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13 results on '"P de Wilde"'

1. Carriage of antibiotic-resistant Gram-negative bacteria after discontinuation of selective decontamination of the digestive tract (SDD) or selective oropharyngeal decontamination (SOD)

Author

E. de Jonge, R. B. P. de Wilde, N. P. Juffermans, E. A. N. Oostdijk, A. T. Bernards, E. H. R. van Essen, E. J. Kuijper, C. E. Visser, J. Kesecioglu, and M. J. M. Bonten

Subjects
Selective digestive tract decontamination, Selective oropharyngeal decontamination, Intensive care, Decolonization, Antibiotic resistance, Gram-negative bacteria, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Background Selective decontamination of the digestive tract (SDD) and selective oropharyngeal decontamination (SOD) reduce colonization with antibiotic-resistant Gram-negative bacteria (ARGNB), incidence of nosocomial infections and improve survival in ICU patients. The effect on bacterial gut colonization might be caused by growth suppression by antibiotics during SDD/SOD. We investigated intestinal colonization with ARGNB after discharge from ICU and discontinuation of SDD or SOD. Methods We performed a prospective, observational follow-up study in regular hospital wards of three teaching hospitals in the Netherlands in patients discharged from the ICU, who were participating in a cluster randomized trial comparing SDD with SOD. We determined rectal carriage with ARGNB at ICU discharge (time (T) = 0) and 3, 6 and 10 days after discharge. The primary endpoint was time to first colonization with ARGNB that was not present at T = 0. Bacteria that are intrinsically resistant to antibiotics were not included in the primary analysis, but were included in post-hoc analysis. Results Of 1370 patients screened for inclusion, 996 patients had samples at T = 0 (507 after SDD and 489 after SOD). At ICU discharge, the prevalence of intestinal carriage with any ARGNB was 22/507 (4.3%) after SDD and 87/489 (17.8%) after SOD (p

Published
2018
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5. Prevalence of viral respiratory tract infections in acutely admitted and ventilated ICU patients: a prospective multicenter observational study

Author

MJ Schultz, Nicole P. Juffermans, De Jong, AM Spoelstra-de Man, F Van Someren Greve, R. B. P. de Wilde, Richard Molenkamp, Olaf L. Cremer, Peter E. Spronk, and KF Van der Sluijs

Subjects
Mechanical ventilation, medicine.medical_specialty, Icu patients, Diagnostic methods, Respiratory tract infections, business.industry, Critically ill, medicine.medical_treatment, Critical Care and Intensive Care Medicine, Viral infection, medicine.anatomical_structure, Poster Presentation, medicine, Observational study, Intensive care medicine, business, Respiratory tract
Abstract

The prevalence of viral respiratory tract infections in critically ill patients is uncertain, as well as the optimal diagnostic method to detect these. The aim of this study was to assess the prevalence of viral respiratory tract infections in mechanically ventilated patients, in both the upper and lower respiratory tract.

Published
2015

6. A comparison in cardiac output data: a random effects model for repeated measures

Author

Jos R. C. Jansen, Bart F. Geerts, R. B. P. de Wilde, and P. C. M. Van Den Berg

Subjects
Cardiac output, Observational error, business.industry, Observation period, Statistics, Poster Presentation, Medicine, Repeated measures design, Fixed effects model, Variance (accounting), Critical Care and Intensive Care Medicine, business, Random effects model
Abstract

A random effects model can be used to estimate the within-subject variation after accounting for other observed and unobserved variations, in which each subject has a different intercept and slope over the observation period. On the basis of the within-subject variance estimated by the random effects model, Bland-Altman plots can be created.

Published
2010

7. Continuous cardiac output measurement: effect of time

Author

P. C. M. Van Den Berg, Jos R. C. Jansen, R. B. P. de Wilde, and Bart F. Geerts

Subjects
Cardiac output measurement, medicine.medical_specialty, Cardiac output, business.industry, medicine.medical_treatment, Poster Presentation, Emergency medicine, cardiovascular system, Pulmonary artery catheter, Medicine, Critical Care and Intensive Care Medicine, business, Biomedical engineering
Abstract

Calibration turns pulse contour methods of cardiac output measurement from continuous to intermittent. We evaluated the necessity to recalibrate pulse contour cardiac output methods; LiDCO™plus (LCO), FloTrac/Vigileo (FCO), PiCCO (PCO) and continuous CO measurement with pulmonary artery catheter (Vigilance) (CCO).

Published
2010
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8. Comparison of cardiac output values; pulse contour methods against thermodilution technique

Author

Bart F. Geerts, P. C. M. Van Den Berg, Jos R. C. Jansen, and R. B. P. de Wilde

Subjects
medicine.medical_specialty, Cardiac output, Pulse (signal processing), business.industry, media_common.quotation_subject, Critical Care and Intensive Care Medicine, medicine.artery, Internal medicine, Poster Presentation, Pulmonary artery, cardiovascular system, medicine, Cardiology, Thermodilution technique, Intensive care medicine, business, Vigilance (psychology), media_common
Abstract

We evaluated the performance of the FloTrac/Vigileo system (FCO) and simultaneously obtained cardiac output (CO) values with the PiCCOplus (PCO), LiDCO™plus (LCO), Vigilance continuous pulmonary artery thermodilution (CCO) against the intermittent pulmonary artery thermodilution technique (ICO).

Published
2010
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9. Return of spontaneous circulation after cardiac arrest using mechanical chest compressions with the Lund Cardiac Arrest System compared with manual chest compressions

Author

H. I. J. Harinck, Arbous, P Van der Weyden, R. B. P. de Wilde, and M Beukema

Subjects
medicine.medical_specialty, business.industry, Continuous flow, medicine.medical_treatment, Return of spontaneous circulation, Critical Care and Intensive Care Medicine, Internal medicine, Poster Presentation, Cardiology, Medicine, Cardiopulmonary resuscitation, business, Intensive care medicine, Perfusion
Abstract

Experimental studies have shown improved organ perfusion with mechanical chest compression with the Lund Cardiac Arrest System (LUCAS) compared with conventional cardiopulmonary resuscitation (CPR). Few data exist on the effects on clinical outcome. From September 2006 onwards, all out-of-hospital resuscitations for cardiac arrest in the Leiden area were performed using the LUCAS in combination with continuous flow insufflations of oxygen (CFI). We studied the effect of the LUCAS-CFI on the return of spontaneous circulation (ROSC) on arrival at the hospital compared with conventional CPR.

Published
2008

10. Passive leg raising-induced changes in mean radial artery pressure can be used to assess preload dependence

Author

B. F. Geerts, P.C.M. van den Berg, Jos R. C. Jansen, and R. B. P. de Wilde

Subjects
medicine.medical_specialty, Cardiac output, business.industry, Stroke volume, Critical Care and Intensive Care Medicine, Pulse pressure, Surgery, body regions, Preload, Blood pressure, Internal medicine, medicine.artery, Poster Presentation, Cardiology, medicine, Breathing, sense organs, Radial artery, skin and connective tissue diseases, business
Abstract

We evaluated whether changes in, routinely measured, mean radial artery pressure (MAP) due to passive leg raising (PLR) can be used to assess preload dependence in nonspontaneous breathing patients. We therefore compared the changes in cardiac output (CO) with changes in MAP, pulse pressure (PP) and systolic pressure (SP) as well as the stroke volume variation (SVV) before PLR.

Published
2007

11. [Untitled]

Author

Jos R. C. Jansen, P. C. M. Van Den Berg, A. De Weger, and R. B. P. de Wilde

Subjects
Mechanical ventilation, medicine.medical_specialty, Cardiac output, Arterial pulse, business.industry, medicine.medical_treatment, Stroke volume, Critical Care and Intensive Care Medicine, Bioinformatics, Contour analysis, Internal medicine, medicine, Left ventricular Stroke volume, Cardiology, business, Volume (compression)
Abstract

The specific interactions of the lungs and the cardiovascular system under mechanical ventilation cause cyclic variations of left ventricular stroke volume (SVV). Real-time measurement of SVV using arterial pulse contour analysis is useful to predict volume responsiveness and to monitor volume therapy in mechanically ventilated patients. In this study, SVV was evaluated using simultaneous recordings with the LiDCO plus system (LiDCO Ltd. Cambridge, UK) and the Vigileo (Edwards Lifesciences, Irvine, CA, USA) cardiac output monitor.

Published
2006
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