Antoine TesniereAssistance Publique – Hôpitaux de Paris | AP-HP · Service d'anesthésie réanimation
Antoine Tesniere
MD, PhD
About
143
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Introduction
Additional affiliations
Position
- Professor (Full)
November 2009 - April 2016
September 2015 - November 2015
Publications
Publications (143)
Background:
Recent changes in psychiatric care and teaching that limit patient contact for medical students can be overcome in part by simulation-based education. Understanding the learning processes of medical students involved in psychiatric simulation-based programmes could usefully inform efforts to improve this teaching. This study explored t...
Introduction
Les enfants de moins de 6 ans avec asthme présentent des exacerbations fréquentes et sévères conduisant à de nombreuses consultations aux urgences et hospitalisations. Éduquer les parents à prendre en charge précocement les exacerbations d’asthme de leurs enfants pourrait permettre de réduire ces recours aux soins. L’objectif de ce tra...
Background: Novice surgeons experience high levels of physical and mental workload during the early stages of their curriculum and clinical practice. Laparoscopic sleeve gastrectomy is the first bariatric procedure worldwide. Feasibility and safety of single-port sleeve gastrectomy (SPSG) has been demonstrated. An immersive virtual reality (VR) sim...
Abstract Background Intensive care unit (ICU) survivors have reduced long-term survival compared to the general population. Identifying parameters at ICU discharge that are associated with poor long-term outcomes may prove useful in targeting an at-risk population. The main objective of the study was to identify clinical and biological determinants...
Integration of simulation in educational curricula for anesthesia and intensive care residents is a hot topic. There is a great interest for simulation centers to share their experiences through multi-site synchronous simulation sessions. The present study results from an experience conducted at three sites in France (Paris, Lyon, and Caen), which...
Aim
Paediatric anaesthesia is a very specialised domain lacking training during the traditional curriculum. The laryngospasm is a stressful and life-threatening event that requires immediate action. The main objective of this study was to assess the effect of knowledge of a simple algorithm on the management of laryngospasm by trainee anaesthetists...
Introduction:
Health care simulation, as a complement to traditional learning, has spread widely and seems to benefit both students and patients. The teaching methods involved in health care simulation require substantial human, logistical, and financial investments that might preclude their spread in developing countries. The aim of this study wa...
Introduction
Although most healthcare professionals must deal with patients with mental illness, many are not prepared for the various situations that can ensue. Simulation may be a powerful pedagogical tool for simultaneously teaching knowledge, skills and attitudes. We aim to assess the effectiveness of simulation for initial and continuous train...
Non-Technical Skills check-list in Postpartum hemorrhage (PPH).
Keywords: Non-Technical Skills, Postpartum hemorrhage, Human Factors, Evaluation.
Postpartum Haemorrhage (PPH) is the leading cause of maternal death in the world. Around 100 000 women die each year because of PPH (AbouZahr, 2003). PPH can be considered as a critical situation that...
The immune system avoids oncogenesis and slows down tumor progression through a mechanism called immunosurveillance. Nevertheless, some malignant cells manage to escape from immune control and form clinically detectable tumors. Tetraploidy, which consists in the intrinsically unstable duplication of the genome, is considered as a (pre)-cancerous ev...
Purpose:
Shortening the duration of antibiotic therapy (ABT) is a key measure in antimicrobial stewardship. The optimal duration of ABT for treatment of postoperative intra-abdominal infections (PIAI) in critically ill patients is unknown.
Methods:
A multicentre prospective randomised trial conducted in 21 French intensive care units (ICU) betwe...
Conclusion:
Varying practice with different scenarios was equivalent to repetitive practice on the same scenario for novice learners, with both methods leading to transfer and long-term retention of the skills acquired during the training. What is known: • Simulation-based trainings represent an interesting approach to teach medical students the m...
Cet article est divisé en deux parties. La première partie porte sur un état de l’art sur la simulation obstétrique. A partir d’un récapitulatif historique des innovations dans ce domaine, nous présentons les modèles physiques développés depuis la moitié du XVIIème siècle jusqu’aux Environnements Virtuels issus de l’ère de l’informatique et du numé...
Background As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. Methods We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary...
Serious games are educational tools which are more and more used in patient and health professional education. In this article, we discuss three main points that developers and educators need to address during the development of a serious game for health. We first explain how to develop motivating serious games by finding a point where the intrinsi...
Background
Ultrasonography (US) is an essential tool for the diagnosis of acute gynecological conditions. General practice (GP) residents are involved in the first-line management of gynecologic emergencies. They are not familiar with US equipment. Initial training on simulators was conducted.The aim of this study was to evaluate the impact of simu...
Résumé
Les jeux vidéo ont été beaucoup étudiés pour leurs risques en pédiatrie. Cependant, associés à une intention sérieuse, ils peuvent représenter des outils efficaces et ne doivent pas être négligés par la communauté pédiatrique. En matière de santé publique, les jeux vidéo sérieux sont un moyen de réduire les consommations de drogue ou les com...
First developed in aviation, CRM education facilitates prevention of accidents in medicine. Beyond the improvement of technical skills, the simulation can provide to learners the capacity to work with other team members, to pay attention to the work environment and to manage physiological or psychological constraints in critical situations.
Simulation in health care is a very effective training tool. Using mannequins, 'standardised patients' or virtual care environments, it encourages participants to reflect on nursing practices while practising in a safe and controlled space.
Copyright © 2017 Elsevier Masson SAS. All rights reserved.
Background:
Although both recorded lectures and serious games have been used to pretrain health professionals before simulation training on cardiopulmonary resuscitation, they have never been compared.
Objective:
The aim of this study was to compare an online course and a serious game for pretraining medical students before simulation-based mast...
Background:
Sleep deprivation is common in anaesthesia residents, but its impact on performance remains uncertain. Non-technical skills (team working, situation awareness, decision making, and task management) are key components of quality of care in anaesthesia, particularly in crisis situations occurring in the operating room. The impact of slee...
Background
The gold standard for evaluating medical students’ knowledge is by multiple choice question (MCQs) tests: an objective and effective means of restituting book-based knowledge. However, concerns have been raised regarding their effectiveness to evaluate global medical skills. Furthermore, MCQs of unequal difficulty can generate frustratio...
Objective:
The objective of this study is to assess progress made in the ultrasound (US) measurement of femur length (FL) by students after one hour of training on US obstetric simulators.
Materials and methods:
Medical residents and midwives registered for the 2016 French national foetal US diploma were invited to a one-hour US training course...
Objectives:
The use of anatomic model is particularly suitable for teaching gynecological examination. Although simulation training was proved to be effective in improving medical students' technical skills, its interest in reducing their apprehension about pelvic examination was poorly evaluated. The aim of the present study was to evaluate low-f...
Proceedings of Réanimation 2017, the French Intensive Care Society International Congress
Paris, France. 11–13 January 2017
https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-016-0223-8
Background:
Serious games may be useful tools for asthma education. The objectives of this systematic review were to identify the available articles on serious games designed to educate patients and the general public about asthma and to assess their impact on patient's knowledge, behavior and clinical outcomes related to asthma.
Methods:
PubMed...
This work is part of a larger project called MacCoy Critical, that aims to: 1) enhance knowledge, i) on the so-called “non technical skills” (NTS) in two safety-critical domains with high challenges of education in medicine and car driving; ii) on combination of situations and indicators to allow follow-up the development of these skills by the tra...
At the Paris Descartes medicine faculty, we tested some newly developed tools to enhance the pedagogic value of the pathology teaching. In our faculty, this teaching is largely multidisciplinary and integrated in various teaching units; a large part is dedicated to practice works with thirteen 90min sessions. Virtual slides have been used for years...
Table of contents:
PHYSICIANS ABSTRACTSO1 Impact of tracheal cuff shape on microaspiration of gastric contents in intubated critically ill patients: a multicenter randomized controlled study (BEST CUFF)Emmanuelle Jaillette, Christophe Girault, Guillaume Brunin, Farid Zerimech, Arnaud Chiche, Céline Broucqsault-Dedrie, Cyril Fayolle, Franck Minacor...
Background:
The French Military Health Service has standardized its military prehospital care policy in a ''Sauvetage au Combat'' (SC) program (Forward Combat Casualty Care). A major part of the SC training program relies on simulations, which are challenging and costly when dealing with more than 80,000 soldiers. In 2014, the French Military Heal...
L’année 2016 est une année charnière pour l’évaluation des étudiants en médecine avec la mise en place des premières épreuves classantes nationales informatisées (ECNi). Le SIDES, système informatique distribué d’évaluation en santé, a été créé dans cet objectif. Toutes les universités ont déjà réalisé des examens facultaires mais peu d’épreuves co...
Medical education and evaluation, for both initial and continuing medical training of healthcare professionals, is experiencing profound conceptual and technical changes in the era of the digital society and economy. Using the concepts of active and blended learning\ acquisition and maintenance of knowledge, skills and attitudes (KSA ) now passes t...
Introduction
Dans la prise en charge de la douleur postopératoire, les anti-inflammatoires non stéroïdiens (AINS) permettent une épargne morphinique de 50 %, une diminution des nausées, des vomissements et de l’iléus postopératoire [1] sans effet indésirable si les contre-indications (CI) sont respectées. Une étude française sur les pratiques anest...
Introduction
La privation de sommeil est fréquente chez les internes d’anesthésie-réanimation (AR). Ses conséquences sur les performances ont été rapportées avec des résultats contradictoires concernant les compétences techniques [1]. Les compétences non techniques (prise de décision, travail en équipe, perception de la situation et gestion de tâch...
L’arrêt cardiaque chez la femme enceinte est un évènement heureusement rare, estimé à 1 cas pour 20 000 grossesses par an. Il menace le pronostic vital de la mère et de son fœtus.
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Background: Older age is a cause of disparity in cancer treatment decision and treatment guidelines for patients with comorbidities, polypharmacy, denutrition or psycho-social frailty are needed. A pre-therapeutic multidimensional assessment might improve the complex patient management. We developed an experimental program of integrated medicin...
Simulation in healthcare is directly inspired by high-risk industries such as the aeronautical industry. The recent rapid growth in its use in healthcare is explained by the need to improve the quality and safety of care. It must go hand in hand with the development of a real safety culture.
Copyright © 2014 Elsevier Masson SAS. All rights reserved...
BACKGROUND: Postpartum hemorrhage is the leading cause of maternal death worldwide. Recent data from trauma patients and patients with hemorrhagic shock have suggested that an increased fresh frozen plasma:red blood cell (FFP:RBC) ratio may be of benefit in massive bleeding. We addressed this issue in cases of severe postpartum hemorrhage. METHODS:...
Post-operative pneumoniae are a major source of post-operative morbidity and mortality in patients undergoing lung resection surgery. Empyema is another severe complication, most frequently related to bronchopleural fistula, although empyema without fistula exists in pneumonectomy patients. Risk factors for infectious post-operative complications i...
Rationale:
A decade after drotrecogin alfa (activated) (DAA) was released on the market worldwide, its benefit-to-risk ratio remains a matter of debate.
Objectives:
The current investigator-led trial was designed to evaluate the efficacy and safety of DAA, in combination with low-dose steroids, in adults with persistent septic shock.
Methods:...
Background and objectives: The objective was to assess the kinetics of postoperative bleeding after total hip or knee replacement, with or without administration of tranexamic acid, in order to anticipate red blood cell transfusion thresholds in the recovery room.
Materials and methods: This was a prospective, observational, single-center study. Al...
La recherche constante d’amélioration de la qualité et de la sécurité des soins, centrée sur les patients, et les avancées dans les concepts et les outils pédagogiques obligent les différents acteurs de formation en santé (professionnels de santé, facultés de médecine) à faire évoluer les méthodes d’enseignement médical en renforçant la part active...
Background:
Postpartum hemorrhage is the leading cause of maternal death worldwide. Recent data from trauma patients and patients with hemorrhagic shock have suggested that an increased fresh frozen plasma:red blood cell (FFP:RBC) ratio may be of benefit in massive bleeding. We addressed this issue in cases of severe postpartum hemorrhage.
Method...
Francia es una de las naciones europeas más fecundas, con más de 800.000 nacimientos anuales. No por ello se ve menos afectada por problemas de salud pública derivados de la edad cada vez mayor de las mujeres embarazadas: aumento del índice de cesáreas (más del 20%), un índice creciente de prematuridad (más del 15% en 10 años) y un índice de mortal...
La Francia è uno dei paesi europei più fecondi, con più di 800 000 nascite ogni anno. Non è, tuttavia, meno interessata da problemi di salute pubblica in rapporto con l’età crescente delle donne gravide: l’aumento del tasso di cesarei (più del 20%), un tasso crescente di prematurità (più 15% in 10 anni) e un tasso di mortalità materna costante (10...
Erratum to: Martins I, et al. Cell Cycle 2009; 8:3723-8.
The success of anticancer chemotherapy relies at least in part on the induction of an immune response against tumor cells. Thus, tumors growing on mice that lack the pattern recognition receptor TLR4 or the purinergic receptor P2RX7 fail to respond to chemotherapy with anthracyclins or oxaliplatin in conditions in which the same neoplasms growing o...
Adrenalectomy for pheochromocytoma is reported with a mortality close to zero in recent studies. The dogma of preoperative fluid and hypotensive drug administrations is widely applied in patients scheduled for pheochromocytoma removal and is assumed to have a beneficial effect on operative outcomes. This paradigm is only based on historical studies...
By triggering immunogenic cell death, some anticancer compounds, including anthracyclines and oxaliplatin, elicit tumor-specific, interferon-–producing CD8 + T lymphocytes (Tc1 CTLs) that are pivotal for an optimal therapeutic outcome. Here, we demonstrate that chemo-therapy induces a rapid and prominent invasion of interleukin (IL)-17–producin...
