Publications (12)4.45 Total impact
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Article: [Promotility drugs use in critical care: indications and limits?].
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ABSTRACT: Enteral feeding is often limited by gastric and intestinal motility disturbances in critically ill patients, particularly in patients with shock. So, promotility agents are frequently used to improve tolerance to enteral nutrition. This review summaries the pathophysiology, presents the available pharmacological strategies, the clinical data, the counter-indications and the principal limits. The clinical data are poor. No study demonstrates a positive effect on clinical outcomes. Metoclopramide and erythromycin seems to be the more effective. Considering the risk of antibiotic resistance, the first line use of erythromycin should be avoided in favor of metoclopramide.Annales francaises d'anesthesie et de reanimation 11/2009; 28(11):962-75. · 0.77 Impact Factor -
Article: [Successful treatment of life-threatening Panton-Valentine leucocidin positive Staphylococcus aureus pneumonia with antibiotics and immunoglobulins targeting the toxin production].
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ABSTRACT: We report a patient who presented a severe Panton-Valentine-secreting methicillin-susceptible Staphylococcus aureus pneumonia with threatening multi-organ failure including acute respiratory distress syndrome, cardiac failure, renal failure and disseminated intravascular coagulation. Clinical and biological disease course using empiric therapy with treatment directed against toxin production (linezolid, clindamycin and intravenous immunoglobulins) was found to be quickly effective.La Revue de Médecine Interne 04/2009; 30(10):907-10. · 0.61 Impact Factor -
Article: [Antitoxin treatments for necrotizing pneumonia due to Panton-Valentine leukocidin-secreting Staphylococcus aureus].
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ABSTRACT: Staphylococcus aureus is responsible for two main clinical presentations in humans: suppurative infections and toxigenic diseases. A small percentage of S. aureus strains secrete Panton-Valentine leukocidin (PVL). This toxin is implicated in skin infections, furunculosis, osteoarticular infections, and particularly, in serious pulmonary infections known as necrotizing pneumonia, which affect immunocompetent patients with no comorbidity. A clear outline of the clinical presentation was described recently. Necrotizing pneumonia caused by PVL-secreting S. aureus strains is characterized by a combination of fever, hemoptysis, multilobar alveolar infiltrations, and leukopenia. The disease usually progresses to toxic shock or refractory hypoxemia. A number of interesting therapies targeting leukocidin have been proposed over the past few years based on in vitro data. This review focuses on the physiopathological basis and on the therapeutic relevance of various drugs.Médecine et Maladies Infectieuses 01/2009; 39(1):14-20. · 0.72 Impact Factor -
Article: [Peripheral polyneuropathy after heat stroke].
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ABSTRACT: The authors report the case of a woman who developed a peripheral polyneuropathy after heat stroke. All the classical aetiologies of neuropathy were excluded. The final diagnostic was residual peripheral neuropathy provoked by heat stroke. The sequella of heat stroke are dominated by cerebellar compromise, but this case shows that peripheral polyneuropathies exist even if they are rare. They raise the issue of care because of severe neurological sequella.Annales Françaises d Anesthésie et de Réanimation 08/2006; 25(7):780-3. · 0.84 Impact Factor -
Article: -The value of MRI in cerebral fat embolism-.
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ABSTRACT: We report two clinical cases of cerebral fat embolism, thereby demonstrating the value of MRI.Annales Françaises d Anesthésie et de Réanimation 02/1998; 17(3):278-80. · 0.84 Impact Factor -
Article: [Hypoglycemia during renutrition].
La Presse Médicale 08/1997; 26(23):1099. · 0.67 Impact Factor -
Article: Aeromedical evacuation of the French Army: survey of the past 10 years
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Article: Temporal variability of medical emergency team calls
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Article: Performance of ventilators at simulated altitude: study of fraction of inspired oxygen
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Article: Acute severe asthma: performance of ventilator at simulated altitude
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Article: Auscultation in flight: comparison of amplified and traditional stethoscopes
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Article: Auscultation in flight: comparison of conventional and electronic stethoscopes.
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ABSTRACT: The ability to auscultate during air medical transport is compromised by high ambient-noise levels. The aim of this study was to assess the capabilities of a traditional and an electronic stethoscope (which is expected to amplify sounds and reduce ambient noise) to assess heart and breath sounds during medical transport in a Boeing C135. We tested one model of a traditional stethoscope (3MTM Littmann Cardiology IIITM) and one model of an electronic stethoscope (3MTM Littmann Stethoscope Model 3000). We studied heart and lung auscultation during real medical evacuations aboard a medically configured C135. For each device, the quality of auscultation was described using a visual rating scale (ranging from 0 to 100 mm, 0 corresponding to "I hear nothing," 100 to "I hear perfectly"). Comparisons were accomplished using a t-test for paired values. A total of 36 comparative evaluations were performed. For cardiac auscultation, the value of the visual rating scale was 53 ± 24 and 85 ± 11 mm, respectively, for the traditional and electronic stethoscope (paired t-test: P = .0024). For lung sounds, quality of auscultation was estimated at 27 ± 17 mm for traditional stethoscope and 68 ± 13 for electronic stethoscope (paired t-test: P = .0003). The electronic stethoscope was considered to be better than the standard model for hearing heart and lung sounds. Flight practitioners involved in air medical evacuation in the C135 aircraft are better able to practice auscultation with this electronic stethoscope than with a traditional one.AirMed 30(3):158-60.
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Institutions
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2009
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Hôpital d'Instruction des Armées Sainte-Anne
Toulon, Provence-Alpes-Cote d'Azur, France
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