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  1. Article ; Online: Defining renal recovery: pitfalls to be avoided.

    Schortgen, Frédérique

    Intensive care medicine

    2015  Volume 41, Issue 11, Page(s) 1993–1995

    MeSH term(s) Acute Kidney Injury/diagnosis ; Acute Kidney Injury/therapy ; Female ; Humans ; Male
    Language English
    Publishing date 2015-11
    Publishing country United States
    Document type Comment ; 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/s00134-015-4033-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Néphrotoxicité des produits de remplissage.

    Commereuc, Morgane / Schortgen, Frédérique

    Nephrologie & therapeutique

    2018  Volume 14, Issue 7, Page(s) 555–563

    Abstract: Expansion of extracellular volume is a treatment traditionally proposed to correct abnormalities of renal perfusion and prevent ischemic injury. However, vascular filling is not at risk for tissue oxygenation and renal function. The use of synthetic ... ...

    Title translation Nephrotoxicity of plasma volume expanders.
    Abstract Expansion of extracellular volume is a treatment traditionally proposed to correct abnormalities of renal perfusion and prevent ischemic injury. However, vascular filling is not at risk for tissue oxygenation and renal function. The use of synthetic colloids exposes the patient to the risk of developing lesions such as osmotic nephrosis. Hyperoncotic colloids reduce glomerular filtration pressure. The nephrotoxicity of hydroxyethyl starches is now clearly established regardless of their characteristics. Colloids have never demonstrated their superiority as plasma volume expanders, they should be abandoned in favour of crystalloid solutions.
    MeSH term(s) Animals ; Humans ; Kidney/physiopathology ; Kidney Diseases/etiology ; Plasma Substitutes/adverse effects
    Chemical Substances Plasma Substitutes
    Language French
    Publishing date 2018-11-12
    Publishing country France
    Document type Journal Article ; Review
    ZDB-ID 2229575-6
    ISSN 1872-9177 ; 1769-7255
    ISSN (online) 1872-9177
    ISSN 1769-7255
    DOI 10.1016/j.nephro.2018.10.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Does this critically ill patient with oliguria need more fluids, a vasopressor, or neither?

    Schortgen, Frédérique / Schetz, Miet

    Intensive care medicine

    2017  Volume 43, Issue 6, Page(s) 907–910

    MeSH term(s) Acute Kidney Injury/etiology ; Critical Care/methods ; Critical Illness ; Fluid Therapy/adverse effects ; Fluid Therapy/methods ; Glomerular Filtration Rate ; Humans ; Intensive Care Units ; Kidney/drug effects ; Kidney/physiopathology ; Oliguria/drug therapy ; Oliguria/etiology ; Risk Factors ; Vasoconstrictor Agents/administration & dosage ; Vasoconstrictor Agents/adverse effects
    Chemical Substances Vasoconstrictor Agents
    Language English
    Publishing date 2017
    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/s00134-017-4744-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Ten shortcomings of the current definition of AKI.

    Schetz, Miet / Schortgen, Frederique

    Intensive care medicine

    2017  Volume 43, Issue 6, Page(s) 911–913

    MeSH term(s) Acute Kidney Injury/blood ; Acute Kidney Injury/diagnosis ; Acute Kidney Injury/urine ; Biomarkers/blood ; Biomarkers/urine ; Creatinine/blood ; Critical Illness ; Glomerular Filtration Rate ; Humans ; Kidney/pathology ; Renal Replacement Therapy ; Sensitivity and Specificity
    Chemical Substances Biomarkers ; Creatinine (AYI8EX34EU)
    Language English
    Publishing date 2017
    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/s00134-017-4715-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Should we treat pyrexia? And how do we do it?

    Doyle, James F / Schortgen, Frédérique

    Critical care (London, England)

    2016  Volume 20, Issue 1, Page(s) 303

    Abstract: The concept of pyrexia as a protective physiological response to aid in host defence has been challenged with the awareness of the severe metabolic stress induced by pyrexia. The host response to pyrexia varies, however, according to the disease profile ... ...

    Abstract The concept of pyrexia as a protective physiological response to aid in host defence has been challenged with the awareness of the severe metabolic stress induced by pyrexia. The host response to pyrexia varies, however, according to the disease profile and severity and, as such, the management of pyrexia should differ; for example, temperature control is safe and effective in septic shock but remains controversial in sepsis. From the reported findings discussed in this review, treating pyrexia appears to be beneficial in septic shock, out of hospital cardiac arrest and acute brain injury.Multiple therapeutic options are available for managing pyrexia, with precise targeted temperature management now possible. Notably, the use of pharmacotherapy versus surface cooling has not been shown to be advantageous. The importance of avoiding hypothermia in any treatment strategy is not to be understated.Whilst a great deal of progress has been made regarding optimal temperature management in recent years, further studies will be needed to determine which patients would benefit the most from control of pyrexia and by which means this should be implemented. This narrative review is part of a series on the pathophysiology and management of pyrexia.
    Language English
    Publishing date 2016-10-03
    Publishing country England
    Document type Review ; Journal Article
    ZDB-ID 2051256-9
    ISSN 1466-609X ; 1466-609X
    ISSN (online) 1466-609X
    ISSN 1466-609X
    DOI 10.1186/s13054-016-1467-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Efficiency of transmission-based precautions (TBPs) against SARS-CoV-2 501Y.V2 variant transmissibility in the ICU.

    Schortgen, Frédérique / Andujar, Pascal / Si Ali, Amine / Yahyaoui, Layla / Smati-Lafarge, Mounira

    Intensive care medicine

    2021  Volume 47, Issue 5, Page(s) 622–623

    MeSH term(s) COVID-19 ; Humans ; Intensive Care Units ; SARS-CoV-2 ; Spike Glycoprotein, Coronavirus
    Chemical Substances Spike Glycoprotein, Coronavirus
    Language English
    Publishing date 2021-03-18
    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/s00134-021-06380-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Update in sepsis and acute kidney injury 2014.

    Schortgen, Frédérique / Asfar, Pierre

    American journal of respiratory and critical care medicine

    2015  Volume 191, Issue 11, Page(s) 1226–1231

    Abstract: Sepsis and acute kidney injury (AKI) represent an important burden in intensive care unit clinical practices. The Journal published important contributions in sepsis for novel therapeutic approaches suggesting that combined molecular targets (e.g., dual ... ...

    Abstract Sepsis and acute kidney injury (AKI) represent an important burden in intensive care unit clinical practices. The Journal published important contributions in sepsis for novel therapeutic approaches suggesting that combined molecular targets (e.g., dual inhibition of IL-1β and IL-18, and coadministration of endothelial progenitor cells and stromal cell-derived factor-1α analog) could perform better. The clinical effectiveness of 1,25-dihydroxyvitamin D was reported in a double-blind, randomized, placebo-controlled trial. Although its experimental properties appeared favorable in the pro- and antiinflammatory cytokine balance, 1,25-dihydroxyvitamin D failed to improve survival. Strategies for decreasing antimicrobial resistances are of particular importance. Effective (aerosolized antibiotics for ventilator-associated pneumonia) and ineffective (procalcitonin algorithm for antibiotic deescalation) approaches were published. In 2014, several publications raised an important point shared by survivors from sepsis and/or AKI. The increased number of survivors over time brought out long-term sequelae, leading to a poor outcome after hospital discharge. Among them, cardiovascular events and chronic kidney disease may explain the significant increase in the risk of death, which can persist up to 10 years and significantly increases the use of health care. Postdischarge survival represents a new target for future research in sepsis and AKI to find how we can prevent and manage long-term sequelae. A milestone of the year was the Ebola outbreak. The Journal contributed to our better understanding of Ebola virus disease with a paper underlying the crucial role of a large implementation of pragmatic supportive care, including fluid infusion and correction of metabolic abnormalities, to save more lives.
    MeSH term(s) Acute Kidney Injury/drug therapy ; Humans ; Sepsis/drug therapy ; Vitamin D/analogs & derivatives ; Vitamin D/therapeutic use
    Chemical Substances Vitamin D (1406-16-2) ; 1,25-dihydroxyvitamin D (66772-14-3)
    Language English
    Publishing date 2015-06-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1180953-x
    ISSN 1535-4970 ; 0003-0805 ; 1073-449X
    ISSN (online) 1535-4970
    ISSN 0003-0805 ; 1073-449X
    DOI 10.1164/rccm.201502-0307UP
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Robust Adaptive Incorporation of Historical Control Data in a Randomized Trial of External Cooling to Treat Septic Shock.

    Murray, Thomas A / Thall, Peter F / Schortgen, Frederique / Asfar, Pierre / Zohar, Sarah / Katsahian, Sandrine

    Bayesian analysis

    2020  Volume 16, Issue 3, Page(s) 825–844

    Abstract: This paper proposes randomized controlled clinical trial design to evaluate external cooling as a means to control fever and thereby reduce mortality in patients with septic shock. The trial will include concurrent external cooling and control arms while ...

    Abstract This paper proposes randomized controlled clinical trial design to evaluate external cooling as a means to control fever and thereby reduce mortality in patients with septic shock. The trial will include concurrent external cooling and control arms while adaptively incorporating historical control arm data. Bayesian group sequential monitoring will be done using a posterior comparative test based on the 60-day survival distribution in each concurrent arm. Posterior inference will follow from a Bayesian discrete time survival model that facilitates adaptive incorporation of the historical control data through an innovative regression framework with a multivariate spike-and-slab prior distribution on the historical bias parameters. For each interim test, the amount of information borrowed from the historical control data will be determined adaptively in a manner that reflects the degree of agreement between historical and concurrent control arm data. Guidance is provided for selecting Bayesian posterior probability group-sequential monitoring boundaries. Simulation results elucidating how the proposed method borrows strength from the historical control data are reported. In the absence of historical control arm bias, the proposed design controls the type I error rate and provides substantially larger power than reasonable comparators, whereas in the presence bias of varying magnitude, type I error rate inflation is curbed.
    Language English
    Publishing date 2020-07-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2201249-7
    ISSN 1931-6690 ; 1936-0975
    ISSN (online) 1931-6690
    ISSN 1936-0975
    DOI 10.1214/20-ba1229
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Reply: Does cooling really improve outcomes in patients with septic shock?

    Schortgen, Frédérique / Brochard, Laurent

    American journal of respiratory and critical care medicine

    2013  Volume 187, Issue 11, Page(s) 1275

    MeSH term(s) Cryotherapy ; Female ; Fever/therapy ; Humans ; Male ; Shock, Septic/complications
    Language English
    Publishing date 2013-06-01
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 1180953-x
    ISSN 1535-4970 ; 0003-0805 ; 1073-449X
    ISSN (online) 1535-4970
    ISSN 0003-0805 ; 1073-449X
    DOI 10.1164/rccm.201212-2163LE
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Sedation interruption for mechanically ventilated patients.

    Brun-Buisson, Christian / Schortgen, Frederique

    JAMA

    2013  Volume 309, Issue 10, Page(s) 981

    MeSH term(s) Analgesics, Opioid/administration & dosage ; Benzodiazepines/administration & dosage ; Conscious Sedation/methods ; Critical Illness ; Female ; Humans ; Male ; Respiration, Artificial/methods
    Chemical Substances Analgesics, Opioid ; Benzodiazepines (12794-10-4)
    Language English
    Publishing date 2013-03-13
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2013.995
    Database MEDical Literature Analysis and Retrieval System OnLINE

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