Research Topics
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Publications
Thirty years of critical care medicineJean Louis Vincent
Department of Intensive Care, Erasme Hospital, Universite Libre de Bruxelles, Route de Lennik 808, 1070 Bruxelles, Belgium
Crit Care 14:311. 2010..We then look at the process of care and realize that, here, huge progress has been made. Lastly, we suggest how critical care medicine will continue to evolve for the better over the next 30 years...
Science review: The brain in sepsis--culprit and victimTarek Sharshar
, , , , Garches, France
Crit Care 9:37-44. 2005..In parallel, damage within autonomic nervous and neuroendocrine systems may contribute to sepsis induced organ dysfunction...
Clinical review: corticotherapy in sepsisHelene Prigent
, , Garches, France
Crit Care 8:122-9. 2004..Finally, we propose a decision tree for diagnosis of adrenal insufficiency and institution of cortisol replacement therapy...
A 3-level prognostic classification in septic shock based on cortisol levels and cortisol response to corticotropinD Annane
Department of Intensive Care Unit, Hospital Raymond Poincare, School of Medicine of Paris Ouest, Garches, France
JAMA 283:1038-45. 2000..The hypothalamic-pituitary-adrenal axis is a major determinant of the host response to stress. The relationship between its activation and patient outcome is not known...
Hyperbaric oxygen therapy for radionecrosis of the jaw: a randomized, placebo-controlled, double-blind trial from the ORN96 study groupDjillali Annane
Service de Réanimation Médicale Hôpital Raymond Poincaré AP HP, Universite de Versailles Saint Quentin en Yvelines, 104 boulevard Raymond Poincaré, 92380 Garches, France
J Clin Oncol 22:4893-900. 2004..To determine the efficacy and safety of hyperbaric oxygen therapy (HBO) for overt mandibular osteoradionecrosis...
Corticosteroids for severe sepsis and septic shock: a systematic review and meta-analysisDjillali Annane
Critical Care Department, Universite de Versailles Saint Quentin en Yvelines, Assistance Publique Hopitaux de Paris, Hopital Raymond Poincare, Garches 92380, France
BMJ 329:480. 2004..To assess the effects of corticosteroids on mortality in patients with severe sepsis and septic shock...
Current epidemiology of septic shock: the CUB-Réa NetworkDjillali Annane
Service de Reanimation Medicale, Hopital Raymond Poincare, Faculte de Medecine Paris Ile de France Ouest, Université de Versaille Saint Quentinen Yvelinnes, 104, Boulevard Raymond Poincare, 92380 Garches, France
Am J Respir Crit Care Med 168:165-72. 2003..The frequency of septic shock is increasing with more multiresistant strains. Its crude mortality rate is decreasing, but patients with septic shock still have a high excess risk of death than critically ill patients who are nonseptic...
Managing toxic shock syndrome with antibioticsDjillali Annane
Intensive Care Unit Raymond Poincaré University Hospital, AP HP, School of Medicine Paris Ile de France Ouest, University Versailles Saint Quentin en Yvelines, 104 boulevard Raymond Poincaré, 92380 Garches, France
Expert Opin Pharmacother 5:1701-10. 2004..This paper aims to provide an overview of the epidemiology, pathomechanisms, and clinical presentation of TSS, and criteria for selecting drugs among available antibiotics...
Corticosteroids in the treatment of severe sepsis and septic shock in adults: a systematic reviewDjillali Annane
Critical Care Department, Hopital Raymond Poincare, Assistance Publique Hopitaux de Paris, 104 boulevard Raymond Poincaré, 92380 Garches, France
JAMA 301:2362-75. 2009..The benefit of corticosteroids in severe sepsis and septic shock remains controversial...
Effect of treatment with low doses of hydrocortisone and fludrocortisone on mortality in patients with septic shockDjillali Annane
Service de Reanimation Medicale, Hopital Raymond Poincare, 104 Blvd Raymond Poincaré, 92380 Garches, France
JAMA 288:862-71. 2002..Septic shock may be associated with relative adrenal insufficiency. Thus, a replacement therapy of low doses of corticosteroids has been proposed to treat septic shock...
Cortisol replacement for severe sepsis and septic shock: what should I do?Djillali Annane
Intensive Care Department, Raymond Poincare University Hospital, Garches, France
Crit Care 6:190-1. 2002..Similarly, in patients with severe sepsis who do not need vasopressors, the benefit/risk ratio of cortisol replacement remains to be assessed...
The effect of waiving consent on enrollment in a sepsis trialDjillali Annane
Service de Reanimation Medicale, hôpital Raymond Poincaré AP HP, Universite de Versailles Saint Quentin en Yvelines, 104 boulevard Raymond Poincaré, 92380 Garches, France
Intensive Care Med 30:321-4. 2004....
Compartmentalised inducible nitric-oxide synthase activity in septic shockD Annane
Service de Reanimation Medicale, Hopital Raymond Poincare, Assistance Publique Hopitaux de Paris, Faculte de Medecine, France
Lancet 355:1143-8. 2000..Previous experimental studies support a role for inducible nitric-oxide synthase (iNOS) in the pathogenesis of severe sepsis. The aim of the study was to characterise iNOS activity in different tissues in patients with septic shock...
Corticosteroids for septic shockD Annane
Service de Reanimation Medicale, Hopital Raymond Poincare, Faculté de médecine Paris Ouest, University Paris V, Garches, France
Crit Care Med 29:S117-20. 2001..To gather the data to provide a rationale for using replacement therapy with hydrocortisone in septic shock patients...
[Corticotherapy in severe infectious states]D Annane
Service de Reanimation Medicale, Hopital Raymond Poincare, 104, Boulevard Raymond Poincare, 92380 Garches
Bull Acad Natl Med 184:1631-40; discussion 1640-2. 2000..These trials strongly suggested that this strategy of corticotherapy reduced the morbidity of septic shock and may favourably affect survival from septic shock...
Replacement therapy with hydrocortisone in catecholamine-dependent septic shockD Annane
Service de Reanimation Medicale, Hopital Raymond Poincare, Faculté de médecine Paris Ouest, Universite Paris V, Garches, France
J Endotoxin Res 7:305-9. 2001..These trials strongly suggest that this replacement therapy reduces the morbidity of septic shock and may favorably affect survival from septic shock...
Psychostimulants for hypersomnia (excessive daytime sleepiness) in myotonic dystrophyD Annane
Hopital Raymond Poincare, Assistance Publique Hopitaux de Paris, Critical Care Department, 104 boulevard Raymond Poincaré, Garches, Ile de France, France 92380
Cochrane Database Syst Rev 3:CD003218. 2006..Excessive daytime sleepiness is a common symptom of myotonic dystrophy. Psychostimulants are drugs increasingly used to treat hypersomnia in myotonic dystrophy...
Effect of low doses of corticosteroids in septic shock patients with or without early acute respiratory distress syndromeDjillali Annane
Service de Reanimation Medicale, Hopital Raymond Poincare, Assistance Publique Hopitaux de Paris, Faculte de Medecine Paris Ile de France Ouest, Universite de Versailles Saint Quentin en Yvelines, Garches, France
Crit Care Med 34:22-30. 2006..We investigated the efficacy of low doses of corticosteroids in septic shock patients with or without early acute respiratory distress syndrome (ARDS) by post hoc analysis of a previously completed clinical trial...
Cardiac variability in critically ill adults: influence of sepsisM Korach
, , , Garches, France
Crit Care Med 29:1380-5. 2001..47. CONCLUSIONS: This work suggests that impaired cardiac variability and notably sympathovagal balance (i.e., a low-frequency/high-frequency ratio <1.0) may be a diagnostic test for sepsis...
Effect of hydrocortisone on phenylephrine--mean arterial pressure dose-response relationship in septic shockE Bellissant
Laboratoire de Pharmacologie Experimentale et Clinique, Faculte de Medecine, Universite de Rennes I, France
Clin Pharmacol Ther 68:293-303. 2000....
Glucocorticoids in the treatment of severe sepsis and septic shockDjillali Annane
Service de Reanimation Medicale, hôpital Raymond Poincaré AP HP, Faculté de médecine Paris Ouest, Université Versailles Saint Quentin, 92380 Garches, France
Curr Opin Crit Care 11:449-53. 2005..This review provides opinion-based guidelines for the use of corticosteroids in severe sepsis and septic shock...
Glucocorticoid treatment in patients with septic shock: effects on vasopressor use and mortalityA Boyer
Critical Care Department, CHU Bordeaux, Bordeaux, France
Int J Clin Pharmacol Ther 44:309-18. 2006..64 - 0.90; p = 0.002) without heterogeneity across the trials (p = 0.28). In conclusion, in severe sepsis, high doses of corticosteroids should not be given. Septic shock should be treated with a replacement dose of hydrocortisone...
Plasma cortisol levels in Guillain-Barré syndromeJulian Strauss
Medical Intensive Care Unit, Raymond Poincaré Teaching Hospital, Garches, France
Crit Care Med 37:2436-40. 2009..One third of patients with Guillain-Barré syndrome develop respiratory failure, which is predicted by few early indicators. Adrenal function has rarely been studied in Guillain-Barré syndrome...
Glucocorticoids and sepsisJ Allary
Department of Anesthesiology and Critical Care, , University of Medicine, Paris Ile de France Ouest, Garches, France
Minerva Anestesiol 71:759-68. 2005..This article summarises why, when and how glucocorticoids should be used in the management of septic shock...
Supine fall in lung volumes in the assessment of diaphragmatic weakness in neuromuscular disordersC Fromageot
Service de Physiologie-Explorations Fonctionnelles, , Garches, France
Arch Phys Med Rehabil 82:123-8. 2001..0001). These factors contributed 52% and 14% of the Pdi sniff variance, respectively. CONCLUSIONS: Simple VC measurement in the sitting and supine positions may be helpful in detecting severe or predominant diaphragmatic weakness...
Guillain-Barré syndrome, greater Paris areaValérie Sivadon-Tardy
Laboratoire de Microbiologie, Hopital Raymond Poincare, Garches, France
Emerg Infect Dis 12:990-3. 2006..The cases with no known agent (60%) peaked in winter, and half were preceded by respiratory infection, influenza-like syndrome, or gastrointestinal illness...
Prevalence and factors of intensive care unit conflicts: the conflicus studyElie Azoulay
AP HP, Hopital Saint Louis, Medical ICU, University Paris 7 Paris Diderot, UFR de Medecine, 1 avenue Claude Vellefaux, 75010 Paris, France
Am J Respir Crit Care Med 180:853-60. 2009..Many sources of conflict exist in intensive care units (ICUs). Few studies recorded the prevalence, characteristics, and risk factors for conflicts in ICUs...
Adrenal insufficiency in sepsisDjillali Annane
Service de Reanimation, hôpital Raymond Poincaré AP HP, Université de Versailles SQY UniverSud Paris, 104 boulevard Raymond Poincaré, 92380 Garches, France
Curr Pharm Des 14:1882-6. 2008....
Corticosteroids in sepsis: from bench to bedside?Djillali Annane
Raymond Poincare Hospital, School of Medicine Paris Ile de France Ouest, University of Versailles Saint Quentin en Yvelinnes, 92380 Garches, France
Shock 20:197-207. 2003..Through these anti-inflammatory and cardiovascular effects, low doses of glucorticoids may improve septic shock survival...
[Heart involvement in sarcoglycanopathies]A Fayssoil
Réanimation Médicale, Université Versailles SQY, CHU Raymond Poincaré, 104, Boulevard Raymond Poincare, 92380 Garches, France Electronic address
Rev Neurol (Paris) 168:779-82. 2012..Clinical pictures include muscle weakness affecting mainly the proximal limb girdle musculature. We review heart involvement in this group of disease...
[Xigris and corticoids: what are the perspectives for the patient with severe sepsis?]D Annane
Service de Reanimation, hôpital Raymond Poincaré AP HP, 104, Boulevard Raymond Poincare, 92380 Garches, France
Ann Fr Anesth Reanim 22:43-5. 2003
[Corticotropic axis in septic shock]M Kloeckner
, , , 104, boulevard Raymond-Poincar, 92380 Garches, France
Ann Endocrinol (Paris) 68:281-9. 2007
Tongue weakness is associated with respiratory failure in patients with severe Guillain-Barré syndromeD Orlikowski
Services de Réanimation Médicale, Physiologie Explorations Fonctionnelles, Centre d Innovations Technologiques, Hopital Raymond Poincare, AP HP, Universite de Versailles Saint Quentin en Yvelines, Garches, France
Acta Neurol Scand 119:364-70. 2009..We prospectively evaluate how tongue weakness could be associated to bulbar dysfunction and respiratory weakness in severe GBS patients...
Science review: mechanisms of impaired adrenal function in sepsis and molecular actions of glucocorticoidsHelene Prigent
Service de Reanimation Medicale, Hopital Raymond Poincare, Assistance Publique Hopitaux de Paris, Faculte de Medecine Paris Ile de France Ouest, Universite de Versailles Saint Quentin en Yvelines, Garches, France
Crit Care 8:243-52. 2004..Nongenomic effects are probably subsequent to cytosolic interaction between the glucocorticoid receptor and proteins, or to interaction between glucocorticoids and specific membrane binding sites...
Diagnosis of adrenal insufficiency in severe sepsis and septic shockDjillali Annane
Service de Reanimation, hôpital Raymond Poincaré AP HP, Faculté de Médecine Paris Ile de France Ouest UVSQ, 104 boulevard Raymond Poincaré, 92380 Garches, France
Am J Respir Crit Care Med 174:1319-26. 2006..Diagnosis of adrenal insufficiency in critically ill patients has relied on random or cosyntropin-stimulated cortisol levels, and has not been corroborated by a more accurate diagnostic standard...
Hydrocortisone effects on cardiovascular variability in septic shock: a spectral analysis approachJerome Aboab
Réanimation Polyvalente, Hopital Raymond Poincare, AP HP, Universite de Versailles Saint Quentin, Garches, France
Crit Care Med 36:1481-6. 2008..Septic shock may be associated with a loss in cardiovascular variability and adrenal dysfunction...
Adrenal function in sepsis: the retrospective Corticus cohort studyDiane Lipiner Friedman
Service de Reanimation, Hôpital Raymond Poincaré APHP, Faculté de Médecine Paris Ile de France Ouest UVSQ, Garches, France
Crit Care Med 35:1012-8. 2007..To refine the value of baseline and adrenocorticotropin hormone (ACTH)-stimulated cortisol levels in relation to mortality from severe sepsis or septic shock...
Emerging drugs for the treatment of sepsisJerome Aboab
Intensive Care Unit, University of Versailles Saint Quentin, Hospital Raymond Poincare, 104 Bd Raymond Poincaré, 92380 Garches, France
Expert Opin Emerg Drugs 11:7-22. 2006..This review discusses the current management of septic shock and the potential development of new therapeutics following impressive advances in the pathomechanisms of septic shock...
Resurrection of steroids for sepsis resuscitationD Annane
, , , , Garches, France. djillali.anane.rpc.ap-hop-paris.fr
Minerva Anestesiol 68:127-31. 2002..The rational for a replacement therapy with hydrocortisone in catecholamines-dependent septic shock grows stronger...
Prognostic factors in unintentional mild carbon monoxide poisoningD Annane
, , , , 92380 Garches, France
Intensive Care Med 27:1776-81. 2001....
Corticosteroids for sepsis: controversial forever?Djillali Annane
Service de Reanimation, hôpital Raymonc Poincaré AP HP, Universite de Versailles Saint Quentin, 92380 Garches, France
J Crit Care 22:329-30. 2007
Corticosteroids and human recombinant activated protein C for septic shockGwenhael Colin
Assistance Publique Hopitaux de Paris, General Intensive Care Unit, hôpital Raymond Poincaré AP HP, Université de Versailles SQY UniverSud Paris, 104 boulevard Raymond Poincaré, 92380 Garches, France
Clin Chest Med 29:705-12, x. 2008..The optimal timing for initiating these treatments is from 6 to 24 hours from onset of shock. When patients are receiving these drugs, physicians should systematically screen for superinfection and serious bleeding events...
Relative adrenal failure in the ICU: an identifiable problem requiring treatmentHélène Gonzalez
Service de Reanimation Medicale, Hopital Raymond Poincare, 104 boulevard Raymond Poincaré, 92380 Garches, France
Crit Care Clin 22:105-18, vii. 2006..Diagnosis relies on clinical suspicion and ACTH test results. The length of cortisol replacement therapy should be at least 7 days and the adjunction of fludrocortisone is recommended...
Adrenal insufficiency in septic shockVirginie Maxime
Assistance Publique Hopitaux de Paris, Université de Versailles SQY UniverSud Paris, Hopital Raymond Poincare, Service de Reanimation, Garches, France
Clin Chest Med 30:17-27, vii. 2009..This article focuses on actual knowledge, mechanisms, definitions, and therapeutic recommendations, as well as on areas of uncertainty relative to adrenal gland insufficiency in septic shock...
The use of corticosteroids in severe sepsis and acute respiratory distress syndromeKarim Chadda
Medical Intensive Care Unit, , School of Medicine Paris Ile de France Ouest, 104 Boulevard Raymond Poincar, FR-92380 Garches, France
Ann Med 34:582-9. 2002..Further studies are ongoing to better identify the target population. In the meantime, cortisol replacement (i.e. 200 to 300 mg daily of hydrocortisone or equivalent) should be considered as standard care for these patients...
Detection of Campylobacter jejuni by culture and real-time PCR in a French cohort of patients with Guillain-Barre syndromeValérie Sivadon-Tardy
Laboratoire de Microbiologie, Hopital Ambroise Pare, Assistance Publique Hopitaux de Paris, Boulogne Billancourt, France
J Clin Microbiol 48:2278-81. 2010..We provide evidence that diverse serotypes and genotypes of C. jejuni are a major trigger of GBS in France...
Cost-effectiveness of activated protein C in real-life clinical practiceJean Francois Dhainaut
Department of Intensive Care, Cochin Port Royal University Hospital, AP HP, Rene Descartes University, Paris 5, Paris, France
Crit Care 11:R99. 2007..We evaluated the cost-effectiveness of rhAPC in patients with severe sepsis and multiple organ failure in real-life intensive care practice...
Bedside adherence to clinical practice guidelines in the intensive care unit: the TECLA studyJean Pierre Quenot
Service de Reanimation Medicale, hôpital Bocage, 21079, Dijon, France
Intensive Care Med 34:1393-400. 2008..To assess adherence to clinical practice guidelines for three interventions routinely used in critical care medicine...
Complete atrioventricular block in Duchenne muscular dystrophyA Fayssoil
Cardiology, European Hospital Georges Pompidou, AP HP, Paris, France
Europace 10:1351-2. 2008..Heart is involved leading to heart failure. Conduction abnormalities are unusual. We report a case of complete atrio-ventricular block in a DMD patient...
Metabolism modulators in sepsis: the abnormal pituitary responseVirginie Maxime
Service de Reanimation, Hopital Raymond Poincare, Assistance Publique Hopitaux de Paris, Faculte de Medecine Paris Ile de France Ouest, Universite de Versailles Saint Quentin en Yvelines, Garches, France
Crit Care Med 35:S596-601. 2007..Summarize the current knowledge on the role of the hypothalamic pituitary axis in the development of sepsis...
Masseter muscle oxygen saturation is associated with central venous oxygen saturation in patients with severe sepsisOlivier Nardi
General Intensive Care Unit, Raymond Poincaré Hospital AP HP, University of Versailles Saint Quentin en Yvelines, 104 boulevard Raymond Poincaré, 92380, Garches, France
J Clin Monit Comput 24:289-93. 2010....
Long-term outcome of iatrogenic gas embolismJacques Bessereau
General Intensive Care Unit, Hyperbaric Centre, Raymond Poincaré Hospital AP HP, University of Versailles SQY UniverSud Paris, 104 boulevard Raymond Poincaré, 92380, Garches, France
Intensive Care Med 36:1180-7. 2010..To establish the incidence and long-term prognosis of iatrogenic gas embolism...
Endocrine effects of vasopressin in critically ill patientsTarek Sharshar
Service de Reanimation, hôpital Raymond Poincaré AP HP, Université de Versailles SQY UniverSud Paris, 104 boulevard Raymond Poincaré, 92380 Garches, France
Best Pract Res Clin Anaesthesiol 22:265-73. 2008..The absence of endocrine effects of vasopressin during critical illness is unclear and may relate to an already maximal hormonal stimulation or to down-regulation of vasopressin receptors...
Incidence and prognosis of sustained arrhythmias in critically ill patientsDjillali Annane
Service de Reanimation Medicale, Hopital Raymond Poincare, 104 boulevard Raymond Poincaré, 92380 Garches, France
Am J Respir Crit Care Med 178:20-5. 2008..Sustained arrhythmias are common in postoperative and cardiac intensive care units (ICUs), but their incidence and prognosis in general ICUs have never been reported...
Prognosis and risk factors of early onset pneumonia in ventilated patients with Guillain-Barré syndromeDavid Orlikowski
Medical Intensive Care Unit, , 104 Boulevard Raymond Poincar, Garches, France
Intensive Care Med 32:1962-9. 2006..CONCLUSIONS: Early-onset pneumonia is a common and severe complication that is related to aspiration in patients with GBS. Delaying intubation may increase the risk of early-onset pneumonia...
Sepsis-associated deliriumMarion Ebersoldt
Universite de Versailles Saint Quentin, Service de Reanimation Medicale, hôpital Raymond Poincaré AP HP, 104 boulevard Raymond Poincaré, 92380 Garches, France
Intensive Care Med 33:941-50. 2007..This review provides an update of the diagnostic criteria and treatment strategies and the current knowledge about the mechanisms involved in sepsis associated brain dysfunction...
[Pathophysiology of septic shock]Charles Lemaout
, , Garches
Presse Med 35:521-7. 2006..Secretion of counterregulatory rather than proinflammatory hormones increases during sepsis. Organ dysfunctions may alter cell functions, essentially mitochondrial, as well as intertissue communication...
Pro-con debate: steroid use in ACTH non-responsive septic shock patients with high baseline cortisol levelsDjillali Annane
Service de Reanimation, hôpital Raymond Poincaré AP HP, Université de Versailles SQ, Garches, France
Crit Care 10:210. 2006..In this article, two expert groups debate the role of steroid use in a septic shock patient with arguably no clear evidence of adrenal insufficiency...
Multifocal necrotizing leukoencephalopathy in septic shockTarek Sharshar
, , Garches, France
Crit Care Med 30:2371-5. 2002..CONCLUSION: Septic shock is a newly described cause of multifocal necrotizing leukoencephalopathy, probably mediated by an excessive systemic inflammatory response...
The neuropathology of septic shockTarek Sharshar
, , , Garches, France
Brain Pathol 14:21-33. 2004..02). We conclude that septic shock is associated with diffuse cerebral damage and specific autonomic neuronal apoptosis which may be due to circulating factors particularly iNOS...
Apoptosis of neurons in cardiovascular autonomic centres triggered by inducible nitric oxide synthase after death from septic shockTarek Sharshar
, , , Ile de France Ouest, Garches, France
Lancet 362:1799-805. 2003..INTERPRETATION: Septic shock is associated with neuronal and glial apoptosis within the autonomic centres, which is strongly associated with endothelial iNOS expression...
Improving clinical trials in the critically ill: unique challenge--sepsisDjillali Annane
Service de Reanimation, hôpital Raymond Poincaré AP HP, Universite de Versailles SQY, Paris, France
Crit Care Med 37:S117-28. 2009..This article aimed at providing suggestions to improve the success rate of future sepsis trials...
Circulating vasopressin levels in septic shockTarek Sharshar
, , , Garches, France
Crit Care Med 31:1752-8. 2003..CONCLUSIONS: Plasma vasopressin levels are almost always increased at the initial phase of septic shock and decrease afterward. Relative vasopressin deficiency is seen in approximately one-third of late septic shock patients...
Clinical and electrophysiological predictors of respiratory failure in Guillain-Barré syndrome: a prospective studyMarie-Christine Durand
Functional Testing Department, , Garches, France
Lancet Neurol 5:1021-8. 2006..6% conduction block of the common peroneal nerve and a 20% reduction in vital capacity...
Septic shockDjillali Annane
Service de Reanimation, Hopital Raymond Poincare, Assistance Publique Hopitaux de Paris, Faculte de Medecine Paris Ile de France Ouest, Universite de Versailles Saint Quentin en Yvelines, Garches, France
Lancet 365:63-78. 2005..Other therapeutic strategies are under investigation, including those that target late proinflammatory mediators, endothelium, or the neuroendocrine system...
The encephalopathy in sepsisShidasp Siami
General Intensive Care Unit, Raymond Poincaré Teaching Hospital AP HP, University of Versailles Saint Quentin en Yvelines, 104 boulevard Raymond Poincaré, 92380 Garches, France
Crit Care Clin 24:67-82, viii. 2008..Specific treatments for sepsis-associated encephalopathy need to be developed. Currently, treatment is mainly the management of sepsis...
Efficacy and safety of oral conivaptan, a vasopressin-receptor antagonist, evaluated in a randomized, controlled trial in patients with euvolemic or hypervolemic hyponatremiaDjillali Annane
Department of General Critical Care Medicine Division of Acute Medicine and Surgery, University of Versailles SQY Raymond Poincaré Hospital, Garches, France
Am J Med Sci 337:28-36. 2009..This placebo-controlled, randomized, double-blind multicenter study evaluated the efficacy and safety of oral conivaptan, a V1A/V2-receptor antagonist, in patients with euvolemic or hypervolemic hyponatremia...
Brain lesions in septic shock: a magnetic resonance imaging studyTarek Sharshar
Service de Reanimation Medicale, Hôpital Raymond Poincaré APHP, Faculté de Médecine Paris Ile de France Ouest UVSQ, 104, Boulevard Raymond Poincare, 92380, Garches, France
Intensive Care Med 33:798-806. 2007..Understanding of sepsis-induced brain dysfunction remains poor, and relies mainly on data from animals or post-mortem studies in patients. The current study provided findings from magnetic resonance imaging of the brain in septic shock...
Sepsis-associated delirium: the pro and con of C5a blockadeDjillali Annane
General Intensive Care Unit, Raymond Poincaré Hospital AP HP, University of Versailles SQY UniverSud Paris, 104 boulevard Raymond Poincaré, 92380 Garches, France
Crit Care 13:135. 2009..Thus, blockade of C5a may be detrimental, resulting in an attenuated response of the stress system...
The hypothalamic pituitary adrenal axis in sepsisAndrea Polito
Hospital Raymond Poincaré AP HP, University of Versailles SQY, 104 boulevard Raymond Poincaré, Garches 92380
Novartis Found Symp 280:182-99; discussion 199-203. 2007..This finding prompted renewed interest in a replacement therapy with low doses of corticosteroids during longer periods. We will review the key role of the hypothalamic-pituitary-adrenal axis in the host response to stress...
Bench-to-bedside review: Beta-adrenergic modulation in sepsisEtienne de Montmollin
Service de Réanimation Polyvalente de l Hôpital Raymond Poincaré, 92380 Garches, France
Crit Care 13:230. 2009....
Modafinil for the treatment of hypersomnia associated with myotonic muscular dystrophy in adults: a multicenter, prospective, randomized, double-blind, placebo-controlled, 4-week trialDavid Orlikowski
Center for Neuromuscular Disease, Intensive Care Unit and Sleep Laboratory and Functional Exploration Department, Raymond Poincare Hospital, Paris Ile de France Ouest, Versailles Saint Quentin University, 92380 Garches, France
Clin Ther 31:1765-73. 2009..Myotonic muscular dystrophy type 1 (MMD1) is the most common form of adult MD, with a mean prevalence of 1 in 8000. Excessive daytime sleepiness (ie, hypersomnia) is a common complication of MMD1...
Reducing mortality in sepsis: new directionsJean Louis Vincent
Department of Intensive Care, Erasme Hospital Free University of Brussels, Brussels, Belgium
Crit Care 6:S1-18. 2002....
Corticosteroid insufficiency in acutely ill patientsDjillali Annane
N Engl J Med 348:2157-9. 2003
Clinical equipoise remains for issues of adrenocorticotropic hormone administration, cortisol testing, and therapeutic use of hydrocortisoneDjillali Annane
Crit Care Med 31:2250-1; author reply 2252-3. 2003
Hydrocortisone therapy for patients with septic shockCharles L Sprung
Hadassah Hebrew University Medical Center, Jerusalem, Israel 91120
N Engl J Med 358:111-24. 2008....
Time for a consensus definition of corticosteroid insufficiency in critically ill patientsDjillali Annane
Crit Care Med 31:1868-9. 2003
Recommendations for the diagnosis and management of corticosteroid insufficiency in critically ill adult patients: consensus statements from an international task force by the American College of Critical Care MedicinePaul E Marik
Division of Pulmonary and Critical Care Medicine, Thomas Jefferson University, Philadelphia, PA, USA
Crit Care Med 36:1937-49. 2008..To develop consensus statements for the diagnosis and management of corticosteroid insufficiency in critically ill adult patients...
Corticoids normalize leukocyte production of macrophage migration inhibitory factor in septic shockVirginie Maxime
Unit Cytokines and Inflammation, Institut Pasteur, 75015 Paris, France
J Infect Dis 191:138-44. 2005..Glucocorticoid treatment normalized the release of MIF by circulating PBMCs from patients with septic shock...
Risk of death does not alter the efficacy of hydrocortisone therapy in a mouse E. coli pneumonia model: risk and corticosteroids in sepsisYan Li
Critical Care Medicine Department, Clinical Center, Building 10, Room 7D43, National Institutes of Health, Bethesda, MD 20892, USA
Intensive Care Med 34:568-77. 2008..We investigated whether risk of death altered the effects of hydrocortisone in a mouse pneumonia model...
Norepinephrine plus dobutamine versus epinephrine alone for management of septic shock: a randomised trialDjillali Annane
Raymond Poincaré Hospital AP HP, University of Versailles Saint Quentin, PRES UniverSud, Paris, France
Lancet 370:676-84. 2007..However, no large comparative trial has yet been done. We aimed to compare the efficacy and safety of norepinephrine plus dobutamine (whenever needed) with those of epinephrine alone in septic shock...
Effects of high doses of selenium, as sodium selenite, in septic shock: a placebo-controlled, randomized, double-blind, phase II studyXavier Forceville
Service de Reanimation Polyvalente, Centre Hospitalier de Meaux, Hôpital Saint Faron, 6 8 rue Saint Fiacre, 77104 Meaux, France
Crit Care 11:R73. 2007..We investigated the effects of a continuous administration of high doses of selenium in septic shock patients...
Enlarged adrenals during septic shockGerald Chanques
Intensive Care Med 33:1671-2. 2007
Glucocorticoids for ARDS: Just Do It!Djillali Annane
Chest 131:945-6. 2007
Corticosteroids in ARDSPaul Marik
N Engl J Med 355:316-7; author reply 318-9. 2006
Successful long-term treatment of hyponatremia in syndrome of inappropriate antidiuretic hormone secretion with satavaptan (SR121463B), an orally active nonpeptide vasopressin V2-receptor antagonistAlain Soupart
Department of Internal Medicine, Jolimont Tubize Nivelles Hospital, Tubize, Belgium
Clin J Am Soc Nephrol 1:1154-60. 2006..The SNa response was maintained during this time with a good tolerance. The new oral vasopressin V(2)-receptor antagonist satavaptan adequately corrects mild or moderate hyponatremia in patients with SIADH and has a good safety profile...
Immunotherapy for Guillain-Barré syndrome: a systematic reviewRichard A C Hughes
Department of Clinical Neuroscience, King s College London, Guy s Campus, London, UK
Brain 130:2245-57. 2007..Since approximately 20% of patients die or have persistent disability despite immunotherapy, more research is needed to identify better treatment regimens and new therapeutic strategies...
Cardiovascular response to dopamine and early prediction of outcome in septic shock: a prospective multiple-center studyBruno Levy
, , Nancy Cedex, France
Crit Care Med 33:2172-7. 2005..CONCLUSIONS: Dopamine sensitivity is associated with decreased mortality rate. Early recognition of dopamine resistant septic shock could allow for better screening of patients with an ominous prognosis...
Vasopressin in sepsis: a world of complexityTarek Sharshar
Pediatr Crit Care Med 7:281-2. 2006
Prohormones: novel biomarkers for corticosteroids in septic shock?Djillali Annane
Intensive Care Med 34:395-6. 2008
Compartmentalization of the inflammatory response in sepsis and SIRSJean Marc Cavaillon
Cytokines and Inflammation, Institut Pasteur, Paris, France
J Endotoxin Res 12:151-70. 2006....
Dissociation of serum dehydroepiandrosterone and dehydroepiandrosterone sulfate in septic shockWiebke Arlt
Medical Research Council Senior Clinical Fellow, Division of Medical Sciences, University of Birmingham, Institute of Biomedical Research, Room 233, Birmingham B15 2TT, United Kingdom
J Clin Endocrinol Metab 91:2548-54. 2006..However, experimental sepsis in rodents leads to down-regulation of DHEA sulfotransferase, which inactivates DHEA to DHEAS, theoretically resulting in higher DHEA levels...
Practice parameters for hemodynamic support of sepsis in adult patients: 2004 updateSteven M Hollenberg
Crit Care Med 32:1928-48. 2004..Using this approach, specific recommendations for fluid resuscitation, vasopressor therapy, and inotropic therapy of septic in adult patients were promulgated...
Low-dose adrenocorticotropic hormone test is not ready for routine adrenal function testing in the intensive care unitDjillali Annane
Crit Care Med 33:2688-9. 2005
Mortality of patients with heatstroke admitted to intensive care units during the 2003 heat wave in France: a national multiple-center risk-factor studyBenoit Misset
Intensive Care Unit, Fondation Hopital Saint Joseph, Paris, France
Crit Care Med 34:1087-92. 2006..We examined the prognosis and risk factors for hospital mortality in patients with heatstroke admitted to an intensive care unit (ICU) during the heat wave in France in August 2003...
ICU physicians should abandon the use of etomidate!Djillali Annane
Intensive Care Med 31:325-6. 2005
Using corticosteroids in intensive carePaul E Marik
Arch Surg 141:946-7; author reply 947. 2006
