Ashley Lanys

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RATIONALE Diaphragm atrophy and dysfunction have been reported in humans during mechanical ventilation, but the prevalence, causes, and functional impact of changes in diaphragm thickness during routine mechanical ventilation for critically ill patients are unknown. OBJECTIVES To describe the evolution of diaphragm thickness over time during mechanical(More)
BACKGROUND Despite their potential interest for clinical management, measurements of respiratory mechanics in patients with acute respiratory distress syndrome (ARDS) are seldom performed in routine practice. We introduced a systematic assessment of respiratory mechanics in our clinical practice. After the first year of clinical use, we retrospectively(More)
RATIONALE Spontaneous breathing trials (SBTs) are designed to simulate conditions after extubation, and it is essential to understand the physiologic impact of different methods. OBJECTIVES We conducted a systematic review and pooled measures reflecting patient respiratory effort among studies comparing SBT methods in a meta-analysis. METHODS We(More)
award winning session A460<lb>Pre-hospital emergency anaesthesia in awake hypotensive trauma<lb>patients: life saving or detrimental?<lb>K. Crewdson, M. Rehn, A. Weaver, K. Brohi, D. Lockey London's Air Ambulance, Pre-hospital Emergency Medicine, London, UK<lb>Correspondence: K. Crewdson London's Air Ambulance, Pre-hospital Emergency Medicine, London,(More)
Rationale Diaphragm dysfunction worsens outcomes in mechanically ventilated patients but the clinical impact of potentially preventable changes in diaphragm structure and function due to mechanical ventilation is unknown. Objectives To determine whether diaphragm atrophy developing during mechanical ventilation leads to prolonged ventilation. Methods(More)
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