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Incidence and Practice of Early Prone Positioning in Invasively Ventilated COVID-19 Patients-Insights from the PRoVENT-COVID Observational Study

Stilma, Willemke (Faculteit Gezondheid); van Meenen, David M. P.; Valk, Christel M. A.; de Bruin, Hendrik; Paulus, Frederique (Centre Of Expertise Urban Vitality); Serpa Neto, Ary; Schultz, Marcus J.

We describe the incidence and practice of prone positioning and determined the association of use of prone positioning with outcomes in invasively ventilated patients with acute respiratory distress syndrome (ARDS) due to coronavirus disease 2019 (COVID-19) in a national, multicenter observational study, …

2021-10AlgemeenArtikel

Mortality associated with early changes in ARDS severity in COVID-19 patients - Insights from the PRoVENT-COVID study

Schuijt, Michiel T.U.; Martin-Loeches, Ignacio; Schultz, Marcus J.; Paulus, Frederique (Lectoraat Critical Care); Neto, Ary Serpa; Stilma, W. (Faculteit Gezondheid)

PURPOSE: We investigated changes in ARDS severity and associations with outcome in COVID-19 ARDS patients. METHODS: We compared outcomes in patients with ARDS classified as 'mild', 'moderate' or 'severe' at calendar day 1, and after reclassification at calendar day 2. The primary endpoint was 28-day …

2021-10AlgemeenArtikel

Airway Care Interventions for Invasively Ventilated Critically Ill Adults-A Dutch National Survey

Stilma, Willemke (Faculteit Gezondheid); van der Hoeven, Sophia M.; Scholte op Reimer, Wilma J. M.; Schultz, Marcus J.; Rose, Louise; Paulus, Frederique (Centre Of Expertise Urban Vitality)

Airway care interventions may prevent accumulation of airway secretions and promote their evacuation, but evidence is scarce. Interventions include heated humidification, nebulization of mucolytics and/or bronchodilators, manual hyperinflation and use of mechanical insufflation-exsufflation (MI-E). Our …

2021-08AlgemeenArtikel

Waterschap Scheldestromen en de omgevingswet

Lisanne Baas (Student); Sylvia Schouwenaars-Hilt (Docent); Ad de Wit (Docent); Frédérique Smit (Begeleider)

Dit onderzoek is uitgevoerd voor waterschap Scheldestromen. Op 1 januari 2022 wordt de Omgevingswet ingevoerd. Hier krijgen alle overheden in Nederland mee te maken. Binnen het waterschap is reeds een verandertraject bezig, de organisatieontwikkeling. Dit heeft geleid tot verandermoeheid en weerstand …

2021-06-29Economie & ManagementBachelor

Een lach op haar gezicht

Demi Driessen (Student); Frederique Klein (Student); Jill Ansems (Student); Maud Maud Bartholomeus (Student)

Zozijn is een organisatie voor mensen met een intensieve zorgvraag. Binnen Zozijn is locatie Anneriet een kindercentrum voor kinderen van 0-18 jaar, op deze locatie is de vraag naar onderzoek ontstaan. Op dit moment brengen de professionals op locatie Anneriet het betekenisvol handelen van de kinderen …

2021-06-21GezondheidBachelor

Practice of adjunctive treatments in critically ill COVID-19 patients-rational for the multicenter observational PRoAcT-COVID study in The Netherlands

Valk, Christel M. A.; Swart, Pien; Boers, Leonoor S.; Botta, Michela; Bos, Lieuwe D. J,; de Abreu, Marcelo Gama; Hol, Liselotte; Hollmann, Markus W.; Horn, Janneke; Martin-Loeches, Ignacio; Mazzinari, Guido; Myatra, Sheila N.; Nijbroek, Sunny G.; Rosenberg, Neeltje M.; Stilma, Willemke (Faculteit Gezondheid); Tsonas, Anissa M.; van der Ven, Ward H.; Neto, Ary Serpa; Schultz, Marcus J.; Paulus, Frederique

Background: Patients with coronavirus disease 2019 (COVID-19) may need hospitalization for supplemental oxygen, and some need intensive care unit (ICU) admission for escalation of care. Practice of adjunctive and supportive treatments remain uncertain and may vary widely between countries, within countries …

2021-05AlgemeenArtikel

Herzien van voorlichtingsmateriaal over (risico op) ondervoeding in ziekenhuis Gelderse Vallei

Hagenaar, Kristen (Student); Visser, Frédérique (Student); Tieland, Michael

Inleiding: Ondervoeding is nadelig voor de lichamelijke toestand van de patiënt en zorgt o.a. voor een langere opnameduur en toename van ziekenhuiskosten. Bij de behandeling van (risico op) ondervoeding krijgen patiënten voorlichtingsmateriaal mee om hen te informeren maar ook te stimuleren om een optimaal …

2021GezondheidBachelor

Awake Proning as an Adjunctive Therapy for Refractory Hypoxemia in Non-Intubated Patients with COVID-19 Acute Respiratory Failure: Guidance from an International Group of Healthcare Workers

Stilma, Willemke (Faculteit Gezondheid); Åkerman, Eva; Artigas, Antonio; Bentley, Andrew; Bos, Lieuwe D.; Bosman, Thomas J. C.; de Bruin, Hendrik; Brummaier, Tobias; Buiteman-Kruizinga, Laura A.; Carcò, Francesco; Chesney, Gregg; Chu, Cindy; Dark, Paul; Dondorp, Arjen M.; Gijsbers, Harm J. H.; Gilder, Mary Ellen; Grieco, Domenico L.; Inglis, Rebecca; Laffey, John G.; Landoni, Giovanni; Lu, Weihua; Maduro, Lisa M. N.; McGready, Rose; McNicholas, Bairbre; de Mendoza, Diego; Morales-Quinteros, Luis; Nosten, Francois; Papali, Alfred; Paternoster, Gianluca; Paulus, Frederique (Lectoraat Critical Care); Pisani, Luigi; Prud'homme, Eloi; Ricard, Jean-Damien; Roca, Oriol; Sartini, Chiara; Scaravilli, Vittorio; Schultz, Marcus J.; Sivakorn, Chaisith; Spronk, Peter E.; Sztajnbok, Jaques; Trigui, Youssef; Vollman, Kathleen M.; van der Woude, Margaretha C. E.

Non-intubated patients with acute respiratory failure due to COVID-19 could benefit from awake proning. Awake proning is an attractive intervention in settings with limited resources, as it comes with no additional costs. However, awake proning remains poorly used probably because of unfamiliarity and …

2021AlgemeenArtikel

Dead space estimates may not be independently associated with 28-day mortality in COVID-19 ARDS

Morales-Quinteros, Luis; Neto, Ary Serpa; Artigas, Antonio; Blanch, Lluis; Botta, Michela; Kaufman, David A.; Schultz, Marcus J.; Tsonas, Anissa M.; Paulus, Frederique; Bos, Lieuwe D.

BACKGROUND: Estimates for dead space ventilation have been shown to be independently associated with an increased risk of mortality in the acute respiratory distress syndrome and small case series of COVID-19-related ARDS. METHODS: Secondary analysis from the PRoVENT-COVID study. The PRoVENT-COVID is …

2021AlgemeenArtikel

The use of mechanical insufflation-exsufflation in invasively ventilated critically ill adults: a scoping review protocol

Swingwood, Ema; Stilma, Willemke (Centre Of Expertise Urban Vitality); Tume, Lyvonne; Cramp, Fiona; Paulus, Frederique (Centre Of Expertise Urban Vitality); Schultz, Marcus; Scholte Op Reimer, Wilma; Rose, Louise

BACKGROUND: Critically ill patients receiving invasive ventilation are at risk of sputum retention. Mechanical insufflation-exsufflation (MI-E) is a technique used to mobilise sputum and optimise airway clearance. Recently, interest has increased in the use of mechanical insufflation-exsufflation for …

2020-12-08AlgemeenArtikel

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