Research Topics
| Claude GuerinSummaryAffiliation: Hospices Civils de Lyon Country: France Publications
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Detail Information
Publications
Inhaled bronchodilator administration during mechanical ventilation: how to optimize it, and for which clinical benefit?Claude Guerin
Creatis INSERM, CNRS, Lyon, France
J Aerosol Med Pulm Drug Deliv 21:85-96. 2008..Further studies should investigate the effects of inhaled bronchodilators on patient outcome and methods to optimize delivery of inhaled bronchodilators during non-invasive ventilation...
Comparison of 2 correction methods for absolute values of esophageal pressure in subjects with acute hypoxemic respiratory failure, mechanically ventilated in the ICUClaude Guerin
University of Lyon, Lyon, France
Respir Care 57:2045-51. 2012..The goal of the present study was to compare 2 methods for correcting absolute P(es) values in terms of resulting P(pl,ee) and recommended PEEP...
Electrical impedance tomography compared to positron emission tomography for the measurement of regional lung ventilation: an experimental studyJ C Richard
Service de Réanimation Médicale et d Assistance Respiratoire, Hôpital de la Croix Rousse 103 Grande Rue de la Croix Rousse, Lyon, 69004, France
Crit Care 13:R82. 2009..This experiment systematically compared both techniques in injured and non-injured lungs...
Effects of inhaled fenoterol and positive end-expiratory pressure on the respiratory mechanics of patients with chronic obstructive pulmonary diseaseClaude Guerin
Service de Réanimation Médicale et d Assistance Respiratoire, Hopital de la Croix Rousse, Lyon
Can Respir J 12:329-35. 2005....
A study of experimental acute lung injury in pigs on zero end-expiratory pressureClaude Guerin
Service de Réanimation Médicale et Assistance Respiratoire, Hopital de la Croix Rousse, Lyon, France
Vet Anaesth Analg 35:122-31. 2008..The objective of this study was to investigate the occurrence of EFL in two experimental models of ALI...
Viscoelastic properties of lungs and thoracic wall of anesthetized mechanically ventilated pigletsClaude Guerin
Service de Réanimation Médicale et d Assistance Respiratoire, Hopital de la Croix Rousse, Lyon, France
Vet Anaesth Analg 34:331-8. 2007..To investigate the viscoelastic properties of lungs and thoracic wall in piglets...
Measurement of respiratory system resistance during mechanical ventilationClaude Guerin
Hôpital de la Croix Rousse and Université de Lyon, Service de Reanimation Medicale, 103 Grande Rue de la Croix Rousse, 69004 Lyon, France
Intensive Care Med 33:1046-9. 2007....
Ventilation in the prone position in patients with acute lung injury/acute respiratory distress syndromeClaude Guerin
Medical Intensive Care Unit and Ventilatory Assistance and CREATIS, Research and Applications Center in Image and Signal Processing, Lyon, France
Curr Opin Crit Care 12:50-4. 2006..To contrast the beneficial effects of the prone position on the lungs and the lack of proven clinical benefits on patient outcome...
Current ventilatory management of patients with acute lung injury/acute respiratory distress syndromeClaude Guerin
Professor of Critical Care Medicine and Head, , , 103 Grande Rue de la Croix Rousse, 69004 Lyon, France
Expert Rev Respir Med 2:119-33. 2008..One drawback is hemodynamic impairment. To date, this strategy has not been found to be associated with an improvement of patient outcome...
Quantitative analysis of acid-base disorders in patients with chronic respiratory failure in stable or unstable respiratory conditionClaude Guerin
Service de Réanimation Médicale et d Assistance Respiratoire, Hopital de la Croix Rousse, 103 Grande Rue de la Croix Rousse, 69004 Lyon, France
Respir Care 55:1453-63. 2010..The conventional approach measures standardized base excess, bicarbonate (HCO₃⁻), and the anion gap...
Effects of systematic prone positioning in hypoxemic acute respiratory failure: a randomized controlled trialClaude Guerin
Service de Reanimation Medicale, Hopital de la Croix Rousse, Lyon, France
JAMA 292:2379-87. 2004..A recent trial showed that placing patients with acute lung injury in the prone position did not increase survival; however, whether those results hold true for patients with hypoxemic acute respiratory failure (ARF) is unclear...
The preventive role of higher PEEP in treating severely hypoxemic ARDSC Guerin
Service de Reanimation Medicale, Hopital de la Croix Rousse, Lyon, France
Minerva Anestesiol 77:835-45. 2011..To deliver optimal PEEP to those ARDS patients with the highest lung recruitability, this technique should be monitored at the bedside. Alternative methods are under investigation as part of a decremental PEEP trial...
Efficacy and safety of recruitment maneuvers in acute respiratory distress syndromeClaude Guerin
Service de Reanimation Medicale, Hopital de la Croix Rousse, 103 Grande Rue de la Croix Rousse, Lyon, 69004 France
Ann Intensive Care 1:9. 2011..In this review, we describe the balance between the beneficial effects and the harmful consequences of RM. Recent animal studies are discussed...
The short-term effects of intermittent positive pressure breathing treatments on ventilation in patients with neuromuscular diseaseClaude Guerin
Service de Réanimation Médicale et d Assistance Respiratoire, Hopital de la Croix Rousse, 103 Grande Rue de la Croix Rousse, 69004 Lyon, France
Respir Care 55:866-72. 2010..We conducted a prospective physiologic short-term study in stable neuromuscular patients to determine the effects of IPBB, with and without abdominal belt, on regional lung ventilation...
Performance of the coughassist insufflation-exsufflation device in the presence of an endotracheal tube or tracheostomy tube: a bench studyClaude Guerin
Service de Réanimation Médicale et d Assistance Respiratoire, Hopital de la Croix Rousse, Lyon, France
Respir Care 56:1108-14. 2011..The device may benefit intubated and tracheotomized patients. We assessed the impact of various artificial airways on peak expiratory flow (PEF) with the CoughAssist...
Intermittent versus continuous renal replacement therapy for acute renal failure in intensive care units: results from a multicenter prospective epidemiological surveyClaude Guerin
Service de Réanimation Médicale et Assistance Respiratoire, Hopital de la Croix Rousse, 103 Grande Rue de la Croix Rousse, 69317 Lyon, France
Intensive Care Med 28:1411-8. 2002..To describe the current practice of hemodialysis in acute renal failure (ARF) and to estimate the impact of hemodialysis modality on patient outcome...
Effects of prone position and positive end-expiratory pressure on lung perfusion and ventilationJean Christophe Richard
Hospices Civils de Lyon, Service de Réanimation Médicale et d Assistance Respiratoire, Hopital de la Croix Rousse, Lyon, France
Crit Care Med 36:2373-80. 2008..This study was conducted to decipher the respective effects of positive end-expiratory pressure and posture during lung injury on regional lung ventilation, perfusion and recruitment assessed by positron emission tomography...
Management and long-term outcome of patients with chronic neuromuscular disease admitted to the intensive care unit for acute respiratory failure: a single-center retrospective studyGhislain Flandreau
Service de Réanimation Médicale et d Assistance Respiratoire, Hopital de la Croix Rousse, Lyon, France
Respir Care 56:953-60. 2011..Little has been reported regarding either ICU management of acute respiratory failure (ARF) in the era of noninvasive mechanical ventilation (NIV) or long-term outcomes...
Assessment of airway closure from deflation lung volume-pressure curve: sigmoidal equation revisitedFrederique Bayle
Hopital de la Croix Rousse, Service de Réanimation Médicale et d Assistance Respiratoire, 103 Grande Rue de la Croix Rousse, 69004 Lyon, France
Intensive Care Med 32:894-8. 2006..To assess a sigmoidal equation for describing airway closure...
Effect of activated protein C on pulmonary blood flow and cytokine production in experimental acute lung injuryJean Christophe Richard
Service de Reanimation Medicale, Hopital de la Croix Rousse, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France
Intensive Care Med 33:2199-206. 2007..We aimed at assessing the effect of APC on regional lung perfusion, aerated lung volume, cytokine production and oxygenation in experimental ALI...
Alveolar recruitment assessed by positron emission tomography during experimental acute lung injuryJean-Christophe Richard
, , 93 Grande Rue de la Croix Rousse, 69004, Lyon, France
Intensive Care Med 32:1889-94. 2006..61) and PaCO(2) (R (2)=0.40) variations induced by PEEP. CONCLUSIONS: PET is a new reliable tool of scientific interest to image lung volume and alveolar recruitment during acute lung injury...
Expiratory flow-volume loop profile and patient outcome in chronic obstructive pulmonary disease in acute respiratory failure: a prospective observational study in a single intensive care unitVéronique Porot
Service de Reanimation Medicale, hôpital de Croix Rousse, Lyon, France
Respiration 84:27-35. 2012..Expiratory flow-volume (EFV) loops are continuously displayed on the screen of intensive care unit (ICU) ventilators...
Does gas exchange response to prone position predict mortality in hypoxemic acute respiratory failure?Stephane Lemasson
Service de Réanimation Médicale et d Assistance Respiratoire, Hopital de la Croix Rousse, 103, Grande rue de la Croix Rousse, Lyon, France
Intensive Care Med 32:1987-93. 2006..To determine whether gas exchange response to a first prone position session can predict patient outcome in hypoxemic acute respiratory failure...
Comparison of Alpha 200 and CoughAssist as intermittent positive pressure breathing devices: a bench studyGael Bourdin
Service de Réanimation Médicale et d Assistance Respiratoire, Hopital de la Croix Rousse, France
Respir Care 57:1129-36. 2012..Both can also be used for intubated or tracheotomized patients. We assessed the impact of various artificial airways on the ability of the Alpha 200 and CoughAssist to generate insufflated volume...
Comparison of optimal positive end-expiratory pressure and recruitment maneuvers during lung-protective mechanical ventilation in patients with acute lung injury/acute respiratory distress syndromeMichel Badet
Service de Réanimation Médicale et Assistance Respiratoire, Hopital de la Croix Rousse, 69004 Lyon, France
Respir Care 54:847-54. 2009..Recruitment maneuvers are closely linked to the selection of positive end-expiratory pressure (PEEP), which is also a subject of debate...
Sigmoidal equation for lung and chest wall volume-pressure curves in acute respiratory failureCécile Pereira
Service de Réanimation Médicale et d Assistance Respiratoire, Hopital de la Croix Rousse, 69004 Lyon, France
J Appl Physiol 95:2064-71. 2003..The sigmoidal equation is able to determine precisely the point of the maximal compliance increase of lung and chest wall...
Early-onset ventilator-associated pneumonia incidence in intensive care units: a surveillance-based studyPhilippe Vanhems
Hospices Civils de Lyon, Infection Control Unit, Edouard Herriot Hospital, Lyon, France
BMC Infect Dis 11:236. 2011..The objective was to estimate early-onset VAP occurrence in ICUs within 48 hours after admission...
A case of pneumomediastinum in a patient with acute respiratory distress syndrome on pressure support ventilationVeronique Leray
Service de Reanimation Medicale, Hopital de la Croix Rousse, 103 Grande Rue de la Croix Rousse, 69004 Lyon, France
Respir Care 55:770-3. 2010..The patient was put back onto volume-controlled mode, and 2 days later there were no air leaks. In pressure-support ventilation, V(T) must be closely monitored to ensure lung-protective mechanical ventilation...
The feasibility of early physical activity in intensive care unit patients: a prospective observational one-center studyGael Bourdin
Service de Réanimation Médicale et d Assistance Respiratoire, Hopital de la Croix Rousse, 103 Grande Rue de la Croix Rousse, 69004 Lyon, France
Respir Care 55:400-7. 2010..We describe our experience in early rehabilitation of ICU patients, and its effects on physiologic outcomes...
Effects of positive end-expiratory pressure on the sigmoid equation in experimental acute lung injuryFrederique Bayle
, , 103 Grande Rue de la Croix-Rousse, 69004 Lyon, France
Intensive Care Med 30:2121-5. 2004..CONCLUSIONS: Inflation and deflation V-P curves at different PEEPs can be fitted by the sigmoid equation. However, further work is needed to investigate the meaning of negative values for Pmci...
Physiological effects of constant versus decelerating inflation flow in patients with chronic obstructive pulmonary disease under controlled mechanical ventilationClaude Guerin
Service de Reanimation Medicale, Centre Hospitalier Lyon Sud, 69495 Pierre Benite Cedex, France
Intensive Care Med 28:164-9. 2002..To study the cardiorespiratory effects of inspiratory flow rate and waveform in COPD patients...
Six-month outcome in acute kidney injury requiring renal replacement therapy in the ICU: a multicentre prospective studyB Delannoy
Service de Réanimation Médicale et Assistance Respiratoire, Hopital de la Croix Rousse, CHU de Lyon and Université de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France
Intensive Care Med 35:1907-15. 2009..To assess quality of life (QOL), mortality rate and renal function 6 months after onset of renal replacement therapy (RRT) for acute kidney injury (AKI) in the ICU...
Idiopathic acute eosinophilic pneumonia: a study of 22 patientsFrancois Philit
Service d Assistance Respiratoire et Réanimation Médicale, Hopital de la Croix Rousse, Paris, France
Am J Respir Crit Care Med 166:1235-9. 2002....
Quantitative assessment of regional alveolar ventilation and gas volume using 13N-N2 washout and PETJean-Christophe Richard
, Lyon, France
J Nucl Med 46:1375-83. 2005..96, P < 0.001) and injured (R(2) = 0.96, P < 0.001) animals. CONCLUSION: Measurement of (13)N-N(2) washout using PET is accurate to assess regional alveolar volume and ventilation during experimental acute lung injury...
Estimating attributable mortality due to nosocomial infections acquired in intensive care unitsJean Marie Januel
Laboratory of Biometry and Evolutionary Biology, CNRS, UMR 5558, Claude Bernard University of Lyon, Lyon, France
Infect Control Hosp Epidemiol 31:388-94. 2010..The strength of the association between intensive care unit (ICU)-acquired nosocomial infections (NIs) and mortality might differ according to the methodological approach taken...
Sleep and respiratory function after withdrawal of noninvasive ventilation in patients with chronic respiratory failureThierry Petitjean
Service de Réanimation Médicale et d Assistance Respiratoire, Hopital de la Croix Rousse, Lyon, France
Respir Care 53:1316-23. 2008..Better understanding of those changes may affect NIV management and improve our understanding of the relationship of night-to-night variability of respiratory and sleep variables and morning gas exchange...
Candida albicans and non-Candida albicans fungemia in an institutional hospital during a decadeLaurence Parmeland
Service de parasitologie et mycologie médicale, Hospices Civils de Lyon, 103, Grande rue de la Croix Rousse, 69004 Lyon, France
Med Mycol 51:33-7. 2013..krusei. A reduction in the proportion of C. krusei isolates was observed from 2000-2010 (P = 0.028) as a result of its decreased recovery in the hematological department...
Effects of positive end-expiratory pressure and body position on pulmonary blood flow redistribution in mechanically ventilated normal pigsJean-Christophe Richard
Centre Etude et de Recherches en Tomographie par Emission de Positrons, , Lyon, France
Chest 122:998-1005. 2002..2 +/- 8% to 30.4 +/- 7% (p < 0.05). CONCLUSIONS: Pigs in the PP had altered gravitational dependence of PBF compared to that observed when pigs were in the SP. This effect was enhanced by using a PEEP of 10 cm H(2)O...
Inspiratory pressure-volume curves obtained using automated low constant flow inflation and automated occlusion methods in ARDS patients with a new deviceQuentin Blanc
, , 103 Grande Rue de la Croix Rousse, 69004 Lyon, France
Intensive Care Med 28:990-4. 2002..The C(max,rs) values found with the two methods were similar. CONCLUSIONS: An LCFI less than or equal to 10 l/min seems to be a quick, safe, and reliable method to determine LIP(rs) and C(max,rs) at the bedside...
Prone positioning: do not turn it off!Claude Guerin
Intensive Care Med 31:1012-3. 2005
Questions on the reversibility of lung collapse in early acute ARDSClaude Guerin
Am J Respir Crit Care Med 177:555; author reply 555. 2008
Early- and late-onset ventilator-associated pneumonia acquired in the intensive care unit: comparison of risk factorsMarine Giard
Laboratory of Epidemiology and Public Health, CNRS UMR 5558, Lyon 1 University, 69008 Lyon, France
J Crit Care 23:27-33. 2008..To compare risk factors of early- (E) and late-onset (L) ventilator-associated pneumonia (VAP)...
