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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
Frailty as a Key Determinant of Cardiovascular Risk and Mortality in Preserved Ratio Impaired Spirometry: A Nationally Representative Study
Clin Respir J. 2026 Jan;20(1):e70165. doi: 10.1111/crj.70165.ABSTRACTBACKGROUND: Preserved ratio impaired spirometry (PRISm) is associated with elevated cardiovascular disease (CVD) risk and progression to COPD, but the underlying mechanisms remain unclear. Frailty is known to worsen outcomes in COPD; however, its role in PRISm has not been well defined. This …
Restriction with Normal Spirometry: A Retrospective Cohort Study
medRxiv [Preprint]. 2025 Dec 16:2025.12.15.25342141. doi: 10.64898/2025.12.15.25342141.ABSTRACTBACKGROUND: Though a normal forced vital capacity (FVC) is typically thought to imply the absence of restriction, recent data suggest that restriction may in fact be common among patients with normal spirometry. However, the clinical significance of restriction with normal spirometry is unknown.RESEARCH QUESTION: What …
Preserved Ratio Impaired Spirometry and Restrictive Spirometric Pattern in Obese Populations: Clinical Relevance with Daytime Hypercapnia
Respir Med. 2025 Dec 19:108601. doi: 10.1016/j.rmed.2025.108601. Online ahead of print.ABSTRACTOBJECTIVE: Obesity hypoventilation syndrome is defined as daytime hypercapnia in obese individuals without other underlying causes, associated with reduced lung volume. Preserved ratio impaired spirometry (PRISm) and restrictive spirometric pattern (RSP) are different spirometry patterns. In this pilot study, we …
Zone of z-scores uncertainty in pulmonary function interpretation: A proof-of-concept study from CO and NO lung diffusing capacities
Respir Med. 2025 Dec 18:108600. doi: 10.1016/j.rmed.2025.108600. Online ahead of print.ABSTRACTBACKGROUND: The probabilistic interpretation of unusually low lung diffusing capacity (DL) has been recently standardized but the impact of different reactive gases, reference equations and structural abnormalities on definition of lower limits of normal (LLN) is not well established.METHODS …
Construction and empirical study of an early exercise protocol based on the ICU mobility scale model for difficult-to-wean intensive care unit patients
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2025 Dec;37(12):1139-1146. doi: 10.3760/cma.j.cn121430-20241021-00503.ABSTRACTOBJECTIVE: To investigate the clinical effectiveness of an early mobilization protocol based on the ICU mobility scale (IMS) movement model in intensive care unit (ICU) patients with difficult weaning from mechanical ventilation.METHODS: A …
Cannulation-related wound complications after extra corporeal life support: A retrospective cohort study in a Dutch intensive care unit
PLoS One. 2025 Dec 22;20(12):e0337952. doi: 10.1371/journal.pone.0337952. eCollection 2025.ABSTRACTExtracorporeal life support (ECLS) is a high-risk therapy for acute cardiac or respiratory failure. After weaning, wound healing at the cannulation site is often disrupted, leading to discomfort, delayed recovery, increased nursing workload, and higher costs. Available data on this issue is …
Effects of early off-bed activity on respiratory mechanics in intensive care unit patients undergoing mechanical ventilation
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2025 Dec;37(12):1133-1138. doi: 10.3760/cma.j.cn121430-20250108-00025.ABSTRACTOBJECTIVE: To investigate the effects of an early off-bed activity protocol on respiratory mechanics in intensive care unit (ICU) patients receiving invasive mechanical ventilation via endotracheal intubation.METHODS: A prospective randomized controlled trial was …
The Relationship Between the Index of Cardio-Electrophysiological Balance and the Non-Dipper Hypertensive Pattern in Patients With Newly Diagnosed Hypertension
J Clin Hypertens (Greenwich). 2026 Jan;28(1):e70196. doi: 10.1111/jch.70196.ABSTRACTThe connection between different electrocardiography (ECG) parameters and circadian blood pressure (BP) variations in patients with hypertension (HT) has been investigated. The index of cardio-electrophysiological balance (iCEB), determined as the quotient of the QT interval and the QRS duration, offers an assessment …
Home mechanical ventilation in adults: Clinical practice recommendations from the Portuguese Respiratory Society home mechanical ventilation assembly
Pulmonology. 2025 Dec 31;31(1):2598915. doi: 10.1080/25310429.2025.2598915. Epub 2025 Dec 22.ABSTRACTBackground: The use of home mechanical ventilation (HMV) has been increasing worldwide, driven by widening of clinical applications and improved patient survival rates. In Portugal, recent data indicate an even faster growth, although national HMV recommendations have remained unchanged for 25 years. Research question: We aimed …
Navigating the complexities of home-based palliative care: Lessons from a case of advanced cancer
J Cancer Res Ther. 2025 Oct 1;21(7):1439-1442. doi: 10.4103/jcrt.jcrt_439_25. Epub 2025 Dec 31.ABSTRACTHome-based palliative care offers a compassionate way to support terminally ill patients in familiar settings, but its implementation in resource-limited environments is challenging. We share our experience with a 35-year-old man with advanced squamous cell carcinoma of the tongue, …
Evaluation of factors influencing the reduction of home mechanical ventilation dependency in patients planned to receive home health care
BMC Palliat Care. 2026 Jan 2. doi: 10.1186/s12904-025-01966-1. Online ahead of print.ABSTRACTBACKGROUND: With increasing life expectancy and the growing burden of chronic diseases, healthcare systems are shifting from hospital-centered models to community- and home-based care. The use of home mechanical ventilators (HMVs) facilitates early discharge from hospital settings …
Service Delivery Models of Respite Care for Adults with Cancer: A Scoping Review
Author Names: Kheibar N.,Rahmani A.,Pakpour V.,Rassouli M.,Sadeghi-Ghyassi F. Database Source: Embase Daily Updates Journal Title: Seminars in oncology nursing Article Title: Service Delivery Models of Respite Care for Adults with Cancer: A Scoping Review Year: 2025 Issue: Volume: Abstract: OBJECTIVE: To identify, describe, and compare existing gray …
Overview of the hypnodensity approach to scoring sleep for polysomnography and home sleep testing
Front Sleep. 2023 Apr 17;2:1163477. doi: 10.3389/frsle.2023.1163477. eCollection 2023.ABSTRACTHuman experts scoring sleep according to the American Academy of Sleep Medicine (AASM) rules are forced to select, for every 30-second epoch, one out of five stages, even if the characteristics of the neurological signals are ambiguous, a very common occurrence in clinical studies. …
Validation of spectral sleep scoring with polysomnography using forehead EEG device
Front Sleep. 2024 May 10;3:1349537. doi: 10.3389/frsle.2024.1349537. eCollection 2024.ABSTRACTINTRODUCTION: Visual scoring of sleep electroencephalography (EEG) has long been considered the gold standard for sleep staging. However, it has several drawbacks, including high cost, time-intensiveness, vulnerability to human variability, discomfort to patients, lack of visualization to validate the hypnogram, and no acknowledgment of …
Factors influencing excessive daytime sleepiness in obstructive sleep apnea: A retrospective cohort analysis integrating psychological assessment with polysomnography
J Psychosom Res. 2025 Dec 24;201:112502. doi: 10.1016/j.jpsychores.2025.112502. Online ahead of print.ABSTRACTOBJECTIVE: This study aimed to systematically evaluate psychological and polysomnographic parameters to analyze factors influencing excessive daytime sleepiness (EDS) in patients with obstructive sleep apnea (OSA).METHODS: We conducted a retrospective study of 318 adult OSA patients from a tertiary …
Discrepancies in Subjective Sleep Quality Between Home and Hospital Settings: Insights of Hypnotic Agents Use with Post-Polysomnography Questionnaire
Diagnostics (Basel). 2025 Dec 11;15(24):3153. doi: 10.3390/diagnostics15243153.ABSTRACTBackground/Objectives: Polysomnography (PSG) is the gold standard for diagnosing sleep-disordered breathing (SDB). However, in a hospital testing setting, it may produce the first-night effect, viz., prolonged sleep latency, lower sleep efficiency, and uncertain apnea-hypopnea index (AHI). Here, we aim to determine the influences of …
Recent Change in Anhedonia, Major Depression and Low-Grade Inflammation: Dangerous Liaisons? A Study Based on a Cohort Referred for Polysomnography
Medicina (Kaunas). 2025 Nov 28;61(12):2125. doi: 10.3390/medicina61122125.ABSTRACTBackground and Objectives: Anhedonia is a core symptom of major depressive disorder (MDD) and worsens its prognosis. Inflammation has been associated with MDD, contributing to the severity of this pathology despite no clear clinical guidance on whether it should be integrated into the diagnosis or …
Assessing the performance of a portable electroencephalographic sleep monitor against level 1 polysomnography
Sleep Adv. 2025 Dec 12;7(1):zpaf089. doi: 10.1093/sleepadvances/zpaf089. eCollection 2026.ABSTRACTSTUDY OBJECTIVES: To assess the performance of a portable electroencephalography device for sleep monitoring against polysomnography.METHOD: Fifty-six adults underwent one night of in-laboratory sleep recording with the Muse-S headband and simultaneous level 1 polysomnography. Muse-S data were scored by an automated sleep …
The relationship between clinical severity of obstructive sleep apnea based on polysomnography and drug-induced sleep endoscopy with 3D, 2D, linear, and angular anatomical parameters of upper airway and craniofacial area in CBCTs of individuals with moderate or severe apnea: a cross-sectional study
Clin Oral Investig. 2026 Jan 14;30(1):50. doi: 10.1007/s00784-025-06728-0.ABSTRACTOBJECTIVE: The objective of this study is to determine the relationship between location of upper airway respiratory collapse using drug-induced sleep endoscopy (DISE) technique and craniofacial morphology using cone beam computed tomography scans (CBCT) in patients diagnosed with moderate to severe …
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 …
Feasibility of Oxygraphy for the Noninvasive Measurement of PAO2 in Anesthetized Patients.
Respiratory Care; 12/01/2025The article focuses on the evaluation of time-based oxygraphy as a noninvasive method for measuring the alveolar partial pressure of oxygen (PaO2) in mechanically ventilated patients undergoing general anesthesia. It discusses the limitations of the traditional alveolar-gas equation, which requires arterial blood samples, and highlights the advantages of …
Effectiveness of maintaining oxygenation of a new high flow nasal cannula for endoscopic retrograde cholangiopancreatography during intravenous anesthesia
Trials. 2026 Jan 13. doi: 10.1186/s13063-025-09421-5. Online ahead of print.ABSTRACTBACKGROUND: Intravenous anesthesia during endoscopic retrograde cholangiopancreatography (ERCP) is associated with a high incidence of respiratory depression. High-flow nasal cannula (HFNC) therapy uses a mild positive pressure load to enhance carbon dioxide washout and reduce rebreathing, thereby improving respiratory …
Effects of Tracheal Intubation and PEEP on Respiratory Mechanics in Children Without Lung Injury Under General Anesthesia
Pediatr Pulmonol. 2026 Jan;61(1):e71468. doi: 10.1002/ppul.71468.ABSTRACTBACKGROUND: Data on the physiological impact of tracheal intubation and positive end-expiratory pressure (PEEP) on respiratory mechanics in anesthetized children are scarce. We aimed to evaluate the mechanical effects of intubation and PEEP in children without lung pathology under general anesthesia.METHODS: Prospective physiologic …
