References of "Ghuysen, Alexandre"
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See detailEfficiency of elisa : a new french-language triage algorithm
JOBE, Jérôme ULg; Ghuysen, Alexandre ULg; Gerard, P. et al

in Acta Clinica Belgica (2011)

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See detailTraining on the alert phone CPR protocol in belgium : evaluation of the dispatchers
El Fassi, Mehdi; Skivee, V.; STIPULANTE, Samuel ULg et al

in Acta Clinica Belgica (2011), 66(2), 9

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See detailDispatcher-assisted telephone cardiopulmonary resuscitation using a French-language compression-only protocol in volunteers with or without prior life support training: A randomized trial.
Ghuysen, Alexandre ULg; Collas, D.; Stipulante, Samuel ULg et al

in Resuscitation (2011)

OBJECTIVES: Due to the recent interest in hands-only protocols for dispatcher-assisted cardiopulmonary resuscitation (CPR) and the lack of any validated algorithms in French, our primary objective was to ... [more ▼]

OBJECTIVES: Due to the recent interest in hands-only protocols for dispatcher-assisted cardiopulmonary resuscitation (CPR) and the lack of any validated algorithms in French, our primary objective was to evaluate a new French-language protocol in terms of its efficacy to help previously untrained volunteers in performing basic life support efforts of appropriate quality, and secondarily to investigate its potential utility in subjects with previous training. METHODS: Untrained volunteers were recruited among adults in a public movie centre and previously trained volunteers among undergraduate nursing students. Participants were randomly assigned to 'phone CPR' versus 'no phone CPR' by drawing sets of envelopes. Primary outcome measures were the results of the Cardiff evaluation test; the secondary measures were global scoring of a complete 5min period of CPR, in a manikin model of cardiac arrest. RESULTS: Out of 146 volunteers assessed for eligibility, 36 previously untrained candidates declined participation. 110 participants, distributed into four groups, completed the study: the previously untrained non-guided group (group A, n=30), the previously untrained guided group (group B, n=30), the previously trained non-guided group (group C, n=25) and the previously trained guided group (group D, n=25). Results of the Cardiff test and global evaluation of CPR performance revealed a significant improvement in group B as compared with group A, approaching the level of the group C. Previously trained guided bystanders had the best CPR scores, notably because of an improvement in the quality of airway management. CONCLUSION: When used by dispatchers, this new French-language algorithm offers the opportunity to help previously untrained bystanders initiate CPR. The same protocol may serve to guide volunteers with prior basic life support training to reach their best CPR performance. [less ▲]

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See detailModel-based cardiovascular monitoring of acute pulmonary embolism in porcine trials
Revie, JA; Stevenson, DJ; Chase, JG et al

in Critical Care (2011), 15 (Suppl 1)

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See detailModel-based cardiovascular monitoring of large pore hemofiltration during endotoxic shock in pigs
Revie, JA; Stevenson, DJ; Chase, JG et al

in Critical Care (2011), 15 (Suppl 1)

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See detailPatient specific identification of the cardiac driver function in a cardiovascular system model.
Hann, C. E.; Revie, J.; Stevenson, D. et al

in Computer Methods & Programs in Biomedicine (2011)

The cardiac muscle activation or driver function, is a major determinant of cardiovascular dynamics, and is often approximated by the ratio of the left ventricle pressure to the left ventricle volume. In ... [more ▼]

The cardiac muscle activation or driver function, is a major determinant of cardiovascular dynamics, and is often approximated by the ratio of the left ventricle pressure to the left ventricle volume. In an intensive care unit, the left ventricle pressure is usually never measured, and the left ventricle volume is only measured occasionally by echocardiography, so is not available real-time. This paper develops a method for identifying the driver function based on correlates with geometrical features in the aortic pressure waveform. The method is included in an overall cardiovascular modelling approach, and is clinically validated on a porcine model of pulmonary embolism. For validation a comparison is done between the optimized parameters for a baseline model, which uses the direct measurements of the left ventricle pressure and volume, and the optimized parameters from the approximated driver function. The parameters do not significantly change between the two approaches thus showing that the patient specific approach to identifying the driver function is valid, and has potential clinically. [less ▲]

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See detailProcessing aortic and pulmonary artery waveforms to derive the ventricle time-varying elastance
Stevenson, D; Chase, JG; Hann, CE et al

in Proceedings of the 18th IFAC World Congress, 2011 (2011)

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See detailModel-based diagnosis of acute pulmonary embolism and septic shock in porcine trials
Revie, JA; Stevenson, D; Chase, JG et al

in Proceedings of the Health Research Society of Christchurch Annual Scientific Session 2011 (2011)

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See detailProcessing aortic and pulmonary artery waveforms to derive the ventricle time-varying elastance
Stevenson, D. J.; Hann, C. E.; Chase, G. J. et al

in IFAC Proceedings Volumes (IFAC-PapersOnline) (2011), 18(PART 1), 587-592

Time-varying elastance of the ventricles is an important metric both clinically and as an input for a previously developed cardiovascular model. However, currently time-varying elastance is not normally ... [more ▼]

Time-varying elastance of the ventricles is an important metric both clinically and as an input for a previously developed cardiovascular model. However, currently time-varying elastance is not normally available in an Intensive Care Unit (ICU) setting, as it is an invasive and ethically challenging metric to measure. A previous paper developed a method to map less invasive metrics to the driver function, enabling an estimate to be achieved without invasive measurements. This method requires reliable and accurate processing of the aortic and pulmonary artery pressure waveforms to locate the specific points that are required to estimate the driver function. This paper details the method by which these waveforms are processed, using a data set of five pigs induced with pulmonary embolism, and five pigs induced with septic shock (with haemofiltration), adding up to 88 waveforms (for each of aortic and pulmonary artery pressure), and 616 points in total to locate. 98.2% of all points were located to within 1% of their true value, 0.81% were between 1% and 5%, 0.65% were between 5% and 10%, the remaining 0.32% were below 20%.© 2011 IFAC. [less ▲]

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See detailEfficiency of a French-language triage algorithm in the Emergency Department
JOBE, Jérôme ULg; Ghuysen, Alexandre ULg; GERARD, P et al

in Critical Care Medicine (2011), 15(suppl 1), 455

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See detailClinical detection and monitoring of acute pulmonary embolism: proof of concept of a computer-based method.
Revie, James A; Stevenson, David J; Chase, J Geoffrey et al

in Annals of Intensive Care (2011), 1(1), 33

ABSTRACT: BACKGROUND: The diagnostic ability of computer-based methods for cardiovascular system (CVS) monitoring offers significant clinical potential. This research tests the clinical applicability of a ... [more ▼]

ABSTRACT: BACKGROUND: The diagnostic ability of computer-based methods for cardiovascular system (CVS) monitoring offers significant clinical potential. This research tests the clinical applicability of a newly improved computer-based method for the proof of concept case of tracking changes in important hemodynamic indices due to the influence acute pulmonary embolism (APE). METHODS: Hemodynamic measurements from a porcine model of APE were used to validate the method. Of these measurements, only those that are clinically available or inferable were used in to identify pig-specific computer models of the CVS, including the aortic and pulmonary artery pressure, stroke volume, heart rate, global end diastolic volume, and mitral and tricuspid valve closure times. Changes in the computer-derived parameters were analyzed and compared with experimental metrics and clinical indices to assess the clinical applicability of the technique and its ability to track the disease state. RESULTS: The subject-specific computer models accurately captured the increase in pulmonary resistance (Rpul), the main cardiovascular consequence of APE, in all five pigs trials, which related well (R2 = 0.81) with the experimentally derived pulmonary vascular resistance. An increase in right ventricular contractility was identified, as expected, consistent with known reflex responses to APE. Furthermore, the modeled right ventricular expansion index (the ratio of right to left ventricular end diastolic volumes) closely followed the trends seen in the measured data (R2 = 0.92) used for validation, with sharp increases seen in the metric for the two pigs in a near-death state. These results show that the pig-specific models are capable of tracking disease-dependent changes in pulmonary resistance (afterload), right ventricular contractility (inotropy), and ventricular loading (preload) during induced APE. Continuous, accurate estimation of these fundamental metrics of cardiovascular status can help to assist clinicians with diagnosis, monitoring, and therapy-based decisions in an intensive care environment. Furthermore, because the method only uses measurements already available in the ICU, it can be implemented with no added risk to the patient and little extra cost. CONCLUSIONS: This computer-based monitoring method shows potential for real-time, continuous diagnosis and monitoring of acute CVS dysfunction in critically ill patients. [less ▲]

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See detailLe cas clinique du mois : intoxication accidentelle à dose potentiellement létale d'acide borique
LOMBARD, Xavier ULg; benoit, A.; Ghuysen, Alexandre ULg et al

in Revue Médicale de Liège (2011), 66(12), 608-10

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See detailSubject-specific cardiovascular system model-based identification and diagnosis of septic shock with a minimally invasive data set: animal experiments and proof of concept.
Chase, J Geoffrey; Lambermont, Bernard ULg; Starfinger, Christina et al

in Physiological Measurement (2011), 32(1), 65-82

A cardiovascular system (CVS) model and parameter identification method have previously been validated for identifying different cardiac and circulatory dysfunctions in simulation and using porcine models ... [more ▼]

A cardiovascular system (CVS) model and parameter identification method have previously been validated for identifying different cardiac and circulatory dysfunctions in simulation and using porcine models of pulmonary embolism, hypovolemia with PEEP titrations and induced endotoxic shock. However, these studies required both left and right heart catheters to collect the data required for subject-specific monitoring and diagnosis-a maximally invasive data set in a critical care setting although it does occur in practice. Hence, use of this model-based diagnostic would require significant additional invasive sensors for some subjects, which is unacceptable in some, if not all, cases. The main goal of this study is to prove the concept of using only measurements from one side of the heart (right) in a 'minimal' data set to identify an effective patient-specific model that can capture key clinical trends in endotoxic shock. This research extends existing methods to a reduced and minimal data set requiring only a single catheter and reducing the risk of infection and other complications-a very common, typical situation in critical care patients, particularly after cardiac surgery. The extended methods and assumptions that found it are developed and presented in a case study for the patient-specific parameter identification of pig-specific parameters in an animal model of induced endotoxic shock. This case study is used to define the impact of this minimal data set on the quality and accuracy of the model application for monitoring, detecting and diagnosing septic shock. Six anesthetized healthy pigs weighing 20-30 kg received a 0.5 mg kg(-1) endotoxin infusion over a period of 30 min from T0 to T30. For this research, only right heart measurements were obtained. Errors for the identified model are within 8% when the model is identified from data, re-simulated and then compared to the experimentally measured data, including measurements not used in the identification process for validation. Importantly, all identified parameter trends match physiologically and clinically and experimentally expected changes, indicating that no diagnostic power is lost. This work represents a further with human subjects validation for this model-based approach to cardiovascular diagnosis and therapy guidance in monitoring endotoxic disease states. The results and methods obtained can be readily extended from this case study to the other animal model results presented previously. Overall, these results provide further support for prospective, proof of concept clinical testing with humans. [less ▲]

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See detailPatient-specific modelling of the cardiovascular system – application to septic shock with a minimal data set
Desaive, Thomas ULg; Chase, J. G.; Starfinger, C. et al

in World Congress on Medical Physics and Biomedical Engineering, September 7 - 12, 2009, Munich, Germany (2010)

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See detailValidation of a new French-language triage algorithm : the ELISA scale.
Jobe, Jérôme ULg; Ghuysen, Alexandre ULg; GERARD, P. et al

in Critical Care (2010), 14(Suppl1), 277

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See detailPatient specific modelling of cardiac muscle activation
Stevenson, D; Hann, CE; Revie, JA et al

in Proceedings of the Health Research Society of Canterbury (HRSC) Clinical Meeting 2010 (2010)

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See detailModel-based cardiac disease diagnosis in critical care
Revie, JA; Hann, CE; Stevenson, D et al

in Proceedings of the Health Research Society of Canterbury (HRSC) Clinical Meeting 2010 (2010)

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See detailEstimating the driver function of a cardiovascular system model
Stevenson, D; Hann, CE; Chase, JG et al

in Proceedings of CONTROL 2010 (2010)

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See detailA Model-based Approach to Cardiovascular Monitoring of Pulmonary Embolism
Revie, JA; Hann, CE; Stevenson, D et al

in Proceedings of CONTROL 2010 (2010)

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