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Van Herreweghe I, De Fré O, Polus F, Cops J, López AM, Vandepitte C, Van Boxstael S, Van Poucke S, Mesotten D, Hadzic A. Spinal anesthesia in patients with aortic stenosis: a research report. Reg Anesth Pain Med 2024:rapm-2023-105113. [PMID: 38267077 DOI: 10.1136/rapm-2023-105113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Accepted: 01/08/2024] [Indexed: 01/26/2024]
Affiliation(s)
| | | | | | | | - Ana M López
- Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Belgium
| | | | - Sam Van Boxstael
- Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Belgium
- Faculty of Medicine and Life Sciences & Limburg Clinical Research Center, UHasselt, Diepenbeek, Belgium
| | | | | | - Admir Hadzic
- Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Belgium
- Department of Anesthesiology & Algology, Faculty of Medicine, KU Leuven, Leuven, Flanders, Belgium
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Van Boxstael S, Peene L, Dylst D, Penders J, Hadzic A, Meex I, Corten K, Mesotten D, Thiessen S. The effect of spinal versus general anaesthesia on perioperative muscle weakness in patients having bilateral total hip arthroplasty: a single center randomized clinical trial. Eur J Med Res 2023; 28:450. [PMID: 37864209 PMCID: PMC10588152 DOI: 10.1186/s40001-023-01435-6] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 10/07/2023] [Indexed: 10/22/2023] Open
Abstract
BACKGROUND Perioperative neuro-endocrine stress response may contribute to acquired muscle weakness. Regional anaesthesia has been reported to improve the outcome of patients having total hip arthroplasty. In this study, it was hypothesized that spinal anaesthesia (SA) decreases the perioperative neuro-endocrine stress response and perioperatively acquired muscle weakness (PAMW), as compared to general anaesthesia (GA). METHODS Fifty subjects undergoing bilateral total hip arthroplasty (THA) were randomly allocated to receive a standardized SA (n = 25) or GA (n = 25). Handgrip strength was assessed preoperatively, on the first postoperative day (primary endpoint) and on day 7 and 28. Respiratory muscle strength was measured by maximal inspiratory pressure (MIP). Stress response was assessed by measuring levels of Adrenocorticotropic hormone (ACTH), cortisol and interleukin-6 (IL-6). RESULTS Handgrip strength postoperatively (day 1) decreased by 5.4 ± 15.9% in the SA group, versus 15.2 ± 11.7% in the GA group (p = 0.02). The handgrip strength returned to baseline at day 7 and did not differ between groups at day 28. MIP increased postoperatively in patients randomized to SA by 11.7 ± 48.3%, whereas it decreased in GA by 12.2 ± 19.9% (p = 0.04). On day 7, MIP increased in both groups, but more in the SA (49.0 ± 47.8%) than in the GA group (14.2 ± 32.1%) (p = 0.006). Postoperatively, the levels of ACTH, cortisol and IL-6 increased in the GA, but not in the SA group (p < 0.004). CONCLUSION In patients having bilateral THA, SA preserved the postoperative respiratory and peripheral muscle strength and attenuated the neuro-endocrine and inflammatory responses. TRIAL REGISTRATION clinicaltrials.gov NCT03600454.
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Affiliation(s)
- Sam Van Boxstael
- Critical Care Department, Ziekenhuis Oost-Limburg, Schiepse Bos 6, 3600, Genk, Belgium.
- Faculty of Medicine and Life Sciences & Limburg Clinical Research Center, UHasselt, Diepenbeek, Belgium.
| | - Laurens Peene
- Critical Care Department, Ziekenhuis Oost-Limburg, Schiepse Bos 6, 3600, Genk, Belgium
| | - Dimitri Dylst
- Critical Care Department, Ziekenhuis Oost-Limburg, Schiepse Bos 6, 3600, Genk, Belgium
| | - Joris Penders
- Laboratory of Clinical Biology, Ziekenhuis Oost-Limburg, Genk, Belgium
| | - Admir Hadzic
- Critical Care Department, Ziekenhuis Oost-Limburg, Schiepse Bos 6, 3600, Genk, Belgium
| | - Ingrid Meex
- Critical Care Department, Ziekenhuis Oost-Limburg, Schiepse Bos 6, 3600, Genk, Belgium
| | - Kristoff Corten
- Department of Orthopaedic Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium
| | - Dieter Mesotten
- Critical Care Department, Ziekenhuis Oost-Limburg, Schiepse Bos 6, 3600, Genk, Belgium
- Faculty of Medicine and Life Sciences & Limburg Clinical Research Center, UHasselt, Diepenbeek, Belgium
| | - Steven Thiessen
- Critical Care Department, Ziekenhuis Oost-Limburg, Schiepse Bos 6, 3600, Genk, Belgium
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Van Herreweghe I, Caekebeke P, Balocco AL, Van Boxstael S, Hadzic A. Motor-Sparing Nerve Blocks Can Improve the Results of Digit Tendon Surgery: A Case Report. A A Pract 2022; 16:e01567. [PMID: 35171841 DOI: 10.1213/xaa.0000000000001567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
A 56-year-old woman presented with flexion dysfunction of the fifth digit 6 weeks after surgical repair of a flexor digitorum profundus laceration. She was scheduled for surgical adhesiolysis and restoration of the functionality of the finger. Intraoperative monitoring of the range of motion by active flexion was deemed important to prevent incomplete release of the tendon and residual dysfunction. Distal median and ulnar nerve blocks were used for anesthesia with the patient's ability to flex the finger. This case suggests that motor-sparing peripheral nerve blocks can improve functional outcome in certain hand surgeries.
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Affiliation(s)
| | - Pieter Caekebeke
- Orthopedics and Traumatology, Ziekenhuis Oost-Limburg, Genk, Belgium
| | - Angela Lucia Balocco
- From the Departments of Anesthesiology
- Faculty of Medicine and Life Sciences, Limburg Clinical Research Centre, UHasselt, Diepenbeek, Belgium
| | - Sam Van Boxstael
- From the Departments of Anesthesiology
- Faculty of Medicine and Life Sciences, Limburg Clinical Research Centre, UHasselt, Diepenbeek, Belgium
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Van Boxstael S, Lopez AM, Balocco AL, Vandepitte C, Meex I, Duerinckx J, Kuroda MM, Mesotten D, Van Herreweghe I, Hadzic A. Effect of Lidocaine 2% Versus Bupivacaine 0.5% and 1 Versus 2 Dual Separate Injections on Onset and Duration of Ultrasound-Guided Wrist Blocks: A Blinded 2 × 2 Factorial Randomized Clinical Trial. Anesth Analg 2022; 134:1318-1325. [PMID: 35130196 DOI: 10.1213/ane.0000000000005936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND Local anesthetics are often selected or mixed to accomplish faster onset of anesthesia. However, with ultrasound guidance, local anesthetics are delivered with greater precision, which may shorten the onset time with all classes of local anesthetics. In this study, we compared onset time and duration of ultrasound-guided wrist blocks with a fast onset versus a longer lasting local anesthetic administered via single or dual (spatially separate) injections at the level of the midforearm. METHODS In this randomized clinical trial, 36 subjects scheduled for carpal tunnel release were randomly assigned to receive ultrasound-guided median and ulnar nerve blocks with lidocaine 2% or bupivacaine 0.5% via single or dual injections (n = 9 in each group). Subjects fulfilled the study requirements. The main outcome variables were onset and duration of sensory blockade, which were tested separately in 2 (drug) × 2 (injection) analysis of variances (ANOVAs) with interaction terms. RESULTS Sensory block onset time did not differ significantly between subjects given lidocaine 2% (9.2 ± 3.4 minutes) or bupivacaine 0.5% (9.5 ± 3.1 minutes) (P = .76; mean difference, -0.3 ± 1.1 minutes [95% confidence interval {CI}, -2.5 to 1.9]) or between the single- (9.6 ± 2.8 minutes) and dual- (9.1 ± 3.6 minutes) injection groups (P = .69; mean difference, -0.4 ± 1.1 minutes [95% CI, -1.8 to 2.6]). Sensory duration was longer for subjects in the bupivacaine 0.5% group (27.3 ± 11.6 hours) than for subjects in the lidocaine 2% group (8.4 ± 4.1 hours) (P < .001; 95% CI, 12.7-25.1). However, sensory duration in the single- (15.7 ± 12.5 hours) and dual- (19.4 ± 13.1 hours) injection groups did not differ significantly (P = .28; mean difference, -3.7 ± 4.3 hours [95% CI, -12.6 to 5.1]). CONCLUSIONS No significant effect was found for onset time between lidocaine 2% and bupivacaine 0.5% used in ultrasound-guided wrist blocks. Dual injections did not shorten onset time. Since mean nerve block duration was longer with bupivacaine 0.5%, our results suggest that the selection of local anesthetic for the median and ulnar nerves at the level of the midforearm should be based on the desired duration of the block and not on its speed of onset.
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Affiliation(s)
- Sam Van Boxstael
- From the Department of Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Belgium.,UHasselt, Faculty of Medicine and Life Sciences & Limburg Clinical Research Centre, Diepenbeek, Belgium
| | - Ana M Lopez
- From the Department of Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Belgium
| | | | | | - Ingrid Meex
- From the Department of Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Belgium
| | - Joris Duerinckx
- Department of Orthopedic Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium
| | - Maxine M Kuroda
- From the Department of Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Belgium
| | - Dieter Mesotten
- From the Department of Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Belgium.,UHasselt, Faculty of Medicine and Life Sciences & Limburg Clinical Research Centre, Diepenbeek, Belgium
| | - Imre Van Herreweghe
- From the Department of Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Belgium
| | - Admir Hadzic
- From the Department of Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Belgium
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Abstract
PURPOSE OF REVIEW To provide an update on pain management options with regional anesthesia for patients with hip fractures at the emergency department (ED). RECENT FINDINGS Patients who sustain a hip fracture are typically admitted and diagnosed in the ED before being transferred to the operating room for surgery. Studies have clearly demonstrated the ability of the fascia iliaca compartment blocks (FICBs) and femoral nerve blocks (FNBs) to reduce pain and the risk of an acute confusional state. Their administration at an early stage of the patient's trajectory in the ED is beneficial. Recent anatomical studies contributed new knowledge of nociception in the hip joint, which allowed the development of more specific infiltration analgesia techniques without muscle weakness (e.g., pericapsular hip blocks). Further research on the timing of nerve blocks and an evaluation of new motor sparing techniques is indicated. SUMMARY FICB and FNB are established and recommended techniques in pain management for hip fracture patients. Their use early on in the ED may improve patient comfort and outcome. Pericapsular nerve hip blocks could provide a relevant alternative in future pain management in this group of patients.
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Affiliation(s)
- Levin Garip
- Critical Care Department, Ziekenhuis Oost-Limburg, Genk, Belgium
| | - Angela L Balocco
- Critical Care Department, Ziekenhuis Oost-Limburg, Genk, Belgium
- UHasselt, Faculty of Medicine and Life Sciences & Limburg Clinical Research Center, Diepenbeek, Belgium
| | - Sam Van Boxstael
- Critical Care Department, Ziekenhuis Oost-Limburg, Genk, Belgium
- UHasselt, Faculty of Medicine and Life Sciences & Limburg Clinical Research Center, Diepenbeek, Belgium
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Abstract
INTRODUCTION Prehospital management of intentional mass casualty incidents is a unique challenge to Emergency Medical Services. Tactical Combat Casualty Care (TCCC) and the use of tourniquets for extremity hemorrhage have already proven to reduce mortality on the battlefield. This literature review aims to determine the place of these military concepts in a civilian high-threat prehospital setting. METHODS The PubMed database was searched for articles published between January 1, 2000, and December 1, 2019, containing descriptions, discussions, or experiences of the application of tourniquets or other TCCC-based interventions in the civilian prehospital setting. Data extraction focused on identifying important common themes in the articles. RESULTS Of the 286 identified articles, 30 were selected for inclusion. According to the Oxford Centre for Evidence-based Medicine Levels of Evidence, overall level of evidence was low. Most articles were observational, retrospective cohort studies without a nontourniquet control group. Outcome measures and variables were variably reported. Two articles specifically analyzed tourniquet use during high-threat situations, and three described their application by law enforcement personnel. Overall, tourniquets were found to be effective in stopping major limb bleeding. Reported mortality was low and related complications appeared to be infrequent. Only four articles mentioned the application of other TCCC-based maneuvers, such as airway and respiratory management. CONCLUSION This literature review shows that tourniquets appear to be safe tools associated with few complications and might be effective in controlling major bleeding in civilian limb trauma. For example, during mass casualty incidents, their use could be justified. Training and equipping ambulance and police services to deal with massive bleeding could likewise improve interoperability and victim survival in a civilian high-threat prehospital setting. More qualitative research is needed to further evaluate the effects of hemorrhage control training for first responders on patient outcomes. Literature describing the application of other TCCC-based principles is limited, which makes it difficult to draw conclusions regarding their use in a civilian setting. LEVEL OF EVIDENCE Systematic review, level III.
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Affiliation(s)
- Felix Borgers
- From the Department of Anesthesiology (F.B.), University Hospitals Leuven, Leuven, Belgium; Emergency Department (V.B.), ZOL Hospital Genk, Genk, Belgium; and Emergency Department (M.S.), University Hospitals Leuven, Leuven, Belgium
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Heylen L, Boeckx B, Jacobs T, Bosisio FM, Weynand B, Marcelis L, Dendooven A, Hendrickx L, Fransis S, Steensels D, Van Boxstael S, Van Asbroeck PJ, Thevissen K, Van Eyken P, Lambrechts D. MO249SINGLE-CELL TRANSCRIPTOME OF COVID19 ASSOCIATED IGA NEPHROPATHY*. Nephrol Dial Transplant 2021. [PMCID: PMC8195045 DOI: 10.1093/ndt/gfab104.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background and Aims
Acute kidney injury is common in patients infected with the novel coronavirus SARS-CoV-2. Predominant findings in case series of kidney biopsies include acute tubular injury and collapsing podocytopathy. We performed single-cell RNA sequencing on kidney biopsy of a patient with COVID19-associated Henoch-Schönlein vasculitis, to investigate the underlying molecular changes.
Method
A 46-year-old woman presented with cutaneous vasculitis, arthritis, fever and microscopic hematuria. SARS-CoV-2 PCR on nasopharyngeal swab turned positive. Despite quick spontaneous resolution of symptoms, hematuria persisted and proteinuria increased in the next weeks. Subsequent kidney biopsy showed IgA nephropathy. Kidney biopsy was dissociated into a single-cell suspension and RNA was sequenced. 6126 kidney cells passed quality filters. Publicly available single cell sequencing data of 3 healthy kidney samples were integrated to allow comparison. The skin biopsy, performed at the initial presentation, was stained for the SARS-CoV-2 spike protein and the ACE2 protein using immunohistochemistry.
Results
Unsupervised clustering analysis of kidney identified 12 distinct cell types (Figure 1). T-lymphocytes were significantly enriched in COVID19 associated IgA nephropathy (16.7% versus 0.5%, 1.2% and 4.1% in healthy kidney, IgA nephropathy/healthy kidney ratio of relative % of T-/NK-cell clusters of 8.5), with a deviation towards CD8 lymphocytes and NK(T) cells (Figure 2). NK cells were solely present in IgA nephropathy compared to healthy kidney (1.5% versus 0% in all healthy kidneys).
Several genes involved in immune activation, oxidative stress and injury were upregulated in podocytes and mesangial cells. For example, one of the genes upregulated in podocytes was macrophage migration inhibitory factor (MIF) which is known to be involved in podocyte injury and mesangial sclerosis. In endothelial cells pathways involved in NK cell immunity, antigen presentation, interferon gamma signaling, and viral entry were upregulated. In T lymphocytes pathways of antigen presentation and T cell cytotoxicity were enriched.
In the skin biopsy, immunohistochemistry was positive for SARS-CoV-2 spike protein inside inflammatory cells, while the ACE2 receptor was positive in the same inflammatory cells, as well as inside endothelial cells.
Conclusion
Although both innate and adaptive immunity are considered to be involved in IgA nephropathy, our single cell sequencing data demonstrates that mainly T-lymphocytes, especially CD8 cells and NK cells, are enriched in COVID19 associated IgA nephropathy. Further elucidation of the involved pathways and the T cell receptor is planned. Interestingly, the SARS-CoV-2 virus could be identified inside the inflammatory cells in the skin in the context of cutaneous vasculitis, suggesting a direct pathologic effect.
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Affiliation(s)
| | - Bram Boeckx
- VIB - Center for Cancer Biology, Leuven, Belgium
| | - Tim Jacobs
- ZOL Genk, Emergency Medicine, Genk, Belgium
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Hadzic A, Vandepitte C, Knezevic NN, Mesotten D, Kuroda MM, Van Boxstael S, Bellemans J, Van de Velde M, Fivez T, Corten K. Clinical research and trial registries: the times they are a-changin. Reg Anesth Pain Med 2020; 45:844-846. [PMID: 32784230 DOI: 10.1136/rapm-2020-101851] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 06/30/2020] [Indexed: 11/04/2022]
Affiliation(s)
- Admir Hadzic
- Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Limburg, Belgium
| | | | - Nebojsa Nick Knezevic
- Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, Illinois, USA.,Anesthesiology and Surgery, University of Illinois at Chicago College of Medicine, Chicago, Illinois, USA
| | - Dieter Mesotten
- Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Limburg, Belgium.,Faculty of Medicine and Life Sciences & Limburg Clinical Research Center, Hasselt University, Diepenbeek, Limburg, Belgium
| | - Maxine M Kuroda
- Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Limburg, Belgium
| | | | - Johan Bellemans
- Orthopedic Surgery, Ziekenhuis Oost-Limburg, Genk, Limburg, Belgium
| | | | - Tom Fivez
- Anesthesiology, Ziekenhuis Oost-Limburg, Genk, Limburg, Belgium
| | - Kristoff Corten
- Orthopedic Surgery, Ziekenhuis Oost-Limburg, Genk, Limburg, Belgium
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Lesenne A, Grieten J, Ernon L, Wibail A, Stockx L, Wouters PF, Dreesen L, Vandermeulen E, Van Boxstael S, Vanelderen P, Van Poucke S, Vundelinckx J, Van Cauter S, Mesotten D. Prediction of Functional Outcome After Acute Ischemic Stroke: Comparison of the CT-DRAGON Score and a Reduced Features Set. Front Neurol 2020; 11:718. [PMID: 32849196 PMCID: PMC7412791 DOI: 10.3389/fneur.2020.00718] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Accepted: 06/12/2020] [Indexed: 11/18/2022] Open
Abstract
Background and Purpose: The CT-DRAGON score was developed to predict long-term functional outcome after acute stroke in the anterior circulation treated by thrombolysis. Its implementation in clinical practice may be hampered by its plethora of variables. The current study was designed to develop and evaluate an alternative score, as a reduced set of features, derived from the original CT-DRAGON score. Methods: This single-center retrospective study included 564 patients treated for stroke, in the anterior and the posterior circulation. At 90 days, favorable [modified Rankin Scale score (mRS) of 0–2] and miserable outcome (mRS of 5–6) were predicted by the CT-DRAGON in 427 patients. Bootstrap forests selected the most relevant parameters of the CT-DRAGON, in order to develop a reduced set of features. Discrimination, calibration and misclassification of both models were tested. Results: The area under the receiver operating characteristic curve (AUROC) for the CT-DRAGON was 0.78 (95% CI 0.74–0.81) for favorable and 0.78 (95% CI 0.72-0.83) for miserable outcome. Misclassification was 29% for favorable and 13.5% for miserable outcome, with a 100% specificity for the latter. National Institutes of Health Stroke Scale (NIHSS), pre-stroke mRS and age were identified as the strongest contributors to favorable and miserable outcome and named the reduced features set. While CT-DRAGON was only available in 323 patients (57%), the reduced features set could be calculated in 515 patients (91%) (p < 0.001). Misclassification was 25.8% for favorable and 14.4% for miserable outcome, with a 97% specificity for miserable outcome. The reduced features set had better discriminative power than CT-DRAGON for both outcomes (both p < 0.005), with an AUROC of 0.82 (95% CI 0.79–0.86) and 0.83 (95% CI 0.77–0.87) for favorable and miserable outcome, respectively. Conclusions: The CT-DRAGON score revealed acceptable discrimination in our cohort of both anterior and posterior circulation strokes, receiving all treatment modalities. The reduced features set could be measured in a larger cohort and with better discrimination. However, the reduced features set needs further validation in a prospective, multicentre study. Clinical Trial Registration: http://www.clinicaltrials.gov. Identifiers: NCT03355690, NCT04092543.
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Affiliation(s)
- Anouk Lesenne
- Department of Anesthesiology and Perioperative Medicine, Ghent University Hospital, Ghent, Belgium.,Department of Critical Care Services, Ziekenhuis Oost-Limburg Genk, Genk, Belgium
| | - Jef Grieten
- Department of Critical Care Services, Ziekenhuis Oost-Limburg Genk, Genk, Belgium.,Department of Anesthesiology, VU University Amsterdam, Amsterdam, Netherlands
| | - Ludovic Ernon
- Department of Neurology, Ziekenhuis Oost-Limburg Genk, Genk, Belgium
| | - Alain Wibail
- Department of Neurology, Ziekenhuis Oost-Limburg Genk, Genk, Belgium
| | - Luc Stockx
- Department of Medical Imaging, Ziekenhuis Oost-Limburg Genk, Genk, Belgium
| | - Patrick F Wouters
- Department of Anesthesiology and Perioperative Medicine, Ghent University Hospital, Ghent, Belgium
| | - Leentje Dreesen
- Department of Medical Imaging, Ziekenhuis Oost-Limburg Genk, Genk, Belgium
| | - Elly Vandermeulen
- Department of Critical Care Services, Ziekenhuis Oost-Limburg Genk, Genk, Belgium
| | - Sam Van Boxstael
- Department of Critical Care Services, Ziekenhuis Oost-Limburg Genk, Genk, Belgium
| | - Pascal Vanelderen
- Department of Critical Care Services, Ziekenhuis Oost-Limburg Genk, Genk, Belgium.,UHasselt, Faculty of Medicine and Life Sciences, Diepenbeek, Belgium
| | - Sven Van Poucke
- Department of Critical Care Services, Ziekenhuis Oost-Limburg Genk, Genk, Belgium
| | - Joris Vundelinckx
- Department of Critical Care Services, Ziekenhuis Oost-Limburg Genk, Genk, Belgium
| | - Sofie Van Cauter
- Department of Medical Imaging, Ziekenhuis Oost-Limburg Genk, Genk, Belgium
| | - Dieter Mesotten
- Department of Critical Care Services, Ziekenhuis Oost-Limburg Genk, Genk, Belgium.,UHasselt, Faculty of Medicine and Life Sciences, Diepenbeek, Belgium
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Vandepitte CF, Van Boxstael S, Duerinckx JF, Leunen I, Kuroda MM, Mesotten D, Van De Velde M, Hadzic A. Effect of Bupivacaine Liposome Injectable Suspension on Sensory Blockade and Analgesia for Dupuytren Contracture Release. Journal of Hand Surgery Global Online 2019. [DOI: 10.1016/j.jhsg.2019.09.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
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Baete S, Vercruysse G, Vander Laenen M, De Vooght P, Van Melkebeek J, Dylst D, Beran M, Van Zundert J, Heylen R, Boer W, Van Boxstael S, Fret T, Verhelst H, De Deyne C, Jans F, Vanelderen P. The Effect of Deep Versus Moderate Neuromuscular Block on Surgical Conditions and Postoperative Respiratory Function in Bariatric Laparoscopic Surgery. Anesth Analg 2017; 124:1469-1475. [DOI: 10.1213/ane.0000000000001801] [Citation(s) in RCA: 46] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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