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  1. Article ; Online: How to integrate hemodynamic variables during resuscitation of septic shock?

    Teboul, Jean-Louis

    Journal of intensive medicine

    2022  Volume 3, Issue 2, Page(s) 131–137

    Abstract: Resuscitation of septic shock is a complex issue because the cardiovascular disturbances that characterize septic shock vary from one patient to another and can also change over time in the same patient. Therefore, different therapies (fluids, ... ...

    Abstract Resuscitation of septic shock is a complex issue because the cardiovascular disturbances that characterize septic shock vary from one patient to another and can also change over time in the same patient. Therefore, different therapies (fluids, vasopressors, and inotropes) should be individually and carefully adapted to provide personalized and adequate treatment. Implementation of this scenario requires the collection and collation of all feasible information, including multiple hemodynamic variables. In this review article, we propose a logical stepwise approach to integrate relevant hemodynamic variables and provide the most appropriate treatment for septic shock.
    Language English
    Publishing date 2022-11-10
    Publishing country China
    Document type Journal Article ; Review
    ISSN 2667-100X
    ISSN (online) 2667-100X
    DOI 10.1016/j.jointm.2022.09.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Let's wish JIM a long and brilliant life!

    Teboul, Jean-Louis

    Journal of intensive medicine

    2021  Volume 1, Issue 1, Page(s) 2–3

    Language English
    Publishing date 2021-02-06
    Publishing country China
    Document type Editorial
    ISSN 2667-100X
    ISSN (online) 2667-100X
    DOI 10.1016/j.jointm.2020.12.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Early hemodynamic resuscitation of septic shock: what do the new Surviving Sepsis Campaign guidelines really provide?

    Teboul, Jean-Louis / Hamzaoui, Olfa

    Journal of intensive medicine

    2022  Volume 2, Issue 1, Page(s) 1–2

    Language English
    Publishing date 2022-01-02
    Publishing country China
    Document type Editorial
    ISSN 2667-100X
    ISSN (online) 2667-100X
    DOI 10.1016/j.jointm.2021.12.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Central venous pressure (CVP).

    Hamzaoui, Olfa / Teboul, Jean-Louis

    Intensive care medicine

    2022  Volume 48, Issue 10, Page(s) 1498–1500

    MeSH term(s) Blood Pressure Determination ; Catheterization, Central Venous/adverse effects ; Central Venous Pressure ; Humans ; Venous Pressure ; Vital Signs
    Language English
    Publishing date 2022-08-11
    Publishing country United States
    Document type Journal Article ; Review
    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/s00134-022-06835-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Correction to: Central venous pressure (CVP).

    Hamzaoui, Olfa / Teboul, Jean-Louis

    Intensive care medicine

    2022  Volume 48, Issue 10, Page(s) 1512

    Language English
    Publishing date 2022-09-06
    Publishing country United States
    Document type Published Erratum
    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/s00134-022-06874-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: The Eight Unanswered and Answered Questions about the Use of Vasopressors in Septic Shock.

    Hamzaoui, Olfa / Goury, Antoine / Teboul, Jean-Louis

    Journal of clinical medicine

    2023  Volume 12, Issue 14

    Abstract: Septic shock is mainly characterized-in addition to hypovolemia-by vasoplegia as a consequence of a release of inflammatory mediators. Systemic vasodilatation due to depressed vascular tone results in arterial hypotension, which induces or worsens organ ... ...

    Abstract Septic shock is mainly characterized-in addition to hypovolemia-by vasoplegia as a consequence of a release of inflammatory mediators. Systemic vasodilatation due to depressed vascular tone results in arterial hypotension, which induces or worsens organ hypoperfusion. Accordingly, vasopressor therapy is mandatory to correct hypotension and to reverse organ perfusion due to hypotension. Currently, two vasopressors are recommended to be used, norepinephrine and vasopressin. Norepinephrine, an α
    Language English
    Publishing date 2023-07-10
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12144589
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Meta-analysis of pulse pressure variation (PPV) and stroke volume variation (SVV) studies: a few rotten apples can spoil the whole barrel.

    Michard, Frederic / Chemla, Denis / Teboul, Jean-Louis

    Critical care (London, England)

    2023  Volume 27, Issue 1, Page(s) 482

    MeSH term(s) Humans ; Blood Pressure ; Stroke Volume ; Malus ; Operating Rooms ; Reproducibility of Results ; Hemodynamics
    Language English
    Publishing date 2023-12-07
    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/s13054-023-04765-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. 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
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. 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
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Book ; Online: Les techniques de monitorage hémodynamique en réanimation

    Teboul, Jean-Louis / Backer, Daniel

    2007  

    Author's details by Jean-Louis Teboul, Daniel Backer
    Keywords Anesthesiology ; Critical care medicine ; Emergency medicine ; Internal medicine
    Language French
    Publisher Springer-Verlag France
    Publishing place Paris
    Document type Book ; Online
    HBZ-ID TT050387402
    ISBN 978-2-287-71153-4 ; 978-2-287-71154-1 ; 2-287-71153-8 ; 2-287-71154-6
    DOI 10.1007/978-2-287-71154-1
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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