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197 results on '"Fellahi, Jean Luc"'

2. Oxygenation management during veno-arterial ECMO support for cardiogenic shock: a multicentric retrospective cohort study

Author

Winiszewski, Hadrien, Vieille, Thibault, Guinot, Pierre-Grégoire, Nesseler, Nicolas, Le Berre, Mael, Crognier, Laure, Roche, Anne-Claude, Fellahi, Jean-Luc, D’Ostrevy, Nicolas, Ltaief, Zied, Didier, Juliette, Arab, Osama Abou, Meslin, Simon, Scherrer, Vincent, Besch, Guillaume, Monnier, Alexandra, Piton, Gael, Kimmoun, Antoine, and Capellier, Gilles

Published
2024
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3. Comparison of mortality and outcomes of four respiratory viruses in the intensive care unit: a multicenter retrospective study

Author

Grangier, Baptiste, Vacheron, Charles-Hervé, De Marignan, Donatien, Casalegno, Jean-Sebastien, Couray-Targe, Sandrine, Bestion, Audrey, Ader, Florence, Richard, Jean-Christophe, Frobert, Emilie, Argaud, Laurent, Rimmele, Thomas, Lukaszewicz, Anne-Claire, Aubrun, Frédéric, Dailler, Frédéric, Fellahi, Jean-Luc, Bohe, Julien, Piriou, Vincent, Allaouchiche, Bernard, Friggeri, Arnaud, and Wallet, Florent

Published
2024
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7. Comparison of landiolol and amiodarone for the treatment of new-onset atrial fibrillation after cardiac surgery (FAAC) trial: study protocol for a randomized controlled trial

Author

Caspersen, Edouard, Guinot, Pierre-Grégoire, Rozec, Bertrand, Oilleau, Jean-Ferréol, Fellahi, Jean-Luc, Gaudard, Philippe, Lorne, Emmanuel, Mahjoub, Yazine, Besnier, Emmanuel, Moussa, Mouhamed Djahoum, Mongardon, Nicolas, Hanouz, Jean-Luc, Briant, Anaïs R., Paul, Laure Peyro Saint, Tomadesso, Clémence, Parienti, Jean-Jacques, Descamps, Richard, Denisenko, Alina, and Fischer, Marc-Olivier

Published
2023
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14. Perioperative individualized hemodynamic optimization according to baseline mean arterial pressure in cardiac surgery patients: Rationale and design of the OPTIPAM randomized trial

Author

Descamps, Richard, Amour, Julien, Besnier, Emmanuel, Bougle, Adrien, Charbonneau, Hélène, Charvin, Martin, Cholley, Bernard, Desebbe, Olivier, Fellahi, Jean-Luc, Frasca, Denis, Labaste, François, Lena, Diane, Mahjoub, Yazine, Mertes, Paul-Michel, Molliex, Serge, Moury, Pierre-Henri, Moussa, Mouhamed Djahoum, Oilleau, Jean-Ferreol, Ouattara, Alexandre, Provenchere, Sophie, Rozec, Bertand, Parienti, Jean-Jacques, and Fischer, Marc-Olivier

Published
2023
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16. Réhabilitation améliorée après chirurgie cardiaque adulte sous CEC ou à cœur battant 2021

Author

Mertes, Paul Michel, Kindo, Michel, Amour, Julien, Baufreton, Christophe, Camilleri, Lionel, Caus, Thierry, Chatel, Didier, Cholley, Bernard, Curtil, Alain, Grimaud, Jean-Philippe, Houel, Rémi, Kattou, Fehmi, Fellahi, Jean-Luc, Guidon, Catherine, Guinot, Pierre Grégoire, Lebreton, Guillaume, Marguerite, Sandrine, Ouattara, Alexandre, Fruithiot, Sophie Provenchère, Rozec, Bertrand, Verhove, Jean-Philippe, Vincentelli, André, and Charbonneau, Hélène

Published
2022
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21. Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump

Author

Mertes, Paul-Michel, Kindo, Michel, Amour, Julien, Baufreton, Christophe, Camilleri, Lionel, Caus, Thierry, Chatel, Didier, Cholley, Bernard, Curtil, Alain, Grimaud, Jean-Philippe, Houel, Rémi, Kattou, Fehmi, Fellahi, Jean-Luc, Guidon, Catherine, Guinot, Pierre-Grégoire, Lebreton, Guillaume, Marguerite, Sandrine, Ouattara, Alexandre, Provenchère Fruithiot, Sophie, Rozec, Bertrand, Verhoye, Jean-Philippe, Vincentelli, André, and Charbonneau, Hélène

Published
2022
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25. Vasopressor Therapy in Cardiac Surgery—An Experts’ Consensus Statement

Author

Guarracino, Fabio, Habicher, Marit, Treskatsch, Sascha, Sander, Michael, Szekely, Andrea, Paternoster, Gianluca, Salvi, Luca, Lysenko, Lidia, Gaudard, Phillipe, Giannakopoulos, Perikles, Kilger, Erich, Rompola, Amalia, Häberle, Helene, Knotzer, Johann, Schirmer, Uwe, Fellahi, Jean-Luc, Hajjar, Ludhmila Abrahao, Kettner, Stephan, Groesdonk, Heinrich Volker, and Heringlake, Matthias

Published
2021
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33. Use of Aprotinin versus Tranexamic Acid in Cardiac Surgery Patients with High-Risk for Excessive Bleeding (APACHE) trial: a multicentre retrospective comparative non-randomized historical study.

Author

Gallo, Eloïse, Gaudard, Philippe, Provenchère, Sophie, Souab, Fouzia, Schwab, Anaïs, Bedague, Damien, Barre, Hugues de La, Tymowski, Christian de, Saadi, Laysa, Rozec, Bertrand, Cholley, Bernard, Scherrer, Bruno, Fellahi, Jean-Luc, Ouattara, Alexandre, and investigators, APACHE

Subjects
TRANEXAMIC acid, CARDIAC surgery, APROTININ, CARDIAC patients, HEMORRHAGE
Abstract

Open in new tab Download slide OBJECTIVES Following the reintroduction of aprotinin into the European market, the French Society of Cardiovascular and Thoracic Anaesthesiologists recommended its prophylactic use at half-dose for high-risk cardiac surgery patients. We examined whether the use of aprotinin instead of tranexamic acid could significantly reduce severe perioperative bleeding. METHODS This multicentre, retrospective, historical study included cardiac surgery patients treated with aprotinin or tranexamic acid between December 2017 and September 2020. The primary efficacy end point was the severe or massive perioperative bleeding (class 3–4 of the universal definition of perioperative bleeding). The safety secondary end points included the occurrence of thromboembolic events and all-cause mortality within 30 days after surgery. RESULTS Among the 693 patients included in the study, 347 received aprotinin and 346 took tranexamic acid. The percentage of patients with severe or massive bleeding was similar in the 2 groups (42.1% vs 43.6%, Adjusted odds ratio [ORadj] = 0.87, 95% confidence interval: 0.62–1.23, P  =   0.44), as was the perioperative need for blood products (81.0% vs 83.2%, ORadj = 0.75, 95% confidence interval: 0.48–1.17, P  =   0.20). However, the median (Interquartile range) 12 h postoperative blood loss was significantly lower in the aprotinin group (383 ml [241–625] vs 450 ml [290–730], P  <   0.01). Compared to tranexamic acid, the intraoperative use of aprotinin was associated with increased risk for thromboembolic events (adjusted Hazard ratio 2.30 [95% Cl: 1.06–5.30]; P  = 0.04). CONCLUSIONS Given the modest reduction in blood loss at the expense of a significant increase in thromboembolic adverse events, aprotinin use in high-risk cardiac surgery patients should be based on a carefully considered benefit–risk assessment. [ABSTRACT FROM AUTHOR]

Published
2024
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35. Perioperative management of patients with coronary artery disease undergoing non-cardiac surgery: Summary from the French Society of Anaesthesia and Intensive Care Medicine 2017 convention

Author

Fellahi, Jean-Luc, Godier, Anne, Benchetrit, Deborah, Berthier, Francis, Besch, Guillaume, Bochaton, Thomas, Bonnefoy-Cudraz, Eric, Coriat, Pierre, Gayat, Etienne, Hong, Alex, Jenck, Sophie, Le Gall, Arthur, Longrois, Dan, Martin, Anne-Céline, Pili-Floury, Sébastien, Piriou, Vincent, Provenchère, Sophie, Rozec, Bertrand, Samain, Emmanuel, Schweizer, Rémi, and Billard, Valérie

Published
2018
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36. The effect of local anesthetic continuous wound infusion for the prevention of postoperative pneumonia after on-pump cardiac surgery with sternotomy: the STERNOCAT randomized clinical trial

Author

Amour, Julien, Cholley, Bernard, Ouattara, Alexandre, Longrois, Dan, Leprince, Pascal, Fellahi, Jean-Luc, and Riou, Bruno

Subjects
Coronary artery bypass -- Research, Bacterial pneumonia -- Prevention -- Research, Bupivacaine -- Research, Pneumonia -- Prevention -- Research, Clinical trials -- Research, Anesthesia -- Research, Health care industry
Abstract

Purpose Postoperative pain after cardiac surgery, exacerbated by cough and sternal mobilization, limits clearance of bronchopulmonary secretions and may predispose to postoperative pneumonia. In this study, we tested the ability of local anesthetic continuous wound infusion to prevent pneumonia after cardiac surgery with sternotomy and cardiopulmonary bypass (CPB) owing to better analgesia and bronchopulmonary drainage. Methods In this randomized, double-blind, placebo-controlled trial conducted in five academic centers, patients undergoing cardiac surgery with sternotomy and CPB were enrolled from February 2012 until November 2014, and were followed over 30 days. Patients were assigned to a 48-h infusion (10 ml h.sup.-1) of l-bupivacaine (12.5 mg h.sup.-1) or placebo (saline) via a pre-sternal multiperforated catheter. Anesthesia and analgesia protocols were standardized. The primary end point was the incidence of pneumonia during the study period, i.e., until hospital discharge or 30 days. We hypothesized a 30% reduction in the incidence of pneumonia. Results Among 1493 randomized patients, 1439 completed the trial. Pneumonia occurred in 36/746 patients (4.9%) in the l-bupivacaine group and in 42/739 patients (5.7%) in the placebo group (absolute risk difference taking into account center and baseline risk of postoperative pneumonia, - 1.3% [95% CI - 3.4; 0.8] P = 0.22). In the predefined subgroup of patients at high risk, l-bupivacaine decreased the incidence of pneumonia (absolute risk difference, - 5.6% [95% CI - 10.0; - 1.1], P = 0.01). Conclusions After cardiac surgery with sternotomy, continuous wound infusion of l-bupivacaine failed to decrease the incidence of pneumonia. These findings do not support the use of local anesthetic continuous wound infusion in this indication. Further study should investigate its effect in high-risk patients. Trial registration EudraCT Number: 2011-003292-10; Clinicaltrials.gov Identifier: NCT01648777., Author(s): Julien Amour [sup.1], Bernard Cholley [sup.2], Alexandre Ouattara [sup.3], Dan Longrois [sup.4], Pascal Leprince [sup.5], Jean-Luc Fellahi [sup.6], Bruno Riou [sup.7], Sarah Hariri [sup.1], Christian Latrémouille [sup.8], Alain Rémy [...]

Published
2019
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48. A perioperative surgeon-controlled open-lung approach versus conventional protective ventilation with low positive end-expiratory pressure in cardiac surgery with cardiopulmonary bypass (PROVECS): study protocol for a randomized controlled trial

Author

Lagier, David, Fischer, François, Fornier, William, Fellahi, Jean-Luc, Colson, Pascal, Cholley, Bernard, Jaber, Samir, Baumstarck, Karine, Guidon, Catherine, and for the PROVECS investigators and the ARCOTHOVA group

Published
2018
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