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Explorative study on lower inflection point dynamics during cardiopulmonary resuscitation: Potential implications for airway management Vrije Universiteit Brussel

Arthur Bouillon, Maxim Vanwulpen, Thomas Tackaert, Ruben Cornelis, Said Hachimi-Idrissi
Abstract
Introduction: In patients undergoing cardiopulmonary resuscitation (CPR) after an Out-of-Hospital Cardiac Arrest (OHCA), intrathoracic airway closure can impede ventilation, adversely affecting patient outcomes. This explorative study investigates the evolution of intrathoracic airway closure by analyzing the lower inflection point (LIP) during the inspiration phase of CPR, aiming to identify the potential thresholds for alveolar ...

Is the occurrence of reversed airflow in manual ventilation during cardiopulmonary resuscitation associated with reduced net tidal volumes? Vrije Universiteit Brussel Ghent University

Maxim Vanwulpen, Ruben Cornelis, Arthur Bouillon, Said Hachimi-Idrissi

BACKGROUND: During cardiopulmonary resuscitation, following advanced airway placement, chest compressions and ventilations are performed simultaneously. During inspiration, chest compressions and positive pressure ventilation exert opposite forces on the respiratory system, frequently resulting in reversed airflow.

METHODS: Following endotracheal intubation, a flow sensor was connected to the respiratory circuit of intubated, adult ...

Physician utilization in prehospital emergency medical services in Europe: an overview and comparison Vrije Universiteit Brussel

Said Hachimi-Idrissi
Antecedentes. Los sistemas nacionales y regionales de prestación de atención médica a las emergencias pueden dife- rir mucho entre sí. Se buscó dilucidar la presencia de médicos en la atención prehospitalaria y su implantación en los diferentes países europeos.
Método. Se analizaron los datos de 32 países europeos recogidos mediante la revisión de artículos publicados y a través de cuestionarios enviados a los autores de artículos ...

Healthcare resource use and cost implications of low dose methoxyflurane for severe trauma-related pain: a qualitative study Vrije Universiteit Brussel Ghent University

Pieter Dylst, Angela Solaman, Marc Gillis, Sara Dickerson, James Kenworthy, Said Hachimi-Idrissi

Aims: Management of moderate-to-severe trauma-associated pain is often reported as suboptimal, due in part to limitations associated with frequently used analgesics. Low-dose methoxyflurane (LDM) is an inhaled, non-opioid analgesic, recently approved for emergency relief of moderate-to-severe trauma-associated pain in conscious adults. This study assessed the perspective of healthcare professionals (HCPs) with regard to the time to analgesia ...

Chest compression release velocity: An independent determinant of end-tidal carbon dioxide in out-of-hospital cardiac arrest Vrije Universiteit Brussel Ghent University

Said Hachimi-Idrissi

Background: Chest compression (CC) depth, CC rate and ventilatory rate (VR) are known to have an impact on end-tidal carbon dioxide (ETCO2) values. Chest compression release velocity (CCRV) is increasingly acknowledged as a novel metric in cardiopulmonary resuscitation (CPR). The objective of this study was to analyze whether CCRV would have any effect on ETCO2 values. Methods: In out-of-hospital cardiac arrests (OHCA), effects of CC depth, ...

Chest compressions during ventilation in out-of-hospital cardiopulmonary resuscitation cause fragmentation of the airflow Vrije Universiteit Brussel Ghent University

Maxim Vanwulpen, Said Hachimi-Idrissi

INTRODUCTION: When a patient suffers an out-of-hospital cardiac arrest, ventilation and chest compressions are often given simultaneously during cardiopulmonary resuscitation. These simultaneous chest compressions may cause a fragmentation of the airflow, which may lead to an ineffective ventilation. This study focusses on the occurrence and quantification of this fragmentation and its effect on ventilation.

MATERIALS AND METHODS: ...

Approaching acute pain in emergency settings; European Society for Emergency Medicine (EUSEM) guidelines—part 2: management and recommendations Vrije Universiteit Brussel Ghent University

Said Hachimi-Idrissi, Robert Leach

BACKGROUND: In Europe, healthcare systems and education, as well as the clinical care and health outcomes of patients, varies across countries. Likewise, the management of acute events for patients also differs, dependent on the emergency care setting, e.g. pre-hospital or emergency department. There are various barriers to adequate pain management and factors common to both settings including lack of knowledge and training, reluctance to ...

Approaching acute pain in emergency settings: European Society for Emergency Medicine (EUSEM) guidelines-part 1: assessment Vrije Universiteit Brussel Ghent University

Said Hachimi-Idrissi, Frank Coffey, Wolf E. Hautz, Robert Leach, Thomas C. Sauter, Idanna Sforzi, Viliam Dobias

Pain management is a vital component of patient care, particularly in the emergency setting. Pain can hinder the opportunities to treat and manage pain-causing conditions and remains one of the primary reasons patients seek emergency medical care, yet despite this, pain often remains under-acknowledged, under-assessed and undertreated. Despite the importance of effective management of acute pain, there are currently no well-defined emergency ...