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Épreuve diagnostiques de la fonction cardiorespiratoire
Soins critiques
Électrophysiologie
Soins à domicile
Anesthésie
Laboratoire du sommeil
ARTICLES
Épreuves diagnostiques de la fonction cardiorespiratoire
Prognostic Value of Impaired Spirometry in Patients with Myocardial Infarction: A Longitudinal Study of Two European Cohorts
Int J Chron Obstruct Pulmon Dis. 2026 Apr 2;21:580301. doi: 10.2147/COPD.S580301. eCollection 2026.ABSTRACTPURPOSE: The study aimed to investigate the associations between impaired spirometry such as obstructive pattern and preserved ratio impaired spirometry (PRISm) and occurrent cardiovascular events and deaths in patients with acute myocardial infarction.PATIENTS AND METHODS: Cohort study of 517 …
Home Spirometry as a Clinical Trial Endpoint in People with Cystic Fibrosis: Results of the OUTREACH Study
Ann Am Thorac Soc. 2026 Apr 25:aaoag107. doi: 10.1093/annalsats/aaoag107. Online ahead of print.ABSTRACTRATIONALE: Change from baseline in FEV1 is a primary endpoint for many traditional clinical trials in cystic fibrosis (CF). Home spirometry holds promise as an endpoint for decentralized clinical trials, yet its cross sectional and longitudinal accuracy …
Status and influencing factors analysis of activity level in patients with mechanical ventilation in intensive care unit
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2026 Mar;38(3):273-277. doi: 10.3760/cma.j.cn121430-20250731-00413.ABSTRACTOBJECTIVE: To analyze the status and influencing factors of activity level among mechanically ventilated patients in intensive care unit (ICU), and to provide a references for promoting the implementation of early rehabilitation and rapid …
Respiratory failure after tracheal extubation secondary to phrenic nerve blockade and acute right hemidiaphragmatic paresis following supraclavicular brachial plexus anaesthesia
BMJ Case Rep. 2026 Jan 7;19(1):e268077. doi: 10.1136/bcr-2025-268077.ABSTRACTA man in his 70s with Parkinson's disease underwent urgent below-elbow amputation for gangrenous sepsis. A right supraclavicular brachial plexus catheter was placed for postoperative analgesia. Shortly after tracheal extubation, he developed acute hypercapnic respiratory failure due to ipsilateral hemidiaphragmatic paresis, requiring …
Effects of Continuous Positive Airway Pressure on the Degree of Sleepiness, Functional Quality of Sleep, and Electrophysiological Hearing Responses in Individuals with Obstructive Sleep Apnea
Sleep Sci. 2025 Jul 7;18(3):e281-e291. doi: 10.1055/s-0045-1809060. eCollection 2025 Sep.ABSTRACTINTRODUCTION: Obstructive sleep apnea (OSA) affects nerve impulse transmission in the auditory pathway due to oxygen supply. Continuous positive airway pressure (CPAP) therapy improves oxygen levels, potentially alleviating sleepiness and enhancing central auditory pathway function.OBJECTIVE: To longitudinally evaluate the …
Cardiac phase variability in pulmonary root geometry: implications for electrophysiological mapping and ablation
J Interv Card Electrophysiol. 2026 Jan;69(1):99-107. doi: 10.1007/s10840-025-02143-3. Epub 2025 Oct 6.ABSTRACTBACKGROUND: The pulmonary root has emerged as a critical target for catheter ablation of ventricular arrhythmias, accounting for approximately 11% of idiopathic outflow tract arrhythmias. Current electroanatomical mapping systems assume stable cardiac geometry throughout the cardiac cycle, yet …
Impact of two sedation protocols on cardiac electrophysiology during spinal anesthesia
Turk J Med Sci. 2026 Jan 19;56(2):479-488. doi: 10.55730/1300-0144.6182. eCollection 2026.ABSTRACTBACKGROUND/AIM: Perioperative factors such as anesthetic drugs, central blocks, surgical stress, pain, and anxiety can affect cardiac electrophysiology and increase the risk of arrhythmias. Arrhythmia susceptibility can be assessed using ventricular markers such as the QT interval (QT), heart rate-corrected …
A Personalized, Home-Based, Multidisciplinary Outpatient Clinic for Managing Breathlessness in Chronic Obstructive Pulmonary Disease: Protocol for a Single-Arm, Mixed-Methods Cohort Study
JMIR Res Protoc. 2026 Apr 2;15:e85766. doi: 10.2196/85766.ABSTRACTBACKGROUND: Breathlessness is a distressing symptom for people with chronic obstructive pulmonary disease (COPD), impacting independence and community participation, resulting in reduced quality of life. With optimized treatment, nonpharmaceutical interventions deployed in a home-based breathlessness intervention service may reduce breathlessness to a manageable level.…
Non-Invasive Ventilation in Hypercapnic Acute Respiratory Failure : Hospital Outcomes And Home Follow-Up
Tunis Med. 2025 Dec 15;103(12):1799-1806. doi: 10.62438/tunismed.v103i12.6047.ABSTRACTINTRODUCTION: Non-invasive ventilation (NIV) is beneficial in hypercapnic acute respiratory Failure (ARF) for enhancing alveolar ventilation and reducing the need for intubation. Follow- Up care is essential for effective management. Our study aims to identify best practices for acute NIV and home …
Outpatient versus inpatient initiation of home mechanical ventilation in patients with amyotrophic lateral sclerosis - a protocol for a randomised trial
Dan Med J. 2026 Mar 19;73(4):A09250733. doi: 10.61409/A09250733.ABSTRACTINTRODUCTION: In-home non-invasive ventilation (NIV) is associated with prolonged life and improved quality of life in patients with hypoventilation due to amyotrophic lateral sclerosis (ALS). The initiation of NIV is scheduled for a 1-2-night hospital stay. Telemedicine enables remote monitoring and adjustment …
Organization and delivery of home-based care for chronic obstructive pulmonary disease patients receiving long-term home non-invasive ventilation: a systematic review
Eur J Intern Med. 2026 Apr 14:106880. doi: 10.1016/j.ejim.2026.106880. Online ahead of print.ABSTRACTBACKGROUND: Chronic obstructive pulmonary disease (COPD) contributes substantially to morbidity, mortality, and healthcare costs. For patients with chronic respiratory failure, long-term home non-invasive ventilation (LTHNIV) is an effective therapy, yet existing guidelines offer little direction on the most …
Impact of a Functional Intervention with Home Follow-Up on Respiratory Symptoms and Functionality in Oncology Patients: A Randomised Clinical Trial
Support Care Cancer. 2026 Apr 29;34(5):477. doi: 10.1007/s00520-026-10725-8.ABSTRACTPURPOSE: This study aimed to determine whether an Effort Re-education Programme (ERP) delivered after hospital discharge yields greater improvements in functionality than Conventional Clinical Practice (CCP) in oncology patients with associated respiratory symptoms.METHODS: A stratified randomised clinical trial was conducted …
Non-invasive respiratory supports and criteria for intubation in randomised trials of acute hypoxaemic respiratory failure: a systematic review and network meta-analysis
Lancet Respir Med. 2026 Apr 22:S2213-2600(26)00039-1. doi: 10.1016/S2213-2600(26)00039-1. Online ahead of print.ABSTRACTBACKGROUND: Patients with acute hypoxaemic respiratory failure (AHRF) can be treated with non-invasive respiratory supports. We aimed to update a network meta-analysis of these treatments, and investigate whether the use of criteria for intubation in …
The impact of a single night of continuous positive airway pressure titration on postural balance in patients with severe obstructive sleep apnea syndrome
DFCNet: A Precise Detection Approach for Obstructive Sleep Apnea-Hypopnea Events Using Airflow and Respiratory Effort Signals
IEEE J Biomed Health Inform. 2026 Apr 28;PP. doi: 10.1109/JBHI.2026.3688540. Online ahead of print.ABSTRACTOBJECTIVE: The diagnosis of Sleep Apnea-Hypopnea Syndrome (SAHS) holds significant importance for assessing sleep quality and treating sleep disorders. However, the detection of hypopnea events has not been given due emphasis, and the precise delineation of event …
Impact of continuous positive airway pressure therapy on renin-angiotensin-aldosterone system in obstructive sleep apnea: an updated systematic review and meta-analysis
Differences in sleep spindles and polysomnography in humans: a meta-analysis on the influence of age, sex, and cognitive ability
Front Sleep. 2026 Apr 14;5:1802882. doi: 10.3389/frsle.2026.1802882. eCollection 2026.ABSTRACTThis meta-analysis examines EEG sleep spindle and macrostructure differences in humans related to healthy aging, sex, and cognitive ability. Inclusion criteria required quantitative EEG data of healthy subjects, including sleep spindle properties and sleep polysomnography comparing younger to older subjects, females to males, and/…
EIT-guided individualized PEEP titration versus conventional lung-protective ventilation to prevent pulmonary complications in laparoscopic bariatric surgery: a study protocol for a randomized controlled trial
Airway ultrasound in anaesthesia training: a scoping review
Br J Anaesth. 2026 Apr 22:S0007-0912(26)00167-4. doi: 10.1016/j.bja.2026.03.017. Online ahead of print.ABSTRACTBACKGROUND: Airway ultrasound has become increasingly valuable in anaesthesia for airway assessment, tracheal intubation confirmation, and identification of anatomical variation. Despite its growing clinical role, integration into anaesthesia training programmes remains inconsistent globally. This scoping review …
Refractory cardiac arrest during epidural anesthesia for caesarean section in a patient with supra-systemic pulmonary hypertension rescued by VA ECMO
Saudi J Anaesth. 2026 Apr 2;20(2):470-472. doi: 10.4103/sja.sja_899_25. eCollection 2026 Apr-Jun.ABSTRACTPatients with severe pulmonary arterial hypertension (PAH) tolerate the hemodynamic changes of pregnancy poorly and should be referred early to an experienced expert multidisciplinary team (MDT) in a tertiary care center early in pregnancy. Idiopathic pulmonary arterial hypertension, which is …
Ultrasound-assisted neuraxial anaesthesia in an adult patient with repaired spina bifida, scoliosis and difficult airway
BMJ Case Rep. 2026 Apr 24;19(4):e271667. doi: 10.1136/bcr-2025-271667.ABSTRACTPatients with spina bifida (SB) undergoing neuraxial anaesthesia have increased risk of further neurologic injury due to altered spinal anatomy. Meanwhile, scoliosis is associated with concomitant restrictive lung diseases. While research has been focused on managing secondary comorbidities related to SB, limited …