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Article ; Online: Dyspnoea upon hospital admission: listen to the bird of ill omen!

Decavèle, Maxens / Similowski, Thomas

2021 Volume 58, Issue 3

MeSH term(s)	Animals ; Birds ; Dyspnea/diagnosis ; Hospitalization ; Hospitals ; Humans
Language	English
Publishing date	2021-09-02
Publishing country	England
Document type	Editorial ; Comment
ZDB-ID	639359-7
ISSN	1399-3003 ; 0903-1936
ISSN (online)	1399-3003
ISSN	0903-1936
DOI	10.1183/13993003.00988-2021
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Zs.MO 292: Show issues

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Article ; Online: Case 327.

Decavèle, Maxens / Pichon, Jérémie / Fajac, Anne / Milon, Audrey / Antoine, Martine / Gibelin, Aude / Parrot, Antoine / Fartoukh, Muriel

Radiology

2024 Volume 310, Issue 3, Page(s) e222275

Abstract: History: A 58-year-old man who was an active smoker was admitted twice to the intensive care unit (ICU) of a tertiary referral thoracic center for severe hypercapnic acute respiratory failure and persistent bilateral chest radiograph opacities that were ...

Abstract	History: A 58-year-old man who was an active smoker was admitted twice to the intensive care unit (ICU) of a tertiary referral thoracic center for severe hypercapnic acute respiratory failure and persistent bilateral chest radiograph opacities that were unchanged over the course of the two ICU admissions within a 3-month period (Fig 1). He had obesity (body mass index, 36 kg/m
MeSH term(s)	Male ; Humans ; Middle Aged ; Positron Emission Tomography Computed Tomography ; Chest Pain ; Dyspnea ; Blood Pressure ; Oxygen
Chemical Substances	Oxygen (S88TT14065)
Language	English
Publishing date	2024-03-26
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	80324-8
ISSN	1527-1315 ; 0033-8419
ISSN (online)	1527-1315
ISSN	0033-8419
DOI	10.1148/radiol.222275
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Article ; Online: Neurophysiological basis of respiratory discomfort improvement by mandibular advancement in awake OSA patients.

Valentin, Rémi / Niérat, Marie-Cécile / Wattiez, Nicolas / Jacq, Olivier / Decavèle, Maxens / Arnulf, Isabelle / Similowski, Thomas / Attali, Valérie

Physiological reports

2024 Volume 12, Issue 4, Page(s) e15951

Abstract: Patients with obstructive sleep apneas (OSA) do not complain from dyspnea during resting breathing. Placement of a mandibular advancement device (MAD) can lead to a sense of improved respiratory comfort ("pseudo-relief") ascribed to a habituation ... ...

Abstract	Patients with obstructive sleep apneas (OSA) do not complain from dyspnea during resting breathing. Placement of a mandibular advancement device (MAD) can lead to a sense of improved respiratory comfort ("pseudo-relief") ascribed to a habituation phenomenon. To substantiate this conjecture, we hypothesized that, in non-dyspneic awake OSA patients, respiratory-related electroencephalographic figures, abnormally present during awake resting breathing, would disappear or change in parallel with MAD-associated pseudo-relief. In 20 patients, we compared natural breathing and breathing with MAD on: breathing discomfort (transitional visual analog scale, VAS-2); upper airway mechanics, assessed in terms of pressure peak/time to peak (TTP) ratio respiratory-related electroencephalography (EEG) signatures, including slow event-related preinspiratory potentials; and a between-state discrimination based on continuous connectivity evaluation. MAD improved breathing and upper airway mechanics. The 8 patients in whom the EEG between-state discrimination was considered effective exhibited higher Peak/TTP improvement and transitional VAS ratings while wearing MAD than the 12 patients where it was not. These results support the notion of habituation to abnormal respiratory-related afferents in OSA patients and fuel the causative nature of the relationship between dyspnea, respiratory-related motor cortical activity and impaired upper airway mechanics in this setting.
MeSH term(s)	Humans ; Mandibular Advancement/methods ; Wakefulness ; Sleep Apnea, Obstructive/therapy ; Respiration ; Dyspnea ; Treatment Outcome
Language	English
Publishing date	2024-02-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	2724325-4
ISSN	2051-817X ; 2051-817X
ISSN (online)	2051-817X
ISSN	2051-817X
DOI	10.14814/phy2.15951
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Article: Organisation et rôle d'un Service de Réadaptation Post-Réanimation (SRPR) à orientation respiratoire dans la trajectoire d'un patient de réanimation. Organization and role of a specialized weaning unit in the trajectory of a patient with persistent critical illness

Decavèle, Maxens / Morawiec, Élise / Démoulé, Alexandre / Delemazure, Julie

Médecine intensive réanimation

2022 Volume 31, Issue 1, Page(s) 61

Language	French
Document type	Article
ZDB-ID	2870987-1
ISSN	2496-6142
Database	Current Contents Medicine

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Article ; Online: An Initial Investigation of Diaphragm Neurostimulation in Patients with Acute Respiratory Distress Syndrome.

Parfait, Mélodie / Rohrs, Elizabeth / Joussellin, Vincent / Mayaux, Julien / Decavèle, Maxens / Reynolds, Steven / Similowski, Thomas / Demoule, Alexandre / Dres, Martin

Anesthesiology

2023 Volume 140, Issue 3, Page(s) 483–494

MeSH term(s)	Humans ; Positive-Pressure Respiration/methods ; Diaphragm ; Respiratory Mechanics/physiology ; Respiration, Artificial/methods ; Respiratory Distress Syndrome/therapy
Language	English
Publishing date	2023-12-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	269-0
ISSN	1528-1175 ; 0003-3022
ISSN (online)	1528-1175
ISSN	0003-3022
DOI	10.1097/ALN.0000000000004873
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Uk I Zs.133: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)
Zs.MO 199: Show issues

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Article ; Online: High Airway Occlusion Pressure Is Associated with Dyspnea and Increased Mortality in Critically Ill Mechanically Ventilated Patients.

Le Marec, Julien / Hajage, David / Decavèle, Maxens / Schmidt, Matthieu / Laurent, Isaura / Ricard, Jean-Damien / Jaber, Samir / Azoulay, Elie / Fartoukh, Muriel / Hraiech, Sami / Mercat, Alain / Similowski, Thomas / Demoule, Alexandre

American journal of respiratory and critical care medicine

2024

Abstract: Rationale: 100 ms airway occlusion pressure (P0.1) reflects central respiratory drive. We aimed to assess factors associated with P0.1 and whether an abnormally low or high P0.1 value is associated with higher mortality and longer duration of mechanical ...

Abstract	Rationale: 100 ms airway occlusion pressure (P0.1) reflects central respiratory drive. We aimed to assess factors associated with P0.1 and whether an abnormally low or high P0.1 value is associated with higher mortality and longer duration of mechanical ventilation (MV). Methods: Secondary analysis of a prospective cohort study conducted in 10 intensive care units in France to evaluate dyspnea in communicative MV patients. In patients intubated for more than 24 hours, P0.1 was measured with dyspnea as soon as patients could communicate and the following day. Results: 260 patients were assessed after a median time of ventilation of 4 days. P0.1 was 1.9 (1 - 3.5) cmH Conclusions: In patients receiving invasive mechanical ventilation, abnormally high P0.1 values may suggest dyspnea and is associated with higher mortality and prolonged duration of MV.
Language	English
Publishing date	2024-02-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	1180953-x
ISSN	1535-4970 ; 0003-0805 ; 1073-449X
ISSN (online)	1535-4970
ISSN	0003-0805 ; 1073-449X
DOI	10.1164/rccm.202308-1358OC
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Article ; Online: Sensory interventions to relieve dyspnoea in critically ill mechanically ventilated patients.

Bureau, Côme / Niérat, Marie-Cécile / Decavèle, Maxens / Rivals, Isabelle / Dangers, Laurence / Beurton, Alexandra / Virolle, Sara / Deleris, Robin / Delemazure, Julie / Mayaux, Julien / Morélot-Panzini, Capucine / Dres, Martin / Similowski, Thomas / Demoule, Alexandre

The European respiratory journal

2024 Volume 63, Issue 1

Abstract: Background: In critically ill patients receiving mechanical ventilation, dyspnoea is frequent, severe and associated with an increased risk of neuropsychological sequelae. We evaluated the efficacy of sensory interventions targeting the brain rather ... ...

Abstract	Background: In critically ill patients receiving mechanical ventilation, dyspnoea is frequent, severe and associated with an increased risk of neuropsychological sequelae. We evaluated the efficacy of sensory interventions targeting the brain rather than the respiratory system to relieve dyspnoea in mechanically ventilated patients. Methods: Patients receiving mechanical ventilation for ≥48 h and reporting dyspnoea (unidimensional dyspnoea visual analogue scale (Dyspnoea-VAS)) first underwent increased pressure support and then, in random order, auditory stimulation (relaxing music Results: We included 46 patients (tracheotomy or intubation n=37; noninvasive ventilation n=9). Increasing pressure support decreased Dyspnoea-VAS by median 40 mm (p<0.001). Exposure to music decreased Dyspnoea-VAS compared with exposure to pink noise by median 40 mm (p<0.001). Exposure to facial air flux decreased Dyspnoea-VAS compared with limb air flux by median 30 mm (p<0.001). Increasing pressure support, but not music exposure and facial air flux, reduced Conclusions: In mechanically ventilated patients, sensory interventions can modulate the processing of respiratory signals by the brain irrespective of the intensity of the neural drive to breathe. It should therefore be possible to alleviate dyspnoea without resorting to pharmacological interventions or having to infringe the constraints of mechanical ventilation lung protection strategies by increasing ventilatory support.
MeSH term(s)	Humans ; Respiration, Artificial ; Critical Illness ; Dyspnea/therapy ; Positive-Pressure Respiration ; Noninvasive Ventilation
Language	English
Publishing date	2024-01-18
Publishing country	England
Document type	Journal Article
ZDB-ID	639359-7
ISSN	1399-3003 ; 0903-1936
ISSN (online)	1399-3003
ISSN	0903-1936
DOI	10.1183/13993003.02215-2022
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Zs.A 2322: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 292: Show issues

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Article ; Online: Interventions Relieving Dyspnea in Intubated Patients Show Responsiveness of the Mechanical Ventilation-Respiratory Distress Observation Scale.

Decavèle, Maxens / Bureau, Côme / Campion, Sébastien / Nierat, Marie-Cécile / Rivals, Isabelle / Wattiez, Nicolas / Faure, Morgane / Mayaux, Julien / Morawiec, Elise / Raux, Mathieu / Similowski, Thomas / Demoule, Alexandre

American journal of respiratory and critical care medicine

2023 Volume 208, Issue 1, Page(s) 39–48

Abstract: Rationale: ...

Abstract	Rationale:
MeSH term(s)	Aged ; Humans ; Dyspnea/etiology ; Dyspnea/therapy ; Dyspnea/diagnosis ; Morphine Derivatives ; Respiration, Artificial/adverse effects ; Respiratory Distress Syndrome/diagnosis ; Ventilators, Mechanical/adverse effects
Chemical Substances	Morphine Derivatives
Language	English
Publishing date	2023-03-25
Publishing country	United States
Document type	Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1180953-x
ISSN	1535-4970 ; 0003-0805 ; 1073-449X
ISSN (online)	1535-4970
ISSN	0003-0805 ; 1073-449X
DOI	10.1164/rccm.202301-0188OC
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Article ; Online: Prediction models of methicillin sensitive Staphylococcus aureus ventilator associated pneumonia relapse in trauma and brain injury patients: A retrospective analysis.

Decavèle, Maxens / Gault, Nathalie / Moyer, Jean Denis / Gennequin, Maël / Allain, Pierre-Antoine / Foucrier, Arnaud

Journal of critical care

2021 Volume 66, Page(s) 20–25

Abstract: Purpose: To describe the incidence and risk factors of methicillin sensitive Staphylococcus aureus ventilator associated pneumonia (MSSA-VAP) relapse in trauma and non-traumatic brain injury patients.: Materials and methods: Retrospective ... ...

Abstract	Purpose: To describe the incidence and risk factors of methicillin sensitive Staphylococcus aureus ventilator associated pneumonia (MSSA-VAP) relapse in trauma and non-traumatic brain injury patients. Materials and methods: Retrospective observational monocentric cohort study of consecutive ICU patients who developed a first episode of MSSA-VAP after trauma and non-traumatic brain injury. MSSA-VAP relapse encompass MSSA-VAP treatment failure (persistence or recurrence of MSSA) or other pathogen - VAP. Results: A total of 165 patients (71% of trauma and 29% of non-traumatic brain injury) with MSSA-VAP were included. MSSA-VAP relapse occurred in 54 (33%) patients, including 28 (17%) MSSA-VAP treatment failure and 46 (28%) other pathogen-VAP. Empirical first-line antibiotic therapy was appropriate in 96% of cases. In multivariate analysis, the presence of Streptococcus species (Odds ratio [OR] 7.37) and oropharyngeal flora (OR 3.64) as initial MSSA co-pathogen, suggested aspiration at the time of admission and independently predicted MSSA-VAP treatment failure. Initial Glasgow coma scale (OR 0.89), need for emergent surgery (OR 5.71) and the presence of an acute respiratory distress syndrome at the time of the first MSSA-VAP (3.99), independently predicted the onset of other pathogen - VAP. Conclusion: Early and simple factors may help to identify patients with high-risk of MSSA-VAP relapse.
MeSH term(s)	Brain Injuries ; Cohort Studies ; Humans ; Methicillin ; Pneumonia, Ventilator-Associated/drug therapy ; Pneumonia, Ventilator-Associated/epidemiology ; Recurrence ; Retrospective Studies ; Risk Factors ; Staphylococcus aureus
Chemical Substances	Methicillin (Q91FH1328A)
Language	English
Publishing date	2021-08-13
Publishing country	United States
Document type	Journal Article ; Observational Study
ZDB-ID	632818-0
ISSN	1557-8615 ; 0883-9441
ISSN (online)	1557-8615
ISSN	0883-9441
DOI	10.1016/j.jcrc.2021.07.021
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Article ; Online: Prognostic Value of the Intensive Care Respiratory Distress Observation Scale on ICU Admission.

Decavèle, Maxens / Rivals, Isabelle / Persichini, Romain / Mayaux, Julien / Serresse, Laure / Morélot-Panzini, Capucine / Dres, Martin / Demoule, Alexandre / Similowski, Thomas

Respiratory care

2022 Volume 67, Issue 7, Page(s) 823–832

Abstract: Background: The association between dyspnea and mortality has not been demonstrated in the ICU setting. We tested the hypothesis that dyspnea (self-reported respiratory discomfort) or its observational correlates (5-item intensive care Respiratory ... ...

Abstract	Background: The association between dyspnea and mortality has not been demonstrated in the ICU setting. We tested the hypothesis that dyspnea (self-reported respiratory discomfort) or its observational correlates (5-item intensive care Respiratory Distress Observation Scale [IC-RDOS]) assessed on ICU admission would be associated with ICU mortality. Methods: Ancillary analysis of single-center data prospectively collected from 220 communicative ICU subjects allocated to a derivation cohort of 120 subjects and a separate validation cohort of 100 subjects. Dyspnea was assessed dichotomously (yes/no), with a dyspnea visual analog scale (measured in mm), and IC-RDOS was calculated. Multivariate logistic regression was used to identify factors associated with ICU and hospital mortality. Results: Dyspnea was reported by 69 (58%; median 45 [interquartile range [IQR] 32-60] mm) and 47 (47%; 38 [IQR 26-48] mm) subjects in the derivation and validation cohorts, respectively. IC-RDOS was 2.3 (1.2-3.1) and 2.4 (1.3-2.8), respectively. IC-RDOS values were higher in subjects with dyspnea than in subjects without dyspnea in both the derivation cohort (2.6 [2.2-4.6] vs 1.4 [0.9-2.4], Conclusions: IC-RDOS, an observational correlate of dyspnea, but not dyspnea itself, was associated with higher mortality in ICU subjects.
MeSH term(s)	Critical Care ; Dyspnea/etiology ; Humans ; Intensive Care Units ; Prognosis ; Respiratory Distress Syndrome
Language	English
Publishing date	2022-04-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	603252-7
ISSN	1943-3654 ; 0098-9142 ; 0020-1324
ISSN (online)	1943-3654
ISSN	0098-9142 ; 0020-1324
DOI	10.4187/respcare.09601
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