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  1. Article ; Online: From Acute heart failure to cardiogenic shock patients requiring admission in ICU.

    Aissaoui, Nadia

    Journal of intensive medicine

    2023  Volume 3, Issue 2, Page(s) 79–80

    Language English
    Publishing date 2023-03-31
    Publishing country China
    Document type Editorial
    ISSN 2667-100X
    ISSN (online) 2667-100X
    DOI 10.1016/j.jointm.2023.03.001
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  2. Article ; Online: Echocardiography in shock.

    Chew, Michelle S / Aissaoui, Nadia / Balik, Martin

    Current opinion in critical care

    2023  Volume 29, Issue 3, Page(s) 252–258

    Abstract: Purpose of review: The aim of this study was to illustrate the varying roles of echocardiography in all phases of shock ranging from a rapid, diagnostic tool at the bedside, to a tool for monitoring the adequacy and effects of shock treatment and ... ...

    Abstract Purpose of review: The aim of this study was to illustrate the varying roles of echocardiography in all phases of shock ranging from a rapid, diagnostic tool at the bedside, to a tool for monitoring the adequacy and effects of shock treatment and finally for identification of patients suitable for de-escalation of therapy.
    Recent findings: Echocardiography has become an indispensable tool for establishing diagnosis in patients with shock. It is also important for assessing the adequacy of treatment such as fluid resuscitation, vasopressors and inotropes by providing integrated information on cardiac contractility and systemic flow conditions, particularly when used in conjunction with other methods of advanced haemodynamic monitoring. Apart from a traditional, diagnostic role, it may be used as an advanced, albeit intermittent, monitoring tool. Examples include the assessment of heart-lung interactions in mechanically ventilated patients, fluid responsiveness, vasopressor adequacy, preload dependence in ventilator-induced pulmonary oedema and indications for and monitoring during extracorporeal life support. Emerging studies also illustrate the role of echocardiography in de-escalation of shock treatment.
    Summary: This study provides the reader with a structured review on the uses of echocardiography in all phases of shock treatment.
    MeSH term(s) Humans ; Echocardiography ; Shock/diagnostic imaging ; Shock/therapy ; Heart ; Fluid Therapy ; Vasoconstrictor Agents/therapeutic use ; Hemodynamics
    Chemical Substances Vasoconstrictor Agents
    Language English
    Publishing date 2023-04-04
    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.0000000000001041
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    Zs.A 4999: Show issues Location:
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  3. Article ; Online: Septic cardiomyopathy: Diagnosis and management.

    Boissier, Florence / Aissaoui, Nadia

    Journal of intensive medicine

    2021  Volume 2, Issue 1, Page(s) 8–16

    Abstract: There is an extensive body of literature focused on sepsis-induced myocardial dysfunction, but results are conflicting and no objective definition of septic cardiomyopathy (SCM) has been established. SCM may be defined as a sepsis-associated acute ... ...

    Abstract There is an extensive body of literature focused on sepsis-induced myocardial dysfunction, but results are conflicting and no objective definition of septic cardiomyopathy (SCM) has been established. SCM may be defined as a sepsis-associated acute syndrome of non-ischemic cardiac dysfunction with systolic and/or diastolic left ventricular (LV) dysfunction and/or right ventricular dysfunction. Physicians should consider this diagnosis in patients with sepsis-associated organ dysfunction, and particularly in cases of septic shock that require vasopressors. Echocardiography is currently the gold standard for diagnosis of SCM. Left ventricular ejection fraction is the most common parameter used to describe LV function in the literature, but its dependence on loading conditions, particularly afterload, limits its use as a measure of intrinsic myocardial contractility. Therefore, repeated echocardiography evaluation is mandatory. Evaluation of global longitudinal strain (GLS) may be more sensitive and specific for SCM than LV ejection fraction (LVEF). Standard management includes etiological treatment, adapted fluid resuscitation, use of vasopressors, and monitoring. Use of inotropes remains uncertain, and heart rate control could be an option in some patients.
    Language English
    Publishing date 2021-12-27
    Publishing country China
    Document type Journal Article ; Review
    ISSN 2667-100X
    ISSN (online) 2667-100X
    DOI 10.1016/j.jointm.2021.11.004
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  4. Article ; Online: Extra-corporeal life support for life-saving interventions: Another brick in the wall.

    Aissaoui, Nadia / Cariou, Alain

    Resuscitation

    2021  Volume 160, Page(s) 168–169

    MeSH term(s) Extracorporeal Membrane Oxygenation ; Heart Arrest ; Humans ; Shock, Cardiogenic
    Language English
    Publishing date 2021-01-16
    Publishing country Ireland
    Document type Editorial ; Comment
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/j.resuscitation.2020.12.024
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    Zs.A 1048: Show issues Location:
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  5. Article ; Online: Ten questions ICU specialists should address when managing cardiogenic acute pulmonary oedema.

    Aissaoui, Nadia / Hamzaoui, Olfa / Price, Susanna

    Intensive care medicine

    2022  Volume 48, Issue 4, Page(s) 482–485

    MeSH term(s) Acute Disease ; Continuous Positive Airway Pressure ; Humans ; Intensive Care Units ; Pulmonary Edema/etiology ; Pulmonary Edema/therapy
    Language English
    Publishing date 2022-02-18
    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/s00134-022-06639-8
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    Zs.A 1089: Show issues Location:
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  6. Article ; Online: Myocardial dysfunction after cardiac arrest: tips and pitfalls.

    Ortuno, Sofia / Geri, Guillaume / Bouguoin, Wulfran / Cariou, Alain / Aissaoui, Nadia

    European journal of emergency medicine : official journal of the European Society for Emergency Medicine

    2022  Volume 29, Issue 3, Page(s) 188–194

    Abstract: Postcardiac arrest shock (PCAS) is defined by hemodynamic instability occurring in the first hours after cardiac arrest (CA) and is a major cause of mortality among patients hospitalized after CA. It includes vasoplegia and myocardial dysfunction. This ... ...

    Abstract Postcardiac arrest shock (PCAS) is defined by hemodynamic instability occurring in the first hours after cardiac arrest (CA) and is a major cause of mortality among patients hospitalized after CA. It includes vasoplegia and myocardial dysfunction. This postcardiac arrest myocardial dysfunction is supposed to recover within the 3 days. However, there are many unknowns regarding its definition, its prognosis value and its management. In this review dedicated to emergency physicians, we choose to address tips and pitfalls they should know regarding this prevalent syndrome.
    MeSH term(s) Heart Arrest/therapy ; Humans
    Language English
    Publishing date 2022-02-07
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1233544-7
    ISSN 1473-5695 ; 0969-9546
    ISSN (online) 1473-5695
    ISSN 0969-9546
    DOI 10.1097/MEJ.0000000000000904
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    Zs.A 4264: Show issues Location:
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  7. Article ; Online: Guideline adherence in the management of acute pulmonary oedema: Study protocol for a French survey involving cardiologists, emergency physicians and intensivists.

    Muller, Grégoire / Laribi, Saïd / Danchin, Nicolas / Delmas, Clément / Sauvage, Brice / Puymirat, Étienne / Chouihed, Tahar / Aissaoui, Nadia / Angoulvant, Denis

    Archives of cardiovascular diseases

    2024  Volume 117, Issue 2, Page(s) 128–133

    Abstract: Background: Because of their high morbidity and mortality, patients with acute pulmonary oedema (APE) require early recognition of symptoms, identification of precipitating factors and admission to specialized care units (cardiac critical care or ... ...

    Abstract Background: Because of their high morbidity and mortality, patients with acute pulmonary oedema (APE) require early recognition of symptoms, identification of precipitating factors and admission to specialized care units (cardiac critical care or intensive care). APE is at the crossroads of different specialties (cardiology, emergency medicine and intensive care medicine). Although multidisciplinary expertise and management may be a strength, it can also be a source of confusion, with unexpected heterogeneity in patient care. We hypothesized that the management of severe APE may be heterogeneous between specialties and, in some situations, may differ from international recommendations.
    Aim: We designed a survey to compare management of different APE phenotypes according to the physicians' medical specialty, and to compare the results with what experts would do and European guidelines.
    Methods: Four clinical cases of typical APE with questions pertaining to the latest guidelines were designed by a Scientific Committee designated by the French Scientific Societies for Cardiology, Emergency Medicine and Intensive Care Medicine. We focused on oxygenation and ventilation strategies, management of precipitating factors, including timing of coronary revascularization, use of diuretics and management of diuretic resistance, and discharge coverage. From 20 June 2022 until 09 September 2022, the four cases of APE (two during hypertensive crises, two during acute coronary syndromes) were proposed to French physicians involved in APE care, and to experts, using an open online survey. To avoid any diagnostic ambiguity, the diagnosis of APE was given at the beginning of each clinical case.
    Results: The intention is to present the results at national and international conferences and publish them in a peer-reviewed journal.
    Conclusions: The results of this survey are intended to pave the way for the generation of novel hypotheses for future clinical trials in case of equipoise between subsets of therapeutic procedures in APE.
    MeSH term(s) Humans ; Animals ; Guideline Adherence ; Cardiologists ; Pulmonary Edema/diagnosis ; Pulmonary Edema/therapy ; Physicians ; Hominidae
    Language English
    Publishing date 2024-01-09
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2408778-6
    ISSN 1875-2128 ; 1875-2136
    ISSN (online) 1875-2128
    ISSN 1875-2136
    DOI 10.1016/j.acvd.2023.11.014
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  8. Article: Management of cardiogenic shock: a narrative review.

    Laghlam, Driss / Benghanem, Sarah / Ortuno, Sofia / Bouabdallaoui, Nadia / Manzo-Silberman, Stephane / Hamzaoui, Olfa / Aissaoui, Nadia

    Annals of intensive care

    2024  Volume 14, Issue 1, Page(s) 45

    Abstract: Cardiogenic shock (CS) is characterized by low cardiac output and sustained tissue hypoperfusion that may result in end-organ dysfunction and death. CS is associated with high short-term mortality, and its management remains challenging despite recent ... ...

    Abstract Cardiogenic shock (CS) is characterized by low cardiac output and sustained tissue hypoperfusion that may result in end-organ dysfunction and death. CS is associated with high short-term mortality, and its management remains challenging despite recent advances in therapeutic options. Timely diagnosis and multidisciplinary team-based management have demonstrated favourable effects on outcomes. We aimed to review evidence-based practices for managing patients with ischemic and non-ischemic CS, detailing the multi-organ supports needed in this critically ill patient population.
    Language English
    Publishing date 2024-03-30
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 2617094-2
    ISSN 2110-5820
    ISSN 2110-5820
    DOI 10.1186/s13613-024-01260-y
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  9. Article ; Online: Cardiac injury in COVID-19.

    Helms, Julie / Combes, Alain / Aissaoui, Nadia

    Intensive care medicine

    2021  Volume 48, Issue 1, Page(s) 111–113

    MeSH term(s) Biomarkers ; COVID-19 ; Heart Diseases ; Heart Injuries/etiology ; Humans ; SARS-CoV-2
    Chemical Substances Biomarkers
    Language English
    Publishing date 2021-11-02
    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/s00134-021-06555-3
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  10. Article ; Online: Patients' and relatives' concern about the children in their family when a family member is hospitalized in the adult ICU.

    Hauw-Berlemont, Caroline / Davagnar, Cindy / Champigneulle, Benoît / Bellenfant, Florence / Aissaoui, Nadia

    Intensive care medicine

    2023  Volume 49, Issue 5, Page(s) 595–596

    MeSH term(s) Humans ; Adult ; Child ; Family ; Professional-Family Relations ; Intensive Care Units
    Language English
    Publishing date 2023-04-05
    Publishing country United States
    Document type Letter
    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/s00134-023-07035-6
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