +0000 https://www.srlf.org/?p=64850 Metabolic acidosis is a disorder frequently encountered in emergency medicine and intensive care medicine. As literature has been enriched with new data concerning the management of metabolic acidosis, the French Intensive Care Society (Société de Réanimation de Langue Française [SRLF]) and the French Emergency Medicine Society (Société Française de Médecine d’Urgence [SFMU]) have developed formalized… […]

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Effect of an ICU Diary on Posttraumatic Stress Disorder Symptoms Among Patients Receiving Mechanical Ventilation : A Randomized Clinical Trial https://www.srlf.org/en/effect-of-an-icu-diary-on-posttraumatic-stress-disorder-symptoms-among-patients-receiving-mechanical-ventilation-a-randomized-clinical-trial/ https://www.srlf.org/en/effect-of-an-icu-diary-on-posttraumatic-stress-disorder-symptoms-among-patients-receiving-mechanical-ventilation-a-randomized-clinical-trial/#respond Thu, 08 Aug 2019 10:36:20 +0000 https://www.srlf.org/?p=64785 Importance Keeping a diary for patients while they are in the intensive care unit (ICU) might reduce their posttraumatic stress disorder (PTSD) symptoms. Objectives To assess the effect of an ICU diary on the psychological consequences of an ICU hospitalization. Design, Setting, and Participants Assessor-blinded, multicenter, randomized clinical trial in 35 French ICUs from October… […]

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Complete blood count in acute kidney injury prediction: a narrative review https://www.srlf.org/en/complete-blood-count-in-acute-kidney-injury-prediction-a-narrative-review-2/ https://www.srlf.org/en/complete-blood-count-in-acute-kidney-injury-prediction-a-narrative-review-2/#respond Thu, 08 Aug 2019 10:11:04 +0000 https://www.srlf.org/?p=64782 Acute kidney injury (AKI) is a complex syndrome defined by a decrease in renal function. The incidence of AKI has raised in the past decades, and it is associated with negative impact in patient outcomes in the short and long term. Considering the impact of AKI on patient prognosis, research has focused on methods to… […]

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PEEP titration in moderate to severe ARDS: plateau versus transpulmonary pressure https://www.srlf.org/en/peep-titration-in-moderate-to-severe-ards-plateau-versus-transpulmonary-pressure-2/ https://www.srlf.org/en/peep-titration-in-moderate-to-severe-ards-plateau-versus-transpulmonary-pressure-2/#respond Fri, 19 Jul 2019 16:40:03 +0000 https://www.srlf.org/?p=64448 Background Although lung protection with low tidal volume and limited plateau pressure (Pplat) improves survival in acute respiratory distress syndrome patients (ARDS), the best way to set positive end-expiratory pressure (PEEP) is still debated. Methods This study aimed to compare two strategies using individual PEEP based on a maximum Pplat (28–30 cmH2O, the Express group)… […]

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Extracorporeal carbon dioxide removal for acute hypercapnic respiratory failure https://www.srlf.org/en/extracorporeal-carbon-dioxide-removal-for-acute-hypercapnic-respiratory-failure-2/ https://www.srlf.org/en/extracorporeal-carbon-dioxide-removal-for-acute-hypercapnic-respiratory-failure-2/#respond Tue, 02 Jul 2019 20:39:05 +0000 https://www.srlf.org/?p=64161 In the past, the only treatment of acute exacerbations of obstructive diseases with hypercapnic respiratory failure refractory to medical treatment was invasive mechanical ventilation (IMV). Considerable technical improvements transformed extracorporeal techniques for carbon dioxide removal in an attractive option to avoid worsening respiratory failure and respiratory acidosis, and to potentially prevent or shorten the duration… […]

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Preclinical septic shock research: why we need an animal ICU https://www.srlf.org/en/preclinical-septic-shock-research-why-we-need-an-animal-icu-2/ https://www.srlf.org/en/preclinical-septic-shock-research-why-we-need-an-animal-icu-2/#respond Wed, 12 Jun 2019 12:07:24 +0000 https://www.srlf.org/?p=63890 Animal experiments are widely used in preclinical medical research with the goal of disease modeling and exploration of novel therapeutic approaches. In the context of sepsis and septic shock, the translation into clinical practice has been disappointing. Classical animal models of septic shock usually involve one-sex-one-age animal models, mostly in mice or rats, contrasting with… […]

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Cytokine removal in human septic shock: Where are we and where are we going? https://www.srlf.org/en/cytokine-removal-in-human-septic-shock-where-are-we-and-where-are-we-going-2/ https://www.srlf.org/en/cytokine-removal-in-human-septic-shock-where-are-we-and-where-are-we-going-2/#respond Thu, 23 May 2019 09:45:43 +0000 https://www.srlf.org/?p=63653 Although improving, the mortality from septic shock still remains high despite increased international awareness. As a consequence, much effort has focused on alternative treatment strategies in an effort to improve outcomes. The application of blood purification therapies to improve immune homeostasis has been suggested as one such method, but these approaches, such as high-volume continuous… […]

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