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  1. Article ; Online: Syndrome post-Covid-19 : un défi pour la santé publique ?

    Monnet, Xavier

    La Revue du praticien

    2023  Volume 73, Issue 6, Page(s) 583

    Title translation Post-Covid-19 syndrome: a challenge for public health?
    MeSH term(s) Humans ; Public Health ; Post-Acute COVID-19 Syndrome ; COVID-19
    Language French
    Publishing date 2023-07-17
    Publishing country France
    Document type Journal Article
    ZDB-ID 205365-2
    ISSN 2101-017X ; 0035-2640
    ISSN (online) 2101-017X
    ISSN 0035-2640
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  2. Article ; Online: Should We Wean Patients off Vasopressors before Weaning Them off Ventilation?

    Monnet, Xavier

    American journal of respiratory and critical care medicine

    2022  Volume 205, Issue 9, Page(s) 980–981

    MeSH term(s) Humans ; Respiration ; Respiration, Artificial ; Ventilator Weaning
    Language English
    Publishing date 2022-03-04
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1180953-x
    ISSN 1535-4970 ; 0003-0805 ; 1073-449X
    ISSN (online) 1535-4970
    ISSN 0003-0805 ; 1073-449X
    DOI 10.1164/rccm.202201-0175ED
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  3. Article ; Online: Vasoconstriction in septic shock.

    De Backer, Daniel / Hajjar, Ludhmila / Monnet, Xavier

    Intensive care medicine

    2024  Volume 50, Issue 3, Page(s) 459–462

    MeSH term(s) Humans ; Vasoconstriction ; Shock, Septic
    Language English
    Publishing date 2024-02-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-024-07332-8
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  4. Article ; Online: Which haemodynamic monitoring should we chose for critically ill patients with acute circulatory failure?

    Monnet, Xavier / Lai, Christopher

    Current opinion in critical care

    2023  Volume 29, Issue 3, Page(s) 275–280

    Abstract: Purpose of review: To discuss the suitable haemodynamic monitoring for critically ill patients with shock.: Recent findings: For the basic initial monitoring, recent studies emphasized the importance of clinical signs of hypoperfusion and arterial ... ...

    Abstract Purpose of review: To discuss the suitable haemodynamic monitoring for critically ill patients with shock.
    Recent findings: For the basic initial monitoring, recent studies emphasized the importance of clinical signs of hypoperfusion and arterial pressure. This basic monitoring is not sufficient in patients resisting to initial treatment. Echocardiography does not allow multidaily measurements and has limitations, for measuring right or left ventricular preload. For a more continuous monitoring, noninvasive and minimally invasive tools are insufficiently reliable, as recently confirmed, and informative. The most invasive techniques, transpulmonary thermodilution and the pulmonary arterial catheter are more suitable. Their effect on outcome is lacking, although recent studies showed their benefit in acute heart failure. For assessing tissue oxygenation, recent publications better defined the meaning of the indices derived from the partial pressure of carbon dioxide. The integration of all data by artificial intelligence is the subject of early research in critical care.
    Summary: For monitoring critically ill patients with shock, minimally or noninvasive systems are not reliable or informative enough. In the most severe patients, a reasonable monitoring policy can combine continuous monitoring by transpulmonary thermodilution systems or the pulmonary arterial catheter, with an intermittent assessment with ultrasound and measurement of tissue oxygenation.
    MeSH term(s) Humans ; Cardiac Output ; Hemodynamics ; Hemodynamic Monitoring ; Critical Illness/therapy ; Artificial Intelligence ; Hypertension, Pulmonary ; Shock/diagnosis ; Shock/therapy ; Monitoring, Physiologic/methods ; Thermodilution/methods
    Language English
    Publishing date 2023-04-19
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1235629-3
    ISSN 1531-7072 ; 1070-5295
    ISSN (online) 1531-7072
    ISSN 1070-5295
    DOI 10.1097/MCC.0000000000001048
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  5. Article ; Online: Cardiac function, cardiac preload and volume status. Author's reply.

    De Backer, Daniel / Monnet, Xavier

    Intensive care medicine

    2022  Volume 48, Issue 12, Page(s) 1825–1826

    MeSH term(s) Humans ; Heart ; Cardiac Output ; Stroke Volume
    Language English
    Publishing date 2022-10-05
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-022-06896-7
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  6. Article ; Online: The nuts and bolts of fluid de-escalation.

    De Backer, Daniel / Ostermann, Marlies / Monnet, Xavier

    Intensive care medicine

    2023  Volume 49, Issue 9, Page(s) 1120–1122

    Language English
    Publishing date 2023-07-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-023-07164-y
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  7. Article ; Online: Balanced solution versus saline in critically ill patients: a new piece to the puzzle!

    Klouche, Kada / Monnet, Xavier / Zarbock, Alexander

    Intensive care medicine

    2023  Volume 50, Issue 1, Page(s) 134–135

    MeSH term(s) Humans ; Critical Illness/therapy ; Saline Solution/therapeutic use ; Crystalloid Solutions ; Fluid Therapy
    Chemical Substances Saline Solution ; Crystalloid Solutions
    Language English
    Publishing date 2023-12-19
    Publishing country United States
    Document type Editorial
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-023-07306-2
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  8. Article ; Online: Hemodynamic Implications of Prone Positioning in Patients with ARDS.

    Lai, Christopher / Monnet, Xavier / Teboul, Jean-Louis

    Critical care (London, England)

    2023  Volume 27, Issue 1, Page(s) 98

    Abstract: This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2023. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2023 . Further information about the ... ...

    Abstract This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2023. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2023 . Further information about the Annual Update in Intensive Care and Emergency Medicine is available from https://link.springer.com/bookseries/8901 .
    MeSH term(s) Humans ; Prone Position ; Critical Care ; Patient Positioning ; Emergency Medicine ; Respiratory Distress Syndrome/therapy ; Intensive Care Units
    Language English
    Publishing date 2023-03-21
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2041406-7
    ISSN 1466-609X ; 1364-8535
    ISSN (online) 1466-609X
    ISSN 1364-8535
    DOI 10.1186/s13054-023-04369-x
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  9. Article ; Online: How I personalize fluid therapy in septic shock?

    Monnet, Xavier / Lai, Christopher / Teboul, Jean-Louis

    Critical care (London, England)

    2023  Volume 27, Issue 1, Page(s) 123

    Abstract: During septic shock, fluid therapy is aimed at increasing cardiac output and improving tissue oxygenation, but it poses two problems: it has inconsistent and transient efficacy, and it has many well-documented deleterious effects. We suggest that there ... ...

    Abstract During septic shock, fluid therapy is aimed at increasing cardiac output and improving tissue oxygenation, but it poses two problems: it has inconsistent and transient efficacy, and it has many well-documented deleterious effects. We suggest that there is a place for its personalization according to the patient characteristics and the clinical situation, at all stages of circulatory failure. Regarding the choice of fluid for volume expansion, isotonic saline induces hyperchloremic acidosis, but only for very large volumes administered. We suggest that balanced solutions should be reserved for patients who have already received large volumes and in whom the chloremia is rising. The initial volume expansion, intended to compensate for the constant hypovolaemia in the initial phase of septic shock, cannot be adapted to the patient's weight only, as suggested by the Surviving Sepsis Campaign, but should also consider potential absolute hypovolemia induced by fluid losses. After the initial fluid infusion, preload responsiveness may rapidly disappear, and it should be assessed. The choice between tests used for this purpose depends on the presence or absence of mechanical ventilation, the monitoring in place and the risk of fluid accumulation. In non-intubated patients, the passive leg raising test and the mini-fluid challenge are suitable. In patients without cardiac output monitoring, tests like the tidal volume challenge, the passive leg raising test and the mini-fluid challenge can be used as they can be performed by measuring changes in pulse pressure variation, assessed through an arterial line. The mini-fluid challenge should not be repeated in patients who already received large volumes of fluids. The variables to assess fluid accumulation depend on the clinical condition. In acute respiratory distress syndrome, pulmonary arterial occlusion pressure, extravascular lung water and pulmonary vascular permeability index assess the risk of worsening alveolar oedema better than arterial oxygenation. In case of abdominal problems, the intra-abdominal pressure should be taken into account. Finally, fluid depletion in the de-escalation phase is considered in patients with significant fluid accumulation. Fluid removal can be guided by preload responsiveness testing, since haemodynamic deterioration is likely to occur in patients with a preload dependent state.
    MeSH term(s) Humans ; Shock, Septic/therapy ; Sepsis/therapy ; Blood Pressure ; Shock ; Fluid Therapy/adverse effects ; Hemodynamics ; Cardiac Output
    Language English
    Publishing date 2023-03-24
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2041406-7
    ISSN 1466-609X ; 1364-8535
    ISSN (online) 1466-609X
    ISSN 1364-8535
    DOI 10.1186/s13054-023-04363-3
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  10. Article ; Online: "Under pressure": should we use diaphragm excursion to predict weaning success in patients receiving pressure support ventilation?

    Sabourin, Emma / Carpentier, Christophe / Lai, Christopher / Monnet, Xavier / Pham, Tài

    Critical care (London, England)

    2023  Volume 27, Issue 1, Page(s) 238

    MeSH term(s) Humans ; Respiration, Artificial/methods ; Diaphragm ; Ventilator Weaning/methods ; Positive-Pressure Respiration ; Diagnostic Imaging
    Language English
    Publishing date 2023-06-15
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 2041406-7
    ISSN 1466-609X ; 1364-8535
    ISSN (online) 1466-609X
    ISSN 1364-8535
    DOI 10.1186/s13054-023-04504-8
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