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Ancel J, Chen E, Pavot A, Regard L, Le Rouzic O, Guecamburu M, Zysman M, Rapin A, Martin C, Soumagne T, Patout M, Roche N, Deslee G. [Take-home messages from the 2nd COPD 2023 Biennial of the French Society of Respiratory Diseases. Placing the patient at the center of the care pathway]. Rev Mal Respir 2024:S0761-8425(24)00174-8. [PMID: 38609767 DOI: 10.1016/j.rmr.2024.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024]
Abstract
INTRODUCTION The second COPD Biennial organized by the COPD working group of the French Society of Respiratory Diseases took place in Paris (Cochin) on 13th December 2023. STATE OF THE ART Major trends in 2023 were discussed; they encompassed concepts, definitions, biologics, care pathways, pulmonary rehabilitation and complex situations entailed by respiratory infections, cardiovascular comorbidities and pulmonary hypertension, and modalities of oxygen therapy and ventilation. PERSPECTIVES The different talks underlined major changes in COPD including the concepts of pre-COPD, etiotypes, health trajectories and new definitions of exacerbation. Recent results in biologics for COPD open the door to new pharmacological options. Assessment of current care pathways in France highlighted some causes for concern. For example, pulmonary rehabilitation is a key but insufficiently practiced element. Respiratory infections require careful assessment and treatments. Diagnosis and treatment of cardiovascular comorbidities and pulmonary hypertension are of paramount importance. As of late, oxygen therapy and ventilation modalities have evolved, and are beginning to afford more personalized options. CONCLUSIONS As regards COPD, a personalized approach is crucial, placing the patient at the center of the care pathway and facilitating coordination between healthcare providers.
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Affiliation(s)
- J Ancel
- Université de Reims Champagne-Ardenne, Inserm, P3Cell UMR-S1250, SFR CAP-SANTÉ, Reims, France; Service de pneumologie, hôpital Maison Blanche, CHU de Reims, Reims, France
| | - E Chen
- Service de pneumologie, Hôpital universitaire Avicenne, Bobigny, France
| | - A Pavot
- Centre de recherche cardio-thoracique de Bordeaux, université de Bordeaux, Inserm U1045, Bordeaux, France
| | - L Regard
- Service de pneumologie, institut Cochin, hôpital Cochin, Assistance publique-Hôpitaux de Paris-Centre, Inserm UMR1016, université Paris Cité, Paris, France
| | - O Le Rouzic
- Institut Pasteur de Lille, U1019 - UMR 9017 - Center for Infection and Immunity of Lille, CHU de Lille, CNRS, Inserm, University Lille, pneumologie et immuno-allergologie, 59000 Lille, France
| | - M Guecamburu
- Service des maladies respiratoires, CHU de Bordeaux, centre François-Magendie, hôpital Haut-Lévêque, avenue de Magellan, 33604 Pessac, France
| | - M Zysman
- Service de pneumologie, CHU de Haut-Lévèque, Bordeaux, France; Centre de recherche cardio-thoracique, University Bordeaux, Inserm U1045, CIC 1401, Pessac, France
| | - A Rapin
- Département de médecine physique et de réadaptation, centre hospitalo-universitaire de Reims, hôpital Sébastopol, CHU de Reims, 51092 Reims, France; Faculté de médecine, VieFra, EA3797, 51097, université de Reims Champagne-Ardenne, Reims, France
| | - C Martin
- Service de pneumologie, institut Cochin, hôpital Cochin, Assistance publique-Hôpitaux de Paris-Centre, Inserm UMR1016, université Paris Cité, Paris, France
| | - T Soumagne
- Service de pneumologie et Soins intensifs respiratoires, hôpital européen Georges-Pompidou, Assistance publique-hôpitaux de Paris, Paris, France
| | - M Patout
- Service des pathologies du sommeil (département R3S), groupe hospitalier universitaire AP-HP - Sorbonne université, site Pitié-Salpêtrière, 75013 Paris, France; UMRS1158 neurophysiologie respiratoire expérimentale et clinique, Sorbonne université, Inserm, 75005 Paris, France
| | - N Roche
- Service de pneumologie, institut Cochin, hôpital Cochin, Assistance publique-Hôpitaux de Paris-Centre, Inserm UMR1016, université Paris Cité, Paris, France
| | - G Deslee
- Université de Reims Champagne-Ardenne, Inserm, P3Cell UMR-S1250, SFR CAP-SANTÉ, Reims, France; Service de pneumologie, hôpital Maison Blanche, CHU de Reims, Reims, France.
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Laveneziana P, Fossé Q, Bret M, Patout M, Dudoignon B, Llontop C, Morélot-Panzini C, Cayetanot F, Bodineau L, Straus C, Similowski T. Defective exercise-related expiratory muscle recruitment in patients with PHOX2B mutations: A clue to neural determinants of the congenital central hypoventilation syndrome. Pulmonology 2024:S2531-0437(24)00009-6. [PMID: 38403573 DOI: 10.1016/j.pulmoe.2024.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Revised: 12/28/2023] [Accepted: 01/25/2024] [Indexed: 02/27/2024] Open
Abstract
INTRODUCTION AND OBJECTIVES The human congenital central hypoventilation syndrome (CCHS) is caused by mutations in the PHOX2B (paired-like homeobox 2B) gene. Genetically engineered PHOX2B rodents exhibit defective development of the brainstem retrotrapezoid nucleus (RTN), a carbon dioxide sensitive structure that critically controls expiratory muscle recruitment. This has been linked to a blunted exercise ventilatory response. Whether this can be extrapolated to human CCHS is unknown and represents the objective of this study. MATERIALS AND METHODS Thirteen adult CCHS patients and 13 healthy participants performed an incremental symptom-limited cycle cardiopulmonary exercise test. Responses were analyzed using guideline approaches (ventilation V'E, tidal volume VT, breathing frequency, oxygen consumption, carbon dioxide production) complemented by a breathing pattern analysis (i.e. expiratory and inspiratory reserve volume, ERV and IRV). RESULTS A ventilatory response occurred in both study groups, as follows: V'E and VT increased in CCHS patients until 40 W and then decreased, which was not observed in the healthy participants (p<0.001). In the latter, exercise-related ERV and IRV decreases attested to concomitant expiratory and inspiratory recruitment. In the CCHS patients, inspiratory recruitment occurred but there was no evidence of expiratory recruitment (absence of any ERV decrease, p<0.001). CONCLUSIONS Assuming a similar organization of respiratory rhythmogenesis in humans and rodents, the lack of exercise-related expiratory recruitment observed in our CCHS patients is compatible with a PHOX2B-related defect of a neural structure that would be analogous to the rodents' RTN. Provided corroboration, ERV recruitment could serve as a physiological outcome in studies aiming at correcting breathing control in CCHS.
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Affiliation(s)
- P Laveneziana
- AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpitaux Pitié-Salpêtrière, Saint-Antoine et Tenon, Service des Explorations Fonctionnelles de la Respiration, de l'Exercice et de la Dyspnée (Département R3S), F-75013 Paris, France; Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005 Paris, France; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpital Pitié-Salpêtrière, Centre de Référence Maladies Rares "Syndrome d'Ondine" (Département R3S), F-75013 Paris, France.
| | - Q Fossé
- AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpitaux Pitié-Salpêtrière, Saint-Antoine et Tenon, Service des Explorations Fonctionnelles de la Respiration, de l'Exercice et de la Dyspnée (Département R3S), F-75013 Paris, France; Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005 Paris, France
| | - M Bret
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005 Paris, France; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpital Pitié-Salpêtrière, Service de Pneumologie (Département R3S), F-75013 Paris, France
| | - M Patout
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005 Paris, France; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpital Pitié-Salpêtrière, Centre de Référence Maladies Rares "Syndrome d'Ondine" (Département R3S), F-75013 Paris, France; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpital Pitié-Salpêtrière, Service des Pathologies du Sommeil (Département R3S), F-75013 Paris, France
| | - B Dudoignon
- Université de Paris, AP-HP, Hôpital Robert Debré, Service de Physiologie Pédiatrique Centre du Sommeil-CRMR Hypoventilations alvéolaires rares, INSERM NeuroDiderot, F-75019 Paris, France
| | - C Llontop
- AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpital Pitié-Salpêtrière, Service de Pneumologie (Département R3S), F-75013 Paris, France
| | - C Morélot-Panzini
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005 Paris, France; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpital Pitié-Salpêtrière, Centre de Référence Maladies Rares "Syndrome d'Ondine" (Département R3S), F-75013 Paris, France; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpital Pitié-Salpêtrière, Service de Pneumologie (Département R3S), F-75013 Paris, France
| | - F Cayetanot
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005 Paris, France
| | - L Bodineau
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005 Paris, France
| | - C Straus
- AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpitaux Pitié-Salpêtrière, Saint-Antoine et Tenon, Service des Explorations Fonctionnelles de la Respiration, de l'Exercice et de la Dyspnée (Département R3S), F-75013 Paris, France; Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005 Paris, France; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpital Pitié-Salpêtrière, Centre de Référence Maladies Rares "Syndrome d'Ondine" (Département R3S), F-75013 Paris, France
| | - T Similowski
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005 Paris, France; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpital Pitié-Salpêtrière, Centre de Référence Maladies Rares "Syndrome d'Ondine" (Département R3S), F-75013 Paris, France; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3S, F-75013 Paris, France
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Sutter J, Cuvelier A, Lukaszewicz R, Maris J, Arnulf I, Similowski T, Patout M. Poor sleep quality and nocturnal home noninvasive ventilation: Prevalence, risk factors and impact. Pulmonology 2023; 29:546-549. [PMID: 37210337 DOI: 10.1016/j.pulmoe.2023.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Revised: 04/07/2023] [Accepted: 04/11/2023] [Indexed: 05/22/2023] Open
Affiliation(s)
- J Sutter
- Service de pneumologie, oncologie thoracique et soins intensifs respiratoires, CHU de Rouen, Université de Rouen, Rouen, France; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, site Pitié-Salpêtrière, Service des Pathologies du Sommeil (Département R3S), F-75013 Paris, France
| | - A Cuvelier
- Service de pneumologie, oncologie thoracique et soins intensifs respiratoires, CHU de Rouen, Université de Rouen, Rouen, France; Normandie Université, UNIROUEN, UPRES EA3830 (GRHV), Haute Normandie Recherche et innovation biomédicale, Rouen, France
| | - R Lukaszewicz
- Service de pneumologie, oncologie thoracique et soins intensifs respiratoires, CHU de Rouen, Université de Rouen, Rouen, France
| | - J Maris
- Service de pneumologie, oncologie thoracique et soins intensifs respiratoires, CHU de Rouen, Université de Rouen, Rouen, France
| | - I Arnulf
- AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, site Pitié-Salpêtrière, Service des Pathologies du Sommeil (Département R3S), F-75013 Paris, France; Institut du cerveau et de la moelle - ICM, Inserm U 1127, CNRS UMR 7225, UPMC, Paris, France
| | - T Similowski
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005 Paris, France; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, site Pitié-Salpêtrière, Service des Pathologies du Sommeil (Département R3S), F-75013 Paris, France
| | - M Patout
- Service de pneumologie, oncologie thoracique et soins intensifs respiratoires, CHU de Rouen, Université de Rouen, Rouen, France; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, site Pitié-Salpêtrière, Service des Pathologies du Sommeil (Département R3S), F-75013 Paris, France; Normandie Université, UNIROUEN, UPRES EA3830 (GRHV), Haute Normandie Recherche et innovation biomédicale, Rouen, France; Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005 Paris, France.
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Georges M, Perez T, Rabec C, Jacquin L, Finet-Monnier A, Ramos C, Patout M, Attali V, Amador M, Gonzalez-Bermejo J, Salachas F, Morelot-Panzini C. Proposals from a French expert panel for respiratory care in ALS patients. Respir Med Res 2022; 81:100901. [PMID: 35378353 DOI: 10.1016/j.resmer.2022.100901] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Revised: 02/18/2022] [Accepted: 02/25/2022] [Indexed: 11/16/2022]
Abstract
BACKGROUND Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease characterized by progressive diaphragm weakness and deteriorating lung function. Bulbar involvement and cough weakness contribute to respiratory morbidity and mortality. ALS-related respiratory failure significantly affects quality of life and is the leading cause of death. Non-invasive ventilation (NIV), which is the main recognized treatment for alleviating the symptoms of respiratory failure, prolongs survival and improves quality of life. However, the optimal timing for the initiation of NIV is still a matter of debate. NIV is a complex intervention. Multiple factors influence the efficacy of NIV and patient adherence. The aim of this work was to develop practical evidence-based advices to standardize the respiratory care of ALS patients in French tertiary care centres. METHODS For each proposal, a French expert panel systematically searched an indexed bibliography and prepared a written literature review that was then shared and discussed. A combined draft was prepared by the chairman for further discussion. All of the proposals were unanimously approved by the expert panel. RESULTS The French expert panel updated the criteria for initiating NIV in ALS patients. The most recent criteria were established in 2005. Practical advice for NIV initiation were included and the value of each tool available for NIV monitoring was reviewed. A strategy to optimize NIV parameters was suggested. Revisions were also suggested for the use of mechanically assisted cough devices in ALS patients. CONCLUSION Our French expert panel proposes an evidence-based review to update the respiratory care recommendations for ALS patients in daily practice.
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Affiliation(s)
- M Georges
- Department of Respiratory Diseases and Intensive Care, Reference Center for Adult Rare Pulmonary Diseases, University Hospital of Dijon-Bourgogne, Dijon, France; University of Bourgogne Franche-Comté, Dijon France; Centre des Sciences du Goût et de l'Alimentation, UMR 6265 CNRS 1234 INRA, University of Bourgogne Franche-Comté, Dijon, France.
| | - T Perez
- Department of Respiratory Diseases, University Hospital of Lille, Lille, France; Centre for Infection and Immunity of Lille, INSERM U1019-UMR9017, University of Lille Nord de France, Lille, France
| | - C Rabec
- Department of Respiratory Diseases and Intensive Care, Reference Center for Adult Rare Pulmonary Diseases, University Hospital of Dijon-Bourgogne, Dijon, France; University of Bourgogne Franche-Comté, Dijon France
| | - L Jacquin
- Clinical Training Manager for ResMed SAS company, Saint-Priest, France
| | - A Finet-Monnier
- Department of Neuromuscular Disorders and ALS, University Hospital of Timone, Marseille, France
| | - C Ramos
- CRMR SLA-MNM, Hôpital Pasteur 2, University Hospital of Nice, Nice, France
| | - M Patout
- Service des Pathologies du Sommeil (Département R3S), Groupe Hospitalier Pitié-Salpêtrière, AP-HP, Paris, France; Neurophysiologie Respiratoire Expérimentale et Clinique, INSERM UMRS1158, Sorbonne Université, Paris, France
| | - V Attali
- Service des Pathologies du Sommeil (Département R3S), Groupe Hospitalier Pitié-Salpêtrière, AP-HP, Paris, France; Neurophysiologie Respiratoire Expérimentale et Clinique, INSERM UMRS1158, Sorbonne Université, Paris, France
| | - M Amador
- Neurology Department, Paris ALS center, Groupe Hospitalier Pitié-Salpêtrière, AP-HP, Paris, France
| | - J Gonzalez-Bermejo
- Neurophysiologie Respiratoire Expérimentale et Clinique, INSERM UMRS1158, Sorbonne Université, Paris, France; Service de Pneumologie (Département R3S), Groupe Hospitalier Pitié-Salpêtrière, AP-HP, Paris, France
| | - F Salachas
- Neurology Department, Paris ALS center, Groupe Hospitalier Pitié-Salpêtrière, AP-HP, Paris, France
| | - C Morelot-Panzini
- Neurophysiologie Respiratoire Expérimentale et Clinique, INSERM UMRS1158, Sorbonne Université, Paris, France; Service de Pneumologie (Département R3S), Groupe Hospitalier Pitié-Salpêtrière, AP-HP, Paris, France
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Chaïbi K, Ferreira TG, Walewski V, Tandjaoui-Lambiotte Y, Patout M. Do not always blame bats and pangolins for acute respiratory failure. J Hosp Infect 2020; 105:793-794. [PMID: 32522672 DOI: 10.1016/j.jhin.2020.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 06/03/2020] [Indexed: 11/27/2022]
Affiliation(s)
- K Chaïbi
- Intensive Care Unit, Avicenne Hospital, AP-HP, Bobigny, France; INSERM, UMR_S1155, Remodeling and Repair of Renal Tissue, Hôpital Tenon, Paris, France
| | - T G Ferreira
- Clinical Microbiology Unit, Avicenne Hospital, AP-HP, Bobigny, France
| | - V Walewski
- Clinical Microbiology Unit, Avicenne Hospital, AP-HP, Bobigny, France; University Sorbonne Paris Nord, Paris, France; INSERM UMR 1137, Infection, Antimicrobials, Modelling, Evolution, Bobigny, France
| | - Y Tandjaoui-Lambiotte
- Intensive Care Unit, Avicenne Hospital, AP-HP, Bobigny, France; INSERM UMR 1272 Hypoxia & Lung, Bobigny, France.
| | - M Patout
- Respiratory Department, Avicenne Hospital, AP-HP, Bobigny, France; Normandie Univ, UNIRouen, EA3830-GRHV, Institute for Research and Innovation in Biomedicine, Rouen, France
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Dolidon S, Melloni B, Chabot J, Foret D, Dupuis J, Tesnier E, Petit G, Muir J, Cuvelier A, Patout M. Analyse d’une base de données nationale de dysfonctionnements de ventilateurs de domicile. Rev Mal Respir 2019. [DOI: 10.1016/j.rmr.2018.10.141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Patout M, Lhuillier E, Arbane G, Suh E, Hart N, Murphy P. Intérêt de l’évaluation de la commande ventilatoire après une admission pour exacerbation de BPCO pour déterminer le pronostic au long terme. Rev Mal Respir 2019. [DOI: 10.1016/j.rmr.2018.10.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Patout M, Lhuillier E, Kaltsakas G, Hart N, Murphy P. Efficacité d’une pression positive continue portable sur la commande ventilatoire et la capacité à l’effort chez les patients ayant un collapsus excessif des voies aériennes. Rev Mal Respir 2019. [DOI: 10.1016/j.rmr.2018.10.140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Patout M, Gagnadoux F, Rabec C, Trzepizur W, Georges M, Perrin C, Tamisier R, Llontop C, Goutorbe F, Gounane C, Pontier-Marchandise S, Cervantes P, Bironneau V, Portmann A, Delrieu J, Muir J, Cuvelier A. Comparaison des modes AVAPS-AE et mode ST chez les patients atteints d’un syndrome obésité hypoventilation : une étude contrôlée randomisée. Rev Mal Respir 2019. [DOI: 10.1016/j.rmr.2018.10.139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Maure D, Doguet F, Netchitailo M, Portier F, Cuvelier A, Patout M. Anomalies respiratoires au cours du syndrome de Marfan. Rev Mal Respir 2019. [DOI: 10.1016/j.rmr.2018.10.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Bertier A, Fresnel E, Kerfourn A, Marie J, Cuvelier A, Patout M. Évaluation de l’impact des systèmes d’humidification sur le comportement des ventilateurs de domicile utilisés pour le traitement de l’insuffisance respiratoire chronique. Rev Mal Respir 2019. [DOI: 10.1016/j.rmr.2018.10.344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Godeau E, Caillard C, Jolly G, Bertier A, El Husseini K, Bellefleur M, Lukaszewicz R, Le Brun M, Salaun M, Guerot D, Bertrand D, Dominique S, Lhuillier E, Patout M. Impact diagnostique et thérapeutique de la fibroscopie bronchique chez les patients transplantés rénaux. Rev Mal Respir 2019. [DOI: 10.1016/j.rmr.2018.10.533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Melone M, Cuvelier A, Bédat-Millet AL, Guyant-Maréchal L, Goldenberg A, Grotto S, Guerrot AM, Tardif C, Netchitailo M, Portier F, Patout M. Insuffisance respiratoire chronique chez les patients atteints de dystrophie myotonique de type 1 (DM1) : incidence et facteurs de risque. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Patout M, Sesé L, Gille T, Coiffard B, Korzeniewski S, Lhuillier E, Pradel A, Tardif C, Chambellan A, Straus C, Matecki S, Perez T, Thiberville L, Didier A. Does training respiratory physicians in clinical respiratory physiology and interpretation of pulmonary function tests improve core knowledge? Thorax 2017; 73:78-81. [PMID: 28258249 DOI: 10.1136/thoraxjnl-2016-209136] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2016] [Revised: 01/26/2017] [Accepted: 02/13/2017] [Indexed: 11/04/2022]
Abstract
Lung function tests have a major role in respiratory medicine. Training in lung function tests is variable within the European Union. In this study, we have shown that an internship in a lung function tests laboratory significantly improved the technical and diagnostic skills of French respiratory trainees.
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Affiliation(s)
- M Patout
- Groupe AJPO2/AJIRR-Jeunes Pneumologues, Société de Pneumologie de Langue Française, Paris, France.,Normandie Univ, UNIRouen, EA3830-GRHV, Institute for Research and Innovation in Biomedicine (IRIB) and Rouen University Hospital, Service de Pneumologie, Oncologie thoracique et Soins Intensifs Respiratoires, Rouen, France
| | - L Sesé
- Groupe AJPO2/AJIRR-Jeunes Pneumologues, Société de Pneumologie de Langue Française, Paris, France.,Service de Pneumologie, Hôpitaux Universitaires Paris Seine-St-Denis, AP-HP Bobigny, Bobigny, France
| | - T Gille
- Groupe Fonction, Société de Pneumologie de Langue Française, Paris, France.,Service de Physiologie, Explorations Fonctionnelles et Médecine du Sport, Hôpitaux Universitaires Paris Seine-St-Denis, AP-HP et EA2363, Université Paris 13, COMUE Sorbonne Paris Cité, Bobigny, France
| | - B Coiffard
- Groupe AJPO2/AJIRR-Jeunes Pneumologues, Société de Pneumologie de Langue Française, Paris, France.,Service de Pneumologie, Maladies Respiratoires Rares et Transplantation Pulmonaire, Hôpital Nord, Marseille, France
| | - S Korzeniewski
- Groupe AJPO2/AJIRR-Jeunes Pneumologues, Société de Pneumologie de Langue Française, Paris, France.,Service de Pneumologie, CHU de Nice, Nice, France
| | - E Lhuillier
- Groupe AJPO2/AJIRR-Jeunes Pneumologues, Société de Pneumologie de Langue Française, Paris, France.,Normandie Univ, UNIRouen, EA3830-GRHV, Institute for Research and Innovation in Biomedicine (IRIB) and Rouen University Hospital, Service de Pneumologie, Oncologie thoracique et Soins Intensifs Respiratoires, Rouen, France
| | - A Pradel
- Groupe Fonction, Société de Pneumologie de Langue Française, Paris, France.,AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service d'Explorations Fonctionnelles de la Respiration, de l'Exercice et de la Dyspnée, Paris, France
| | - C Tardif
- Groupe Fonction, Société de Pneumologie de Langue Française, Paris, France.,Rouen University Hospital, Service de Physiologie Digestive, Urinaire, Respiratoire et Sportive, Rouen, France
| | - A Chambellan
- Groupe Fonction, Société de Pneumologie de Langue Française, Paris, France.,L'institut du thorax, CHU de Nantes, Nantes, France.,Université de Nantes, Nantes, France
| | - C Straus
- AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service d'Explorations Fonctionnelles de la Respiration, de l'Exercice et de la Dyspnée, Paris, France.,Groupe Respiration, Société de Physiologie et de Biologie Intégrative, Paris, France.,Sorbonne Universités, UPMC Université Paris 06, UMR_S 1158, Neurophysiologie Respiratoire Expérimentale et Clinique, Paris, France
| | - S Matecki
- Groupe Fonction, Société de Pneumologie de Langue Française, Paris, France.,Unité d'exploration fonctionnelle Pédiatrique-CHU Arnaud De Villeneuve-Physiologie et Médecine Expérimentale du cœur et des muscles: UMR CNRS 9214-Inserm U1046, Montpellier, France
| | - T Perez
- Groupe Fonction, Société de Pneumologie de Langue Française, Paris, France.,CHU de Lille, Lille, France.,Université de Lille, Lille, France
| | - L Thiberville
- Collège des Enseignants de Pneumologie, Paris, France.,Normandie Univ, UNIRouen, CIC INSERM 1404 and Rouen University Hospital, Service de Pneumologie, Oncologie thoracique et Soins Intensifs Respiratoires, Rouen, France
| | - A Didier
- Société de Pneumologie de Langue Française, Paris, France.,Pôle des Voies Respiratoires, CHU de Toulouse, Toulouse, France
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Onofri A, Patout M, Arbane G, Pengo M, Marino P, Steier J. S56 Neural respiratory drive and cardiac function in patients with obesity-hypoventilation-syndrome following setup of non-invasive ventilation for hypercapnic respiratory failure. Thorax 2016. [DOI: 10.1136/thoraxjnl-2016-209333.62] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Lhuillier E, Patout M, Brugière O, Thabut G, Métivier A, Dauriat G, Jebrak G, Mal H. Enquête sur la prise en charge diagnostique et thérapeutique des infections respiratoires par les virus respiratoires communautaires (grippe exclue) chez les patients transplantés pulmonaires et cardiopulmonaires. Rev Mal Respir 2016. [DOI: 10.1016/j.rmr.2015.10.494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Patout M, Dupuis J, Benattia A, Lhuillier E, Mackie M, Grey N, Arbane G, Marino P, Steier J, Viacroze C, Molano L, Portier F, Benhamou D, Lamia B, Murphy P, Hart N, Cuvelier A, Muir J. Ventilation non invasive (VNI) à domicile : mise en place, paramètres et devenir des patients. Rev Mal Respir 2016. [DOI: 10.1016/j.rmr.2015.10.691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Abelleira M, Patout M, Artaud-Macari E, Molano L, Muir J, Cuvelier A. Première hospitalisation pour exacerbation de BPCO et hospitalisation inaugurale du diagnostic de BPCO. Rev Mal Respir 2016. [DOI: 10.1016/j.rmr.2015.10.642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Patout M, Coiffard B, Sésé LC, Korzeniewski S, Bunel V, Luchez A, Desseigne M, Emery M, Lhuillier E, Salvator H, Matecki S, Perez T, Chambellan A, De Jesus AM, Gille T, Tardif C, Pradel AF, Straus C, Thiberville L, Didier A. Enquête sur la physiologie respiratoire et les internes en pneumologie. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Zysman M, Patout M, Miravitlles M, van der Molen T, Lokke A, Hausen T, Didier A, Cuvelier A, Roche N. La BPCO et la perception du nouveau document GOLD en Europe. Workshop de la Société de pneumologie de langue française (SPLF). Rev Mal Respir 2014; 31:499-510. [DOI: 10.1016/j.rmr.2014.02.014] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2013] [Accepted: 02/13/2014] [Indexed: 11/16/2022]
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Patout M, Lhuillier E, Molano LC, Viacroze C, Benhamou D, Muir JF, Lamia B, Cuvelier A. Douleur liée aux gaz du sang : rôle de la taille de l’aiguille et de l’anxiété. Rev Mal Respir 2014. [DOI: 10.1016/j.rmr.2013.10.178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Lhuillier E, Patout M, Zafrani L, Lemiale V, Azoulay E. Épanchements pleuraux chez des patients atteints d’hémopathie maligne avec insuffisance respiratoire aiguë. Rev Mal Respir 2014. [DOI: 10.1016/j.rmr.2013.10.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Patout M, Declercq PL, Pestel-Caron M, Louvel JP, Lamia B, Muir JF, Cuvelier A. [Acute respiratory failure due to Mycoplasma pneumonia]. Rev Mal Respir 2013; 30:780-4. [PMID: 24267769 DOI: 10.1016/j.rmr.2013.03.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2012] [Accepted: 02/16/2013] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Respiratory infections due to Mycoplasma pneumoniae are typically mild and subacute. We report the case of a 40-year-old man hospitalized for acute respiratory distress in the context of an acute infection with Mycoplasma pneumoniae. Radiological and pulmonary function test were consistent with an acute infectious bronchiolitis. CASE REPORT The patient presented with isolated respiratory failure with profound hypoxemia requiring oxygen delivered at high concentration by face mask. The CT appearance of the lesions corresponded to a spread of bilateral micro-connected pulmonary nodules (a "tree-in-bud" pattern) associated with obstructive ventilatory disorder. The only pathogen identified by PCR on BAL and serology was Mycoplasma pneumoniae. The evolution was favorable with antibiotic therapy combined with corticosteroids. CONCLUSION Mycoplasma pneumoniae may be responsible for severe respiratory illness in the form of bronchiolitis. In the setting of severe acute community pneumoniae antibiotic treatment which is also effective against Mycoplasma pneumonia should be considered. In this case, corticosteroids may be an effective adjunct by their action on the small airways.
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Affiliation(s)
- M Patout
- UPRES EA 3830, service de pneumologie et soins intensifs respiratoires, institut hospitalo-universitaire de recherche biomédicale et d'innovation, université de Rouen, centre hospitalier universitaire de Rouen, 76031 Rouen, France
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Patout M, Salvator H, Korzeniewski S, Briault A, Duruisseaux M, Vieira T, Beurton A, Olivier PY, Poron P, Didier A, Marquette CH. Appréciation du cursus et vœux relatifs à l’exercice futur des internes en pneumologie. Rev Mal Respir 2013. [DOI: 10.1016/j.rmr.2012.10.369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Patout M, Dominique S, Pramil S, Lemee L. 77 Risk factor of multi-drug resistant Pseudomonas aeruginosa (MDR-PA) emergence in cystic fibrosis patients. J Cyst Fibros 2012. [DOI: 10.1016/s1569-1993(12)60247-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Patout M, Salaün M, Etienne M, Caron F, Thiberville L, Dominique S. Facteurs de risque d’émergence de Pseudomonas aeruginosa multi-résistant (PAMR) chez les patients atteints de mucoviscidose. Rev Mal Respir 2012. [DOI: 10.1016/j.rmr.2011.10.082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Patout M, Brunel V, Salaun M, Bota S, Cauliez B, Thiberville L. Serum procalcitonin as a tumoral marker in small cell lung cancer. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e17525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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