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3. Recommendations for the evaluation and management of the anticipated and non-anticipated difficult airway of the Societat Catalana d’Anestesiologia, Reanimació i Terapèutica del Dolor, based on the adaptation of clinical practice guidelines and expert consensus

Author

Esquius, P., Huesca Ranea, J., Llorca, J., Reguant, F., Bermejo, S., Carazo, J., Sanchez, S., Martin, C., Bayo, M., Güenaga, O., Parra, L., Santos, P., Serra, M., Tejedor, V., Tejedor, A., Martínez Villar, M.L., Hernando, D., Sabaté, S., Belda, I., Bergé, R., Carretero, M.J., Hurtado, P., López, A., Magaldi, M., Martínez, J., Plaza, A., Rivas, E., Ruiz, A., Tena, B., Valero, R., Aberasturi, T., Soto, J.M., Gil, J.M., Gil de Bernabé, M.A., Hinojal, I., Genis, J., Escobar, M., Martinez, L., Serrano, S., Farré, M., Boza, E., Castro Serrano, M.J., Gomez, M.K., Martin Castro, M.C., Mayoral, V., Ornaque, I., Pi, A., Villalonga, R., Muñoz, A., Áñez, C., Aragones, N., Hernando Carrillo, L., Periñán, R., Planella, T., Roza, J., Borràs, R., Carbonell, N., Monclús, E., Sanchez, E., Costa, C., Franco, T., Massó, E., Vila, P., Colilles, C., García, E., Izquierdo, A., López, S., Pérez, J., Ricol, L., del Pozo, D., Drudis, R., Marco, G., Schmucker, E., Villaverde, I., Andreu, E., Casanovas, A., Serra, J.M., López, A.M., and Soto, J.Mª

Published
2020
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4. Recomendaciones para la evaluación y manejo de la vía aérea difícil prevista y no prevista de la Societat Catalana d’Anestesiologia, Reanimació i Terapèutica del Dolor, basadas en la adaptación de guías de práctica clínica y consenso de expertos

Author

Esquius, P., Huesca Ranea, J., Llorca, J., Reguant, F., Bermejo, S., Carazo, J., Sanchez, S., Martin, C., Bayo, M., Güenaga, O., Parra, L., Santos, P., Serra, M., Tejedor, V., Tejedor, A., Martínez Villar, M.L., Hernando, D., Sabaté, S., Belda, I., Bergé, R., Carretero, M.J., Hurtado, P., López, A., Magaldi, M., Martínez, J., Plaza, A., Rivas, E., Ruiz, A., Tena, B., Valero, R., Aberasturi, T., Soto, J.M., Gil, J.M., Gil de Bernabé, M.A., Hinojal, I., Genis, J., Escobar, M., Martinez, L., Serrano, S., Farré, M., Boza, E., Castro Serrano, M.J., Gomez, M.K., Martin Castro, M.C., Mayoral, V., Ornaque, I., Pi, A., Villalonga, R., Muñoz, A., Áñez, C., Aragones, N., Hernando Carrillo, L., Periñán, R., Planella, T., Roza, J., Borràs, R., Carbonell, N., Monclús, E., Sanchez, E., Costa, C., Franco, T., Massó, E., Vila, P., Colilles, C., García, E., Izquierdo, A., López, S., Pérez, J., Ricol, L., del Pozo, D., Drudis, R., Marco, G., Schmucker, E., Villaverde, I., Andreu, E., Casanovas, A., Serra, J.M., López, A.M., and Soto, J.Mª

Published
2020
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6. Prospective observational cohort study of the association between antiplatelet therapy, bleeding and thrombosis in patients with coronary stents undergoing noncardiac surgery

Author

Leva, B., Plichon, B., Damster, S., Momeni, M., Watremez, C., Kahn, D., Dincq, A.-S., Danila, A., Wittmann, M., Struck, R., Rüddel, T., Kessler, F., Rasche, S., Matsota, P., Hasani, A., Gudaityte, J., Karbonskiene, A., Ferreira, R., Carvalho, S., Tomescu, D., Martac, C., Grintescu, I., Mirea, L., Serrano, L., Sierra, P., Sabaté, S., Hernando, D., Matute, P., Trashorras, M., Suñé, M., Sarmiento, L., Hervias, A., González, O., Hermina, A., Navarro Perez, R., Orts, M., Fernandez-Garcia, R., Sanchez Pérez, D., Sepulveda Gil, I., Monedero, P., Hidalgo, F., Mbongo, C., Pont, A.R., Reyes, H.M., Bartolo, C.G., Galera, S.L., Valentijn, T., Stolker, R.J., Tugrul, M., Emre Demirel, E., Hough, M., Griffiths, K., Birch, S., Beardow, Z., Elliot, S., Thompson, J., Bowrey, S., Northey, M., Melson, H., Telford, R., Nadolski, M., Potter, A., Fuller, D., Rose, A., Varma, S., Simeson, K., Pettit, J., Smith, N., Martinson, V., Sleight, L., Naylor, C., Watt, P., Raymode, P., Dunk, N., Twohey, L., Hollos, L., Davies, S., Gibson, A., Coleman, Z., Tamm, T., Joscak, J., Zsisku, L., Zuleika, M., Carvalho, P., Collyer, T., Ryan, J., Colling, K., Dharmarajah, S., Krishnan, A., Paddle, J., Fouracres, A., Arnell, K., Muhammad, K., Howell, S.J., Hoeks, S.E., West, R.M., Wheatcroft, S.B., and Hoeft, A.

Published
2019
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11. Disentangling the Role of Forest Structure and Functional Traits in the Thermal Balance of the Mediterranean–Temperate Ecotone

Author

Barbeta, A., Miralles, D.G., Mendiola, L., Gimeno, T.E., Sabaté, S., Carnicer, J., Barbeta, A., Miralles, D.G., Mendiola, L., Gimeno, T.E., Sabaté, S., and Carnicer, J.

Abstract

The thermal balance of forests is the result of complex land–atmosphere interactions. Different climate regimes and plant functional types can have contrasting energy budgets, but little is known about the influence of forest structure and functional traits. Here, we combined spaceborne measurements of surface temperature from ECOSTRESS with ground-based meteorological data to estimate the thermal balance at the surface (∆Tcan−air) during four summers (2018–2021), at the Mediterranean–temperate ecotone in the NE Iberian Peninsula. We analyzed the spatiotemporal drivers of ∆Tcan−air by quantifying the effects of meteorology, forest structure (stand density, tree height) and ecophysiology (hydraulic traits), during normal days and hot spells. Canopy temperatures (Tcan) fluctuated according to changes in air temperature (Tair) but were on average 4.2 K warmer. During hot spells, ∆Tcan−air was smaller than during normal periods. We attribute this decrease to the advection of hot and dry air masses from the Saharan region resulting in a sudden increase in Tair relative to Tcan. Vapor pressure deficit (VPD) was negatively correlated with ∆Tcan−air, since the highest VPD values coincided with peaks in heat advection. Nonetheless, Tcan increased with VPD due to decreased transpiration (following stomatal closure), even though sufficient soil water availability enabled some degree of evaporative cooling. Our findings demonstrate that plot-scale forest structural and hydraulic traits are key determinants for the forest thermal balance. The integration of functional traits and forest structure over relevant spatial scales would improve our ability to understand and model land–atmosphere feedbacks in forested regions. © 2023. The Authors.

Published
2023

14. Global transpiration data from sap flow measurements: The SAPFLUXNET database

Author

Ministerio de Ciencia e Innovación (España), Agència de Gestió d'Ajuts Universitaris i de Recerca, Poyatos, R [0000-0003-0521-2523], Granda, V [0000-0002-0469-1991], Flo, V [0000-0003-1908-4577], Adams, MA [0000-0002-8154-0097], Adorjan, B [0000-0002-5482-2515], Aidar, MPM [0000-0001-5728-6749], Alvarado-Barrientos, MS [0000-0003-0098-0806], Anderson-Teixeira, KJ [0000-0001-7585-712X], Arain, MA [0000-0002-1433-5173], Aranda, I [0000-0001-9086-7940], Asbjornsen, H [000-0001-8126-3328], Oishi, AC [0000-0001-5064-4080], Oliveira RS [0000-0002-6392-2526], Oren, R [0000-0002-5654-1733], Ourcival,JM [0000-0002-3557-3496], Paljakka, T [0000-0002-3674-4904], Perez-Priego, O [0000-0002-3138-3177], Peri, PL [0000-0002-5398-4408], Peters, RL [0000-0002-7441-1297], Pfautsch, S [0000-0002-4390-4195], Pockman, WT [0000-0002-3286-0457], Baxter, R [0000-0002-7504-6797], Preisler, Y [0000-0001-5861-8362], Rocha, H [0000-0002-5981-4469], Röll, A [0000-0001-9457-4459], Rosado, BHP [0000-0002-8924-8672], Rowland, L [0000-0002-0774-3216], Rubtsov, A [0000-0002-9663-4344], Sabaté, S [0000-0003-1854-0761], Salmon, Y [0000-0003-4433-4021], Salomón, RL [0000-0003-2674-1731], Sánchez-Costa, E [0000-0001-6799-9611], Beamesderfer, E [0000-0002-7513-7349], Schäfer, K [0000-0001-9452-3619], Schuldt, B [0000-0003-4738-5289], Shashkin, A [0000-0001-9925-5019], Stahl, C [0000-0001-5411-1169], Stojanović, M [0000-0003-4918-8668], Sun, G [0000-0002-0159-1370], Szatniewska, J [0000-0003-3027-9965], Tatarinov, F [0000-0002-8338-6070], Tesar, M [0000-0002-5647-8498], Thomas, FM [0000-0001-6377-719X], Berveiller, D [0000-0001-7461-6420], Tor-ngern, P [0000-0001-7363-4926], Urban, J [0000-0003-1730-947X], Van der Tol, C [0000-0002-2484-8191], Van Meerveld [0000-0002-7547-3270], Varlagin, A [0000-0002-2549-5236], Werner, C [0000-0002-7676-9057], Wieser, G [0000-0002-7575-5657], Wingate, W [0000-0003-1921-1556], Wullschleger, S [0000-0002-9869-0446], Koong, Y [0000-0002-8630-3031], Blakely, B [0000-0001-9923-0794], Zweifel, R [0000-0001-9438-0582], Steppe, K [0000-0001-6252-0704], Mencuccini, M [0000-0003-0840-1477], Martínez-Vilalta, J [0000-0002-2332-7298], Boggs, J [0000-0003-4826-1843], Bohrer, G [0000-0002-9209-9540], Bolstad, P [0000-0002-1829-8859], Bonal, D [0000-0001-9602-8603], Bracho, R [0000-0002-8015-9796], Brodeur, J [0000-0001-7118-8360], Casanoves, F [0000-0001-8765-9382], Chave, J [0000-0002-7766-1347], Chen, H [0000-0001-7619-3425], Cisneros, C [0000-0001-9661-4581], Clark, K [0000-0003-0534-9677], Cremonese, E [0000-0002-6708-8532], Dang, H [0000-0003-4428-3834], David, J [0000-0001-6994-1085], David, T [0000-0003-1473-899X], Delpierre, D [0000-0003-0906-9402], Desai, AR [0000-0002-5226-6041], Do, FC [0000-0002-2852-627X], Dohnal, M [0000-0003-1769-4750], Domec, JC [0000-0003-0478-2559], Dzikiti, S [0000-0002-1892-4143], Edgar, C [0000-0002-7026-8358], Eichstaedt, R [0000-0002-4905-7994], El-Madany, T [0000-0002-0726-7141], Elbers, J [0000-0002-0631-3505], Eller, CB [0000-0002-7795-2574], Euskirchen, E [0000-0002-0848-4295], Ewers, B [0000-0001-6647-7475], Fonti, P [0000-0002-7070-3292], Forner, A [0000-0002-7123-6403], Forrester, D [0000-0003-2732-5692], Freitas, HC [0000-0002-4861-1164], Galvagno, M [0000-0002-0827-487X], Garcia-Tejera, O [0000-0001-7726-8118], Ghimire, CP [0000-0002-3715-6311], Gimeno, TE [0000-0002-1707-9291], Granier, A [0000-0002-4174-2487], Griebel, A [0000-0002-4476-8279], Guangyu, Y [0000-0003-3242-5348], Gush, MB [0000-0003-1328-9862], Hanson, PJ [0000-0001-7293-3561], Hasselquist, N [0000-0003-2777-0163], Heinrich, I [0000-0001-5800-6999], Hernandez-Santana, V [0000-0001-9018-8622], Herrmann, V [0000-0002-4519-481X], Hölttä, T [0000-0001-7677-7156], Holwerda, F [0000-0003-4125-1765], Ayutthaya, SIN [0000-0002-5354-1527], Jochheim,H [0000-0001-8047-4553], Joly, CA [0000-0002-7945-2805], Kim, HS [0000-0002-3440-6071], Klemedtsson, L [0000-0002-1122-0717], Kropp, H [0000-0002-4258-3393], Lagergren, F [0000-0002-0061-733X], Lane, P [0000-0001-6121-8386], Lapenas, A [0000-0002-2135-3636], Lechuga, V [0000-0003-3745-587X], Lee,M [0000-0002-9601-3863], Leuschner, C [0000-0002-5689-7932], Limousin, JM [0000-0002-2734-2495], Linares, JC [0000-0001-8375-6353], Linderson, ML [0000-0001-6578-6671], Lindroth, A [0000-0002-7669-784X], Llorens, P [0000-0003-4591-5303], López-Bernal, A [0000-0002-1034-4718], Loranty, MM[0000-0001-8851-7386], Macinnis-Ng, C [0000-0003-3935-9814], Marechaux, I [0000-0002-5401-0197], Martin, TA [0000-0002-7872-4194], Matheny, A [0000-0002-9532-7131], McDowell, N [0000-0002-2178-2254], Meir, P [0000-0002-2362-0398], Mészáros, I [0000-0001-8841-730X], Migliavacca, M [0000-0003-3546-8407], Mölder, M [0000-0001-6767-3195], Montagnani, L [0000-0003-2957-9071], Moore, GW [0000-0001-5190-5983], Nakada, R [0000-0002-3704-1784], Niu, F [0000-0003-3445-4011], Nolan, R [0000-0001-9277-5142], Norby,R [0000-0002-0238-9828], Novick, K [0000-0002-8431-0879], Oberhuber, W [0000-0002-5197-7044], Obojes, N [0000-0002-6718-2756], Poyatos, R, Granda, V, Flo, V, Adams, MA, Adorján, B, Aguadé, D, Aidar, MPM, Allen, S, Alvarado-Barrientos, MS, Anderson-Teixeira, KJ, Aparecido, LM, Joly, CA, Kaplick, J, Kim, HS, Klemedtsson, L, Kropp, H, Lagergren, F, Lane, P, Lang, P, Lapenas, A, Lechuga, V, Migliavacca, M, Lee, M, Leuschner, C, Limousin, JM, Linares, JC, Linderson, ML, Lindroth, A, Llorens, P, López-Bernal, A, Loranty, MM, Lüttschwager, D, Mitchell, P, MacInnis-Ng, C, Maréchaux, I, Martin, TA, Matheny, A, McDowell, N, McMahon, S, Meir, P, Mészáros, I, Molder, M, Mölder, M, Montagnani, L, Moore, GW, Nakada, R, Niu, F, Nolan, R, Norby,R, Novick, K, Oberhuber, W, Obojes, N, Oishi, AC, Oliveira RS, Oren, R, Ourcival,JM, Paljakka, T, Perez-Priego, O, Peri, PL, Peters, RL, Pfautsch, S, Pockman, WT, Preisler, Y, Rascher, K, Robinson, G, Rocha, H, Rocheteau, A, Röll, A, Rosado, BHP, Rowland, L [, Rubtsov, A, Sabaté, S, Salmon, Y, Salomón, RL, Sánchez-Costa, E, Schäfer, K, Schuldt, B, Shashkin, A, Stahl, C, Stojanovic, M, Suárez, JC, Sun, G, Niu, FR, Szatniewska, J, Tatarinov, F, Tesar, M, Thomas, FM, Tor-ngern, P, Urban, J, Valladares, F, Van der Tol, C, Van Meerveld, Varlagin, A, Norby, R, Voigt, H, Warren, J, Werner, C, Werner, W, Wieser, G, Wingate, W, Wullschleger, S, Koong, Y, Zweifel, R, Arain, MA, Oliveira, RS, Ourcival, JM, Aranda, I, Roll, A, Asbjornsen, H, Baxter, R, Beamesderfer, E, Berry, ZC, Berveiller, D, Blakely, B, Boggs, J, Bohrer, G, Bolstad, PV, Bonal, D, Bracho, R, Brito, P, Brodeur, J, Casanoves, F, Chave, J, Chen, H, Cisneros, C, Clark, K, Cremonese, E, Dang, HZ, David, JS, David, TS, Delpierre, N, Desai, AR, Do, Frederic C., Dohnal, M, Domec, JC, Dzikiti, S, Edgar, C, Eichstaedt, R, El-Madany, TS, Elbers, J, Eller, CB, Euskirchen, ES, Ewers, B, Fonti, P, Forner, A, Forrester, DI, Freitas, HC, Galvagno, M, Garcia-Tejera, O, Ghimire, CP, Gimeno, TE, Grace, J, Granier, A, Griebel, A, Guangyu, Y, Gush, MB, Hanson, PJ, Hasselquist, NJ, Heinrich, I, Hernandez-Santana, V, Herrmann, V, Hölttä, T, Holwerda, F, Irvine, J, Ayutthaya, SIN, Jarvis, PG, Jochheim, H, Ministerio de Ciencia e Innovación (España), Agència de Gestió d'Ajuts Universitaris i de Recerca, Poyatos, R [0000-0003-0521-2523], Granda, V [0000-0002-0469-1991], Flo, V [0000-0003-1908-4577], Adams, MA [0000-0002-8154-0097], Adorjan, B [0000-0002-5482-2515], Aidar, MPM [0000-0001-5728-6749], Alvarado-Barrientos, MS [0000-0003-0098-0806], Anderson-Teixeira, KJ [0000-0001-7585-712X], Arain, MA [0000-0002-1433-5173], Aranda, I [0000-0001-9086-7940], Asbjornsen, H [000-0001-8126-3328], Oishi, AC [0000-0001-5064-4080], Oliveira RS [0000-0002-6392-2526], Oren, R [0000-0002-5654-1733], Ourcival,JM [0000-0002-3557-3496], Paljakka, T [0000-0002-3674-4904], Perez-Priego, O [0000-0002-3138-3177], Peri, PL [0000-0002-5398-4408], Peters, RL [0000-0002-7441-1297], Pfautsch, S [0000-0002-4390-4195], Pockman, WT [0000-0002-3286-0457], Baxter, R [0000-0002-7504-6797], Preisler, Y [0000-0001-5861-8362], Rocha, H [0000-0002-5981-4469], Röll, A [0000-0001-9457-4459], Rosado, BHP [0000-0002-8924-8672], Rowland, L [0000-0002-0774-3216], Rubtsov, A [0000-0002-9663-4344], Sabaté, S [0000-0003-1854-0761], Salmon, Y [0000-0003-4433-4021], Salomón, RL [0000-0003-2674-1731], Sánchez-Costa, E [0000-0001-6799-9611], Beamesderfer, E [0000-0002-7513-7349], Schäfer, K [0000-0001-9452-3619], Schuldt, B [0000-0003-4738-5289], Shashkin, A [0000-0001-9925-5019], Stahl, C [0000-0001-5411-1169], Stojanović, M [0000-0003-4918-8668], Sun, G [0000-0002-0159-1370], Szatniewska, J [0000-0003-3027-9965], Tatarinov, F [0000-0002-8338-6070], Tesar, M [0000-0002-5647-8498], Thomas, FM [0000-0001-6377-719X], Berveiller, D [0000-0001-7461-6420], Tor-ngern, P [0000-0001-7363-4926], Urban, J [0000-0003-1730-947X], Van der Tol, C [0000-0002-2484-8191], Van Meerveld [0000-0002-7547-3270], Varlagin, A [0000-0002-2549-5236], Werner, C [0000-0002-7676-9057], Wieser, G [0000-0002-7575-5657], Wingate, W [0000-0003-1921-1556], Wullschleger, S [0000-0002-9869-0446], Koong, Y [0000-0002-8630-3031], Blakely, B [0000-0001-9923-0794], Zweifel, R [0000-0001-9438-0582], Steppe, K [0000-0001-6252-0704], Mencuccini, M [0000-0003-0840-1477], Martínez-Vilalta, J [0000-0002-2332-7298], Boggs, J [0000-0003-4826-1843], Bohrer, G [0000-0002-9209-9540], Bolstad, P [0000-0002-1829-8859], Bonal, D [0000-0001-9602-8603], Bracho, R [0000-0002-8015-9796], Brodeur, J [0000-0001-7118-8360], Casanoves, F [0000-0001-8765-9382], Chave, J [0000-0002-7766-1347], Chen, H [0000-0001-7619-3425], Cisneros, C [0000-0001-9661-4581], Clark, K [0000-0003-0534-9677], Cremonese, E [0000-0002-6708-8532], Dang, H [0000-0003-4428-3834], David, J [0000-0001-6994-1085], David, T [0000-0003-1473-899X], Delpierre, D [0000-0003-0906-9402], Desai, AR [0000-0002-5226-6041], Do, FC [0000-0002-2852-627X], Dohnal, M [0000-0003-1769-4750], Domec, JC [0000-0003-0478-2559], Dzikiti, S [0000-0002-1892-4143], Edgar, C [0000-0002-7026-8358], Eichstaedt, R [0000-0002-4905-7994], El-Madany, T [0000-0002-0726-7141], Elbers, J [0000-0002-0631-3505], Eller, CB [0000-0002-7795-2574], Euskirchen, E [0000-0002-0848-4295], Ewers, B [0000-0001-6647-7475], Fonti, P [0000-0002-7070-3292], Forner, A [0000-0002-7123-6403], Forrester, D [0000-0003-2732-5692], Freitas, HC [0000-0002-4861-1164], Galvagno, M [0000-0002-0827-487X], Garcia-Tejera, O [0000-0001-7726-8118], Ghimire, CP [0000-0002-3715-6311], Gimeno, TE [0000-0002-1707-9291], Granier, A [0000-0002-4174-2487], Griebel, A [0000-0002-4476-8279], Guangyu, Y [0000-0003-3242-5348], Gush, MB [0000-0003-1328-9862], Hanson, PJ [0000-0001-7293-3561], Hasselquist, N [0000-0003-2777-0163], Heinrich, I [0000-0001-5800-6999], Hernandez-Santana, V [0000-0001-9018-8622], Herrmann, V [0000-0002-4519-481X], Hölttä, T [0000-0001-7677-7156], Holwerda, F [0000-0003-4125-1765], Ayutthaya, SIN [0000-0002-5354-1527], Jochheim,H [0000-0001-8047-4553], Joly, CA [0000-0002-7945-2805], Kim, HS [0000-0002-3440-6071], Klemedtsson, L [0000-0002-1122-0717], Kropp, H [0000-0002-4258-3393], Lagergren, F [0000-0002-0061-733X], Lane, P [0000-0001-6121-8386], Lapenas, A [0000-0002-2135-3636], Lechuga, V [0000-0003-3745-587X], Lee,M [0000-0002-9601-3863], Leuschner, C [0000-0002-5689-7932], Limousin, JM [0000-0002-2734-2495], Linares, JC [0000-0001-8375-6353], Linderson, ML [0000-0001-6578-6671], Lindroth, A [0000-0002-7669-784X], Llorens, P [0000-0003-4591-5303], López-Bernal, A [0000-0002-1034-4718], Loranty, MM[0000-0001-8851-7386], Macinnis-Ng, C [0000-0003-3935-9814], Marechaux, I [0000-0002-5401-0197], Martin, TA [0000-0002-7872-4194], Matheny, A [0000-0002-9532-7131], McDowell, N [0000-0002-2178-2254], Meir, P [0000-0002-2362-0398], Mészáros, I [0000-0001-8841-730X], Migliavacca, M [0000-0003-3546-8407], Mölder, M [0000-0001-6767-3195], Montagnani, L [0000-0003-2957-9071], Moore, GW [0000-0001-5190-5983], Nakada, R [0000-0002-3704-1784], Niu, F [0000-0003-3445-4011], Nolan, R [0000-0001-9277-5142], Norby,R [0000-0002-0238-9828], Novick, K [0000-0002-8431-0879], Oberhuber, W [0000-0002-5197-7044], Obojes, N [0000-0002-6718-2756], Poyatos, R, Granda, V, Flo, V, Adams, MA, Adorján, B, Aguadé, D, Aidar, MPM, Allen, S, Alvarado-Barrientos, MS, Anderson-Teixeira, KJ, Aparecido, LM, Joly, CA, Kaplick, J, Kim, HS, Klemedtsson, L, Kropp, H, Lagergren, F, Lane, P, Lang, P, Lapenas, A, Lechuga, V, Migliavacca, M, Lee, M, Leuschner, C, Limousin, JM, Linares, JC, Linderson, ML, Lindroth, A, Llorens, P, López-Bernal, A, Loranty, MM, Lüttschwager, D, Mitchell, P, MacInnis-Ng, C, Maréchaux, I, Martin, TA, Matheny, A, McDowell, N, McMahon, S, Meir, P, Mészáros, I, Molder, M, Mölder, M, Montagnani, L, Moore, GW, Nakada, R, Niu, F, Nolan, R, Norby,R, Novick, K, Oberhuber, W, Obojes, N, Oishi, AC, Oliveira RS, Oren, R, Ourcival,JM, Paljakka, T, Perez-Priego, O, Peri, PL, Peters, RL, Pfautsch, S, Pockman, WT, Preisler, Y, Rascher, K, Robinson, G, Rocha, H, Rocheteau, A, Röll, A, Rosado, BHP, Rowland, L [, Rubtsov, A, Sabaté, S, Salmon, Y, Salomón, RL, Sánchez-Costa, E, Schäfer, K, Schuldt, B, Shashkin, A, Stahl, C, Stojanovic, M, Suárez, JC, Sun, G, Niu, FR, Szatniewska, J, Tatarinov, F, Tesar, M, Thomas, FM, Tor-ngern, P, Urban, J, Valladares, F, Van der Tol, C, Van Meerveld, Varlagin, A, Norby, R, Voigt, H, Warren, J, Werner, C, Werner, W, Wieser, G, Wingate, W, Wullschleger, S, Koong, Y, Zweifel, R, Arain, MA, Oliveira, RS, Ourcival, JM, Aranda, I, Roll, A, Asbjornsen, H, Baxter, R, Beamesderfer, E, Berry, ZC, Berveiller, D, Blakely, B, Boggs, J, Bohrer, G, Bolstad, PV, Bonal, D, Bracho, R, Brito, P, Brodeur, J, Casanoves, F, Chave, J, Chen, H, Cisneros, C, Clark, K, Cremonese, E, Dang, HZ, David, JS, David, TS, Delpierre, N, Desai, AR, Do, Frederic C., Dohnal, M, Domec, JC, Dzikiti, S, Edgar, C, Eichstaedt, R, El-Madany, TS, Elbers, J, Eller, CB, Euskirchen, ES, Ewers, B, Fonti, P, Forner, A, Forrester, DI, Freitas, HC, Galvagno, M, Garcia-Tejera, O, Ghimire, CP, Gimeno, TE, Grace, J, Granier, A, Griebel, A, Guangyu, Y, Gush, MB, Hanson, PJ, Hasselquist, NJ, Heinrich, I, Hernandez-Santana, V, Herrmann, V, Hölttä, T, Holwerda, F, Irvine, J, Ayutthaya, SIN, Jarvis, PG, and Jochheim, H

Abstract

Plant transpiration links physiological responses of vegetation to water supply and demand with hydrological, energy, and carbon budgets at the land-atmosphere interface. However, despite being the main land evaporative flux at the global scale, transpiration and its response to environmental drivers are currently not well constrained by observations. Here we introduce the first global compilation of whole-plant transpiration data from sap flow measurements (SAPFLUXNET, https://sapfluxnet.creaf.cat/, last access: 8 June 2021). We harmonized and quality-controlled individual datasets supplied by contributors worldwide in a semi-automatic data workflow implemented in the R programming language. Datasets include sub-daily time series of sap flow and hydrometeorological drivers for one or more growing seasons, as well as metadata on the stand characteristics, plant attributes, and technical details of the measurements. SAPFLUXNET contains 202 globally distributed datasets with sap flow time series for 2714 plants, mostly trees, of 174 species. SAPFLUXNET has a broad bioclimatic coverage, with woodland/shrubland and temperate forest biomes especially well represented (80% of the datasets). The measurements cover a wide variety of stand structural characteristics and plant sizes. The datasets encompass the period between 1995 and 2018, with 50% of the datasets being at least 3 years long. Accompanying radiation and vapour pressure deficit data are available for most of the datasets, while on-site soil water content is available for 56% of the datasets. Many datasets contain data for species that make up 90% or more of the total stand basal area, allowing the estimation of stand transpiration in diverse ecological settings. SAPFLUXNET adds to existing plant trait datasets, ecosystem flux networks, and remote sensing products to help increase our understanding of plant water use, plant responses to drought, and ecohydrological processes. SAPFLUXNET version 0.1.5 is freely a

Published
2021

19. ISIMIP2a Simulation Data from the Regional Forests Sector (v1.0)

Author

Mahnken, M., Collalti, A., Dalmonech, D., Trotta, C., Trotsiuk, V., Augustynczik, A.L.D., Yousefpour, R., Gutsch, M., Cameron, D.R., Bugmann, H., Huber, N., Thrippleton, T., Bohn, Friedrich, Nadal‐Sala, D., Sabaté, S., Grote, R., Mäkelä, A., Minunno, F., Peltoniemi, M., Vallet, P., Fabrika, M., Merganičová, K., Vega del Valle, I.D., Volkholz, J., Reyer, C.P.O., Mahnken, M., Collalti, A., Dalmonech, D., Trotta, C., Trotsiuk, V., Augustynczik, A.L.D., Yousefpour, R., Gutsch, M., Cameron, D.R., Bugmann, H., Huber, N., Thrippleton, T., Bohn, Friedrich, Nadal‐Sala, D., Sabaté, S., Grote, R., Mäkelä, A., Minunno, F., Peltoniemi, M., Vallet, P., Fabrika, M., Merganičová, K., Vega del Valle, I.D., Volkholz, J., and Reyer, C.P.O.

Abstract

Forest models are instrumental for understanding and projecting the impact of climate change on forests. A considerable number of forest models have been developed in the last decades. However, few systematic and comprehensive model comparisons have been performed in Europe that combine an evaluation of modelled carbon and water fluxes and forest structure. We evaluate 13 widely-used, state-of-the-art, stand-scale forest models against field measurements of forest structure and eddy-covariance data of carbon and water fluxes over multiple decades across an environmental gradient at nine typical European forest stands. We test the models’ performance in three dimensions: accuracy of local predictions (agreement of modelled and observed annual data), realism of environmental responses (agreement of modelled and observed responses of daily gross primary productivity to temperature, radiation and vapor pressure deficit) and general applicability (proportion of European tree species covered). We find that multiple models are available that excel according to our three dimensions of model performance. For the accuracy of local predictions, variables related to forest structure have lower random and systematic errors than annual carbon and water flux variables. Moreover, the multi-model ensemble mean provided overall more realistic daily productivity responses to environmental drivers across all sites than any single individual model. The general applicability of the models is high, as almost all models are currently able to cover Europe’s common tree species. We show that forest models complement each other in their response to environmental drivers and that there are several cases in which individual models outperform the model ensemble. Our framework provides a first step to capturing essential differences between forest models that go beyond the most commonly used accuracy of predictions. Overall, this study provides a point of reference for future model work aimed at

Published
2022

20. Accuracy, realism and general applicability of European forest models

Author

Mahnken, M., Cailleret, M., Collalti, A., Trotta, C., Biondo, C., D’Andrea, E., Dalmonech, D., Marano, G., Mäkelä, A., Minunno, F., Peltoniemi, M., Trotsiuk, V., Nadal‐Sala, D., Sabaté, S., Vallet, P., Aussenac, R., Cameron, D.R., Bohn, Friedrich, Grote, R., Augustynczik, A.L.D., Yousefpour, R., Huber, N., Bugmann, H., Merganičová, K., Merganic, J., Valent, P., Lasch-Born, P., Hartig, F., Vega del Valle, I.D., Volkholz, J., Gutsch, M., Matteucci, G., Krejza, J., Ibrom, A., Meesenburg, H., Rötzer, T., van der Maaten-Theunissen, M., van der Maaten, E., Reyer, C.P.O., Mahnken, M., Cailleret, M., Collalti, A., Trotta, C., Biondo, C., D’Andrea, E., Dalmonech, D., Marano, G., Mäkelä, A., Minunno, F., Peltoniemi, M., Trotsiuk, V., Nadal‐Sala, D., Sabaté, S., Vallet, P., Aussenac, R., Cameron, D.R., Bohn, Friedrich, Grote, R., Augustynczik, A.L.D., Yousefpour, R., Huber, N., Bugmann, H., Merganičová, K., Merganic, J., Valent, P., Lasch-Born, P., Hartig, F., Vega del Valle, I.D., Volkholz, J., Gutsch, M., Matteucci, G., Krejza, J., Ibrom, A., Meesenburg, H., Rötzer, T., van der Maaten-Theunissen, M., van der Maaten, E., and Reyer, C.P.O.

Abstract

Forest models are instrumental for understanding and projecting the impact of climate change on forests. A considerable number of forest models have been developed in the last decades. However, few systematic and comprehensive model comparisons have been performed in Europe that combine an evaluation of modelled carbon and water fluxes and forest structure. We evaluate 13 widely-used, state-of-the-art, stand-scale forest models against field measurements of forest structure and eddy-covariance data of carbon and water fluxes over multiple decades across an environmental gradient at nine typical European forest stands. We test the models’ performance in three dimensions: accuracy of local predictions (agreement of modelled and observed annual data), realism of environmental responses (agreement of modelled and observed responses of daily gross primary productivity to temperature, radiation and vapor pressure deficit) and general applicability (proportion of European tree species covered). We find that multiple models are available that excel according to our three dimensions of model performance. For the accuracy of local predictions, variables related to forest structure have lower random and systematic errors than annual carbon and water flux variables. Moreover, the multi-model ensemble mean provided overall more realistic daily productivity responses to environmental drivers across all sites than any single individual model. The general applicability of the models is high, as almost all models are currently able to cover Europe’s common tree species. We show that forest models complement each other in their response to environmental drivers and that there are several cases in which individual models outperform the model ensemble. Our framework provides a first step to capturing essential differences between forest models that go beyond the most commonly used accuracy of predictions. Overall, this study provides a point of reference for future model work aimed at

Published
2022

23. Global transpiration data from sap flow measurements: The SAPFLUXNET database

Author

Poyatos, R, Granda, V, Flo, V, Adams, MA, Adorján, B, Aguadé, D, Aidar, MPM, Allen, S, Alvarado-Barrientos, MS, Anderson-Teixeira, KJ, Aparecido, LM, Joly, CA, Kaplick, J, Kim, HS, Klemedtsson, L, Kropp, H, Lagergren, F, Lane, P, Lang, P, Lapenas, A, Lechuga, V, Migliavacca, M, Lee, M, Leuschner, C, Limousin, JM, Linares, JC, Linderson, ML, Lindroth, A, Llorens, P, López-Bernal, A, Loranty, MM, Lüttschwager, D, Mitchell, P, MacInnis-Ng, C, Maréchaux, I, Martin, TA, Matheny, A, McDowell, N, McMahon, S, Meir, P, Mészáros, I, Molder, M, Mölder, M, Montagnani, L, Moore, GW, Nakada, R, Niu, F, Nolan, R, Norby,R, Novick, K, Oberhuber, W, Obojes, N, Oishi, AC, Oliveira RS, Oren, R, Ourcival,JM, Paljakka, T, Perez-Priego, O, Peri, PL, Peters, RL, Pfautsch, S, Pockman, WT, Preisler, Y, Rascher, K, Robinson, G, Rocha, H, Rocheteau, A, Röll, A, Rosado, BHP, Rowland, L [, Rubtsov, A, Sabaté, S, Salmon, Y, Salomón, RL, Sánchez-Costa, E, Schäfer, K, Schuldt, B, Shashkin, A, Stahl, C, Stojanovic, M, Suárez, JC, Sun, G, Niu, FR, Szatniewska, J, Tatarinov, F, Tesar, M, Thomas, FM, Tor-ngern, P, Urban, J, Valladares, F, Van der Tol, C, Van Meerveld, Varlagin, A, Norby, R, Voigt, H, Warren, J, Werner, C, Werner, W, Wieser, G, Wingate, W, Wullschleger, S, Koong, Y, Zweifel, R, Arain, MA, Oliveira, RS, Ourcival, JM, Aranda, I, Roll, A, Asbjornsen, H, Baxter, R, Beamesderfer, E, Berry, ZC, Berveiller, D, Blakely, B, Boggs, J, Bohrer, G, Bolstad, PV, Bonal, D, Bracho, R, Brito, P, Brodeur, J, Casanoves, F, Chave, J, Chen, H, Cisneros, C, Clark, K, Cremonese, E, Dang, HZ, David, JS, David, TS, Delpierre, N, Desai, AR, Do, Frederic C., Dohnal, M, Domec, JC, Dzikiti, S, Edgar, C, Eichstaedt, R, El-Madany, TS, Elbers, J, Eller, CB, Euskirchen, ES, Ewers, B, Fonti, P, Forner, A, Forrester, DI, Freitas, HC, Galvagno, M, Garcia-Tejera, O, Ghimire, CP, Gimeno, TE, Grace, J, Granier, A, Griebel, A, Guangyu, Y, Gush, MB, Hanson, PJ, Hasselquist, NJ, Heinrich, I, Hernandez-Santana, V, Herrmann, V, Hölttä, T, Holwerda, F, Irvine, J, Ayutthaya, SIN, Jarvis, PG, Jochheim, H, Ministerio de Ciencia e Innovación (España), Agència de Gestió d'Ajuts Universitaris i de Recerca, Poyatos, R [0000-0003-0521-2523], Granda, V [0000-0002-0469-1991], Flo, V [0000-0003-1908-4577], Adams, MA [0000-0002-8154-0097], Adorjan, B [0000-0002-5482-2515], Aidar, MPM [0000-0001-5728-6749], Alvarado-Barrientos, MS [0000-0003-0098-0806], Anderson-Teixeira, KJ [0000-0001-7585-712X], Arain, MA [0000-0002-1433-5173], Aranda, I [0000-0001-9086-7940], Asbjornsen, H [000-0001-8126-3328], Oishi, AC [0000-0001-5064-4080], Oliveira RS [0000-0002-6392-2526], Oren, R [0000-0002-5654-1733], Ourcival,JM [0000-0002-3557-3496], Paljakka, T [0000-0002-3674-4904], Perez-Priego, O [0000-0002-3138-3177], Peri, PL [0000-0002-5398-4408], Peters, RL [0000-0002-7441-1297], Pfautsch, S [0000-0002-4390-4195], Pockman, WT [0000-0002-3286-0457], Baxter, R [0000-0002-7504-6797], Preisler, Y [0000-0001-5861-8362], Rocha, H [0000-0002-5981-4469], Röll, A [0000-0001-9457-4459], Rosado, BHP [0000-0002-8924-8672], Rowland, L [0000-0002-0774-3216], Rubtsov, A [0000-0002-9663-4344], Sabaté, S [0000-0003-1854-0761], Salmon, Y [0000-0003-4433-4021], Salomón, RL [0000-0003-2674-1731], Sánchez-Costa, E [0000-0001-6799-9611], Beamesderfer, E [0000-0002-7513-7349], Schäfer, K [0000-0001-9452-3619], Schuldt, B [0000-0003-4738-5289], Shashkin, A [0000-0001-9925-5019], Stahl, C [0000-0001-5411-1169], Stojanović, M [0000-0003-4918-8668], Sun, G [0000-0002-0159-1370], Szatniewska, J [0000-0003-3027-9965], Tatarinov, F [0000-0002-8338-6070], Tesar, M [0000-0002-5647-8498], Thomas, FM [0000-0001-6377-719X], Berveiller, D [0000-0001-7461-6420], Tor-ngern, P [0000-0001-7363-4926], Urban, J [0000-0003-1730-947X], Van der Tol, C [0000-0002-2484-8191], Van Meerveld [0000-0002-7547-3270], Varlagin, A [0000-0002-2549-5236], Werner, C [0000-0002-7676-9057], Wieser, G [0000-0002-7575-5657], Wingate, W [0000-0003-1921-1556], Wullschleger, S [0000-0002-9869-0446], Koong, Y [0000-0002-8630-3031], Blakely, B [0000-0001-9923-0794], Zweifel, R [0000-0001-9438-0582], Steppe, K [0000-0001-6252-0704], Mencuccini, M [0000-0003-0840-1477], Martínez-Vilalta, J [0000-0002-2332-7298], Boggs, J [0000-0003-4826-1843], Bohrer, G [0000-0002-9209-9540], Bolstad, P [0000-0002-1829-8859], Bonal, D [0000-0001-9602-8603], Bracho, R [0000-0002-8015-9796], Brodeur, J [0000-0001-7118-8360], Casanoves, F [0000-0001-8765-9382], Chave, J [0000-0002-7766-1347], Chen, H [0000-0001-7619-3425], Cisneros, C [0000-0001-9661-4581], Clark, K [0000-0003-0534-9677], Cremonese, E [0000-0002-6708-8532], Dang, H [0000-0003-4428-3834], David, J [0000-0001-6994-1085], David, T [0000-0003-1473-899X], Delpierre, D [0000-0003-0906-9402], Desai, AR [0000-0002-5226-6041], Do, FC [0000-0002-2852-627X], Dohnal, M [0000-0003-1769-4750], Domec, JC [0000-0003-0478-2559], Dzikiti, S [0000-0002-1892-4143], Edgar, C [0000-0002-7026-8358], Eichstaedt, R [0000-0002-4905-7994], El-Madany, T [0000-0002-0726-7141], Elbers, J [0000-0002-0631-3505], Eller, CB [0000-0002-7795-2574], Euskirchen, E [0000-0002-0848-4295], Ewers, B [0000-0001-6647-7475], Fonti, P [0000-0002-7070-3292], Forner, A [0000-0002-7123-6403], Forrester, D [0000-0003-2732-5692], Freitas, HC [0000-0002-4861-1164], Galvagno, M [0000-0002-0827-487X], Garcia-Tejera, O [0000-0001-7726-8118], Ghimire, CP [0000-0002-3715-6311], Gimeno, TE [0000-0002-1707-9291], Granier, A [0000-0002-4174-2487], Griebel, A [0000-0002-4476-8279], Guangyu, Y [0000-0003-3242-5348], Gush, MB [0000-0003-1328-9862], Hanson, PJ [0000-0001-7293-3561], Hasselquist, N [0000-0003-2777-0163], Heinrich, I [0000-0001-5800-6999], Hernandez-Santana, V [0000-0001-9018-8622], Herrmann, V [0000-0002-4519-481X], Hölttä, T [0000-0001-7677-7156], Holwerda, F [0000-0003-4125-1765], Ayutthaya, SIN [0000-0002-5354-1527], Jochheim,H [0000-0001-8047-4553], Joly, CA [0000-0002-7945-2805], Kim, HS [0000-0002-3440-6071], Klemedtsson, L [0000-0002-1122-0717], Kropp, H [0000-0002-4258-3393], Lagergren, F [0000-0002-0061-733X], Lane, P [0000-0001-6121-8386], Lapenas, A [0000-0002-2135-3636], Lechuga, V [0000-0003-3745-587X], Lee,M [0000-0002-9601-3863], Leuschner, C [0000-0002-5689-7932], Limousin, JM [0000-0002-2734-2495], Linares, JC [0000-0001-8375-6353], Linderson, ML [0000-0001-6578-6671], Lindroth, A [0000-0002-7669-784X], Llorens, P [0000-0003-4591-5303], López-Bernal, A [0000-0002-1034-4718], Loranty, MM[0000-0001-8851-7386], Macinnis-Ng, C [0000-0003-3935-9814], Marechaux, I [0000-0002-5401-0197], Martin, TA [0000-0002-7872-4194], Matheny, A [0000-0002-9532-7131], McDowell, N [0000-0002-2178-2254], Meir, P [0000-0002-2362-0398], Mészáros, I [0000-0001-8841-730X], Migliavacca, M [0000-0003-3546-8407], Mölder, M [0000-0001-6767-3195], Montagnani, L [0000-0003-2957-9071], Moore, GW [0000-0001-5190-5983], Nakada, R [0000-0002-3704-1784], Niu, F [0000-0003-3445-4011], Nolan, R [0000-0001-9277-5142], Norby,R [0000-0002-0238-9828], Novick, K [0000-0002-8431-0879], Oberhuber, W [0000-0002-5197-7044], and Obojes, N [0000-0002-6718-2756]

Subjects
Stomatal condua, Sapflow measurements, Heat-pulse method, Vapor- pressure deficit, Radial patterns, Water use strategies, Eddy covariance, Fluw density, Thermal dissipation
Abstract

Plant transpiration links physiological responses of vegetation to water supply and demand with hydrological, energy, and carbon budgets at the land-atmosphere interface. However, despite being the main land evaporative flux at the global scale, transpiration and its response to environmental drivers are currently not well constrained by observations. Here we introduce the first global compilation of whole-plant transpiration data from sap flow measurements (SAPFLUXNET, https://sapfluxnet.creaf.cat/, last access: 8 June 2021). We harmonized and quality-controlled individual datasets supplied by contributors worldwide in a semi-automatic data workflow implemented in the R programming language. Datasets include sub-daily time series of sap flow and hydrometeorological drivers for one or more growing seasons, as well as metadata on the stand characteristics, plant attributes, and technical details of the measurements. SAPFLUXNET contains 202 globally distributed datasets with sap flow time series for 2714 plants, mostly trees, of 174 species. SAPFLUXNET has a broad bioclimatic coverage, with woodland/shrubland and temperate forest biomes especially well represented (80% of the datasets). The measurements cover a wide variety of stand structural characteristics and plant sizes. The datasets encompass the period between 1995 and 2018, with 50% of the datasets being at least 3 years long. Accompanying radiation and vapour pressure deficit data are available for most of the datasets, while on-site soil water content is available for 56% of the datasets. Many datasets contain data for species that make up 90% or more of the total stand basal area, allowing the estimation of stand transpiration in diverse ecological settings. SAPFLUXNET adds to existing plant trait datasets, ecosystem flux networks, and remote sensing products to help increase our understanding of plant water use, plant responses to drought, and ecohydrological processes. SAPFLUXNET version 0.1.5 is freely available from the Zenodo repository (10.5281/zenodo.3971689; Poyatos et al., 2020a). The "sapfluxnetr"R package-designed to access, visualize, and process SAPFLUXNET data-is available from CRAN. This research was supported by the Ministerio de Economía y Competitividad (grant no. CGL2014-55883-JIN), the Ministerio de Ciencia e Innovación (grant no. RTI2018-095297-J-I00), the Ministerio de Ciencia e Innovación (grant no. CAS16/00207), the Agència de Gestió d'Ajuts Universitaris i de Recerca (grant no. SGR1001), the Alexander von Humboldt-Stiftung (Humboldt Research Fellowship for Experienced Researchers (RP)), and the Institució Catalana de Recerca i Estudis Avançats (Academia Award (JMV)). Víctor Flo was supported by the doctoral fellowship FPU15/03939 (MECD, Spain).

Published
2021

31. Global transpiration data from sap flow measurements: The SAPFLUXNET database

Author

Poyatos, R., Granda, V, Flo, V., Adorján, B., Adams, M. A., Aguadé, D., Aidar, M. P. M., Allen, S., Alvarado-Barrientos, M. S., Anderson-Teixeira, K. J., Aparecido, L. M., Altaf Arain, M., Aranda, I., Asbjornsen, H., Baxter, R., Beamesderfer, E., Berry, Z. C., Berveiller, D., Blakely, B., Boggs, J., Bohrer, G., Bolstad, P. V., Bonal, D., Bracho, R., Brito, P., Brodeur, J., Casanoves, F., Chave, J., Chen, H., Cisneros, C., Clark, K., Cremonese, E., Dang, H., David, J. S., David, T. S., Delpierre, N., Desai, A. R., Do, F. C., Dohnal, N., Domec, J. C., Dzikiti, S., Edgar, C., Eichstaedt, R., El-Madany, T. S., Elbers, J., Eller, C. B., Euskirchen, E. S., Ewers, B., Fonti, P., Forner, A., Forrester, D. I., Freitas, H. C., Galvagno, M., Garcia-Tejera, O., Ghimire, C. P., Gimeno, T. E., Grace, J., Granier, A., Griebel, A., Guangyu, Y., Gush, M. B., Hanson, P. J., Hasselquist, N. J., Heinrich, I., Hernandez-Santana, V., Herrmann, V, Hölttä, T., Holwerda, F., Irvine, J., Na Ayutthaya, S. Y., Jarvis, P. J., Jochheim, H., Joly, C. A., Kaplick, J., Kim, H. S., Klemedtsson, L., Kropp, H., Lagergren, F., Lane, P., Lang, P., Lapenas, A., Lechuga, V., Lee, M., Leuschner, C., Limousin, J. M., Linares, J. C., Linderson, M. L., Lindroth, A., Llorens, P., López-Bernal, A., Loranty, M. M., Lüttschwager, D., MacInnis-Ng, C., Maréchaux, I., Martin, T. A., Matheny, A., McDowell, N., McMahon, S., Meir, P., Mészáros, I., Migliavacca, M., Mitchell, P., Mölder, M., Montagnani, L., Moore, G. W., Nakada, R., Niu, F., Nolan, R.H., Norby, R., Novick, K., Oberhuber, W., Obojes, N., Oishi, A. C., Oliveira, R. S., Olen, R., Ourcival, J. M., Paljakka, T., Perez Priego, O., Peri, P. L., Peters, R. L., Pfautsch, S., Pockman, W. T., Preysler, I., Rascher, K., Robinson, G., Rocheteau, A., Rocha, H., Röll, A., Rosado, B. H. P., Rowland, L., Rubtsov, A. V., Sabaté, S., Salmón, Y., Salomon, R. L., Schäfer, K. V. R., Sánchez-Costa, E., Schuld, B., Shashkin, A., Stahl, C., Stojanovic, M., Suárez, J. C., Szatniewska, J, Sun, G., Tatarinov, F., TesaÅ, M, Thomas, F. M., Tor-Ngern, P., Urban, J., Valladares, F., Van Der Tol, C., Van Meerveld, I., Varlagin, A., Voigt, H., Warren, J., Werner, C., Poyatos, R., Granda, V, Flo, V., Adorján, B., Adams, M. A., Aguadé, D., Aidar, M. P. M., Allen, S., Alvarado-Barrientos, M. S., Anderson-Teixeira, K. J., Aparecido, L. M., Altaf Arain, M., Aranda, I., Asbjornsen, H., Baxter, R., Beamesderfer, E., Berry, Z. C., Berveiller, D., Blakely, B., Boggs, J., Bohrer, G., Bolstad, P. V., Bonal, D., Bracho, R., Brito, P., Brodeur, J., Casanoves, F., Chave, J., Chen, H., Cisneros, C., Clark, K., Cremonese, E., Dang, H., David, J. S., David, T. S., Delpierre, N., Desai, A. R., Do, F. C., Dohnal, N., Domec, J. C., Dzikiti, S., Edgar, C., Eichstaedt, R., El-Madany, T. S., Elbers, J., Eller, C. B., Euskirchen, E. S., Ewers, B., Fonti, P., Forner, A., Forrester, D. I., Freitas, H. C., Galvagno, M., Garcia-Tejera, O., Ghimire, C. P., Gimeno, T. E., Grace, J., Granier, A., Griebel, A., Guangyu, Y., Gush, M. B., Hanson, P. J., Hasselquist, N. J., Heinrich, I., Hernandez-Santana, V., Herrmann, V, Hölttä, T., Holwerda, F., Irvine, J., Na Ayutthaya, S. Y., Jarvis, P. J., Jochheim, H., Joly, C. A., Kaplick, J., Kim, H. S., Klemedtsson, L., Kropp, H., Lagergren, F., Lane, P., Lang, P., Lapenas, A., Lechuga, V., Lee, M., Leuschner, C., Limousin, J. M., Linares, J. C., Linderson, M. L., Lindroth, A., Llorens, P., López-Bernal, A., Loranty, M. M., Lüttschwager, D., MacInnis-Ng, C., Maréchaux, I., Martin, T. A., Matheny, A., McDowell, N., McMahon, S., Meir, P., Mészáros, I., Migliavacca, M., Mitchell, P., Mölder, M., Montagnani, L., Moore, G. W., Nakada, R., Niu, F., Nolan, R.H., Norby, R., Novick, K., Oberhuber, W., Obojes, N., Oishi, A. C., Oliveira, R. S., Olen, R., Ourcival, J. M., Paljakka, T., Perez Priego, O., Peri, P. L., Peters, R. L., Pfautsch, S., Pockman, W. T., Preysler, I., Rascher, K., Robinson, G., Rocheteau, A., Rocha, H., Röll, A., Rosado, B. H. P., Rowland, L., Rubtsov, A. V., Sabaté, S., Salmón, Y., Salomon, R. L., Schäfer, K. V. R., Sánchez-Costa, E., Schuld, B., Shashkin, A., Stahl, C., Stojanovic, M., Suárez, J. C., Szatniewska, J, Sun, G., Tatarinov, F., TesaÅ, M, Thomas, F. M., Tor-Ngern, P., Urban, J., Valladares, F., Van Der Tol, C., Van Meerveld, I., Varlagin, A., Voigt, H., Warren, J., and Werner, C.

Abstract

Plant transpiration links physiological responses of vegetation to water supply and demand with hydrological, energy, and carbon budgets at the land-atmosphere interface. However, despite being the main land evaporative flux at the global scale, transpiration and its response to environmental drivers are currently not well constrained by observations. Here we introduce the first global compilation of whole-plant transpiration data from sap flow measurements (SAPFLUXNET, https://sapfluxnet.creaf.cat/, last access: 8 June 2021). We harmonized and quality-controlled individual datasets supplied by contributors worldwide in a semi-automatic data workflow implemented in the R programming language. Datasets include sub-daily time series of sap flow and hydrometeorological drivers for one or more growing seasons, as well as metadata on the stand characteristics, plant attributes, and technical details of the measurements. SAPFLUXNET contains 202 globally distributed datasets with sap flow time series for 2714 plants, mostly trees, of 174 species. SAPFLUXNET has a broad bioclimatic coverage, with woodland/shrubland and temperate forest biomes especially well represented (80% of the datasets). The measurements cover a wide variety of stand structural characteristics and plant sizes. The datasets encompass the period between 1995 and 2018, with 50% of the datasets being at least 3 years long. Accompanying radiation and vapour pressure deficit data are available for most of the datasets, while on-site soil water content is available for 56% of the datasets. Many datasets contain data for species that make up 90% or more of the total stand basal area, allowing the estimation of stand transpiration in diverse ecological settings. SAPFLUXNET adds to existing plant trait datasets, ecosystem flux networks, and remote sensing products to help increase our understanding of plant water use, plant responses to drought, and ecohydrological processes. SAPFLUXNET version 0.1.5 is freely a

Published
2021

38. Incidence and predictors of major perioperative adverse cardiac and cerebrovascular events in non-cardiac surgery

Author

Sabaté, S., Mases, A., Guilera, N., Canet, J., Castillo, J., Orrego, C., Sabaté, A., Fita, G., Parramón, F., Paniagua, P., Rodríguez, A., Sabaté, M., Martin, Beatriz, Rivilla, Maite, Giné, Marta, Sadurní, Marc, Fau, Miriam, Arroyo, Raquel, Rojo, Amèlia, Pujol Rosa, Elisenda, Rovira, Irene, Alcón, Amalia, Lacambra, Marta, Pi, Albert, Campello, Diana, Sierra, Pilar, Arnal, Ana, Llorente, Covadonga, Mazo, Valentin, Lopez, Silvia, Calo, Novella, Jesús Laso, M, Angels Subirana, M., Andrade, Janete, Ramiro, Olga, Vilalta, Teresa, Cárdenas, Gràcia, Hernández, Carmen, March, Xavier, Muñoz, Alfred, Canadell, Albert, Jiménez, Lisette, Balev, Gentxo, Martín, Carmen, Serrat, Jordi, Mahillo, Laura, Martinez, Lluis, del Pozo, Dolors, and Alonso, Alfonso

Published
2011
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39. Recomendaciones para la evaluación y manejo de la vía aérea difícil prevista y no prevista de la Societat Catalana d’Anestesiologia, Reanimació i Terapèutica del Dolor, basadas en la adaptación de guías de práctica clínica y consenso de expertos

Author

López, A.M., primary, Belda, I., additional, Bermejo, S., additional, Parra, L., additional, Áñez, C., additional, Borràs, R., additional, Sabaté, S., additional, Carbonell, N., additional, Marco, G., additional, Pérez, J., additional, Massó, E., additional, Soto, J.Mª, additional, Boza, E., additional, Gil, J.M., additional, Serra, M., additional, Tejedor, V., additional, Tejedor, A., additional, Roza, J., additional, Plaza, A., additional, Tena, B., additional, Valero, R., additional, Esquius, P., additional, Huesca Ranea, J., additional, Llorca, J., additional, Reguant, F., additional, Carazo, J., additional, Sanchez, S., additional, Martin, C., additional, Bayo, M., additional, Güenaga, O., additional, Santos, P., additional, Martínez Villar, M.L., additional, Hernando, D., additional, Bergé, R., additional, Carretero, M.J., additional, Hurtado, P., additional, López, A., additional, Magaldi, M., additional, Martínez, J., additional, Rivas, E., additional, Ruiz, A., additional, Aberasturi, T., additional, Soto, J.M., additional, Gil de Bernabé, M.A., additional, Hinojal, I., additional, Genis, J., additional, Escobar, M., additional, Martinez, L., additional, Serrano, S., additional, Farré, M., additional, Castro Serrano, M.J., additional, Gomez, M.K., additional, Martin Castro, M.C., additional, Mayoral, V., additional, Ornaque, I., additional, Pi, A., additional, Villalonga, R., additional, Muñoz, A., additional, Aragones, N., additional, Hernando Carrillo, L., additional, Periñán, R., additional, Planella, T., additional, Monclús, E., additional, Sanchez, E., additional, Costa, C., additional, Franco, T., additional, Vila, P., additional, Colilles, C., additional, García, E., additional, Izquierdo, A., additional, López, S., additional, Ricol, L., additional, del Pozo, D., additional, Drudis, R., additional, Schmucker, E., additional, Villaverde, I., additional, Andreu, E., additional, Casanovas, A., additional, and Serra, J.M., additional

Published
2020
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40. Recommendations for the evaluation and management of the anticipated and non-anticipated difficult airway of the Societat Catalana d’Anestesiologia, Reanimació i Terapèutica del Dolor, based on the adaptation of clinical practice guidelines and expert consensus

Author

López, A.M., primary, Belda, I., additional, Bermejo, S., additional, Parra, L., additional, Áñez, C., additional, Borràs, R., additional, Sabaté, S., additional, Carbonell, N., additional, Marco, G., additional, Pérez, J., additional, Massó, E., additional, Soto, J.Mª, additional, Boza, E., additional, Gil, J.M., additional, Serra, M., additional, Tejedor, V., additional, Tejedor, A., additional, Roza, J., additional, Plaza, A., additional, Tena, B., additional, Valero, R., additional, Esquius, P., additional, Huesca Ranea, J., additional, Llorca, J., additional, Reguant, F., additional, Carazo, J., additional, Sanchez, S., additional, Martin, C., additional, Bayo, M., additional, Güenaga, O., additional, Santos, P., additional, Martínez Villar, M.L., additional, Hernando, D., additional, Bergé, R., additional, Carretero, M.J., additional, Hurtado, P., additional, López, A., additional, Magaldi, M., additional, Martínez, J., additional, Rivas, E., additional, Ruiz, A., additional, Aberasturi, T., additional, Soto, J.M., additional, Gil de Bernabé, M.A., additional, Hinojal, I., additional, Genis, J., additional, Escobar, M., additional, Martinez, L., additional, Serrano, S., additional, Farré, M., additional, Castro Serrano, M.J., additional, Gomez, M.K., additional, Martin Castro, M.C., additional, Mayoral, V., additional, Ornaque, I., additional, Pi, A., additional, Villalonga, R., additional, Muñoz, A., additional, Aragones, N., additional, Hernando Carrillo, L., additional, Periñán, R., additional, Planella, T., additional, Monclús, E., additional, Sanchez, E., additional, Costa, C., additional, Franco, T., additional, Vila, P., additional, Colilles, C., additional, García, E., additional, Izquierdo, A., additional, López, S., additional, Ricol, L., additional, del Pozo, D., additional, Drudis, R., additional, Schmucker, E., additional, Villaverde, I., additional, Andreu, E., additional, Casanovas, A., additional, and Serra, J.M., additional

Published
2020
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41. Norovirus detection in environmental samples in norovirus outbreaks in closed and semi-closed settings

Author

Rico, E., primary, Pérez, C., additional, Belver, A., additional, Sabaté, S., additional, Razquin, E., additional, de Benito, J., additional, Coronas, L., additional, Domínguez, A., additional, Jané, M., additional, Alsedà, M., additional, Álvarez, J., additional, Barrabeig, I., additional, Belver, A.I., additional, Camps, N., additional, Minguell, S., additional, Carol, M., additional, Godoy, P., additional, Izquierdo, C., additional, Martínez, A., additional, Parrón, I., additional, Rico, E., additional, Girón, F., additional, Pedrol, A., additional, Camp, J., additional, Macià, A., additional, Marcos de Miguel, J., additional, Campo, A., additional, Rovira, A., additional, Sabaté, M., additional, Sala, M.R., additional, Torner, N., additional, Vileu, R.M., additional, de Andrés, A., additional, Cunillé, M., additional, Forns, M.L., additional, Razquín, E., additional, de Simón, M., additional, Rius, C., additional, Camprubí, E., additional, Moreno-Martínez, A., additional, Bartolomé, R., additional, Cornejo, T., additional, Guix, S., additional, Domínguez, À., additional, and Soldevila, N., additional

Published
2020
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45. Prospective observational cohort study of the association between antiplatelet therapy, bleeding and thrombosis in patients with coronary stents undergoing noncardiac surgery

Author

Howell, SJ, Hoeks, SE, West, RM, Wheatcroft, SB, Hoeft, A, OBTAIN Investigators of European Society of Anaesthesiology (ESA, Leva, B, Plichon, B, Damster, S, Momeni, M, Watremez, C, Kahn, D, Dincq, A-S, Danila, A, Wittmann, M, Struck, R, Rüddel, T, Kessler, F, Rasche, S, Matsota, P, Hasani, A, Gudaityte, J, Karbonskiene, A, Ferreira, R, Carvalho, S, Tomescu, D, Martac, C, Grintescu, I, Mirea, L, Serrano, L, Sierra, P, Sabaté, S, Hernando, D, Matute, P, Trashorras, M, Suñé, M, Sarmiento, L, Hervias, A, González, O, Hermina, A, Navarro Perez, R, Orts, M, Fernandez-Garcia, R, Sanchez Pérez, D, Sepulveda Gil, I, Monedero, P, Hidalgo, F, Mbongo, C, Pont, AR, Reyes, HM, Bartolo, CG, Galera, SL, Valentijn, T, Stolker, RJ, Tugrul, M, Demirel, EE, Hough, M, Griffiths, K, Birch, S, Beardow, Z, Elliot, S, Thompson, J, Bowrey, S, Northey, M, Melson, H, Telford, R, Nadolski, M, Potter, A, Fuller, D, Rose, A, Varma, S, Simeson, K, Pettit, J, Smith, N, Martinson, V, Sleight, L, Naylor, C, Watt, P, Raymode, P, Dunk, N, Twohey, L, Hollos, L, Davies, S, Gibson, A, Coleman, Z, Tamm, T, Joscak, J, Zsisku, L, Zuleika, M, Carvalho, P, Collyer, T, Ryan, J, Colling, K, Dharmarajah, S, Krishnan, A, Paddle, J, Fouracres, A, Arnell, K, and Muhammad, K

Subjects
animal structures, cardiovascular diseases
Abstract

Background: The perioperative management of antiplatelet therapy in noncardiac surgery patients who have undergone previous percutaneous coronary intervention (PCI) remains a dilemma. Continuing dual antiplatelet therapy (DAPT) may carry a risk of bleeding, while stopping antiplatelet therapy may increase the risk of perioperative major adverse cardiovascular events (MACE). Methods: Occurrence of Bleeding and Thrombosis during Antiplatelet Therapy In Non-Cardiac Surgery (OBTAIN) was an international prospective multicentre cohort study of perioperative antiplatelet treatment, MACE, and serious bleeding in noncardiac surgery. The incidences of MACE and bleeding were compared in patients receiving DAPT, monotherapy, and no antiplatelet therapy before surgery. Unadjusted risk ratios were calculated taking monotherapy as the baseline. The adjusted risks of bleeding and MACE were compared in patients receiving monotherapy and DAPT using propensity score matching. Results: A total of 917 patients were recruited and 847 were eligible for inclusion. Ninety-six patients received no antiplatelet therapy, 526 received monotherapy with aspirin, and 225 received DAPT. Thirty-two patients suffered MACE and 22 had bleeding. The unadjusted risk ratio for MACE in patients receiving DAPT compared with monotherapy was 1.9 (0.93–3.88), P=0.08. There was no difference in MACE between no antiplatelet treatment and monotherapy 1.03 (0.31–3.46), P=0.96. Bleeding was more frequent with DAPT 6.55 (2.3–17.96) P=0.0002. In a propensity matched analysis of 177 patients who received DAPT and 177 monotherapy patients, the risk ratio for MACE with DAPT was 1.83 (0.69–4.85), P=0.32. The risk of bleeding was significantly greater in the DAPT group 4.00 (1.15–13.93), P=0.031. Conclusions: OBTAIN showed an increased risk of bleeding with DAPT and found no evidence for protective effects of DAPT from perioperative MACE in patients who have undergone previous PCI.

Published
2019

46. Towards a new generation of trait-flexible vegetation models

Author

Berzaghi, F., Wright, I.J., Kramer, K., Oddou-Muratorio, S., Bohn, Friedrich, Reyer, C.P.O., Sabaté, S., Sanders, T.G.M., Hartig, F., Berzaghi, F., Wright, I.J., Kramer, K., Oddou-Muratorio, S., Bohn, Friedrich, Reyer, C.P.O., Sabaté, S., Sanders, T.G.M., and Hartig, F.

Abstract

Plant trait variability, emerging from eco-evolutionary dynamics that range from alleles to macroecological scales, is one of the most elusive, but possibly most consequential, aspects of biodiversity. Plasticity, epigenetics, and genetic diversity are major determinants of how plants will respond to climate change, yet these processes are rarely represented in current vegetation models. Here, we provide an overview of the challenges associated with understanding the causes and consequences of plant trait variability, and review current developments to include plasticity and evolutionary mechanisms in vegetation models. We also present a roadmap of research priorities to develop a next generation of vegetation models with flexible traits. Including trait variability in vegetation models is necessary to better represent biosphere responses to global change.

Published
2019

47. Tree mortality submodels drive simulated long‐term forest dynamics: assessing 15 models from the stand to global scale

Author

Bugmann, H., Seidl, R., Hartig, F., Bohn, Friedrich, Brůna, J., Cailleret, M., François, L., Heinke, J., Henrot, A.-J., Hickler, T., Hülsmann, L., Huth, Andreas, Jacquemin, I., Kollas, C., Lasch‐Born, P., Lexer, M.J., Merganič, J., Merganičová, K., Mette, T., Miranda, B.R., Nadal‐Sala, D., Rammer, W., Rammig, A., Reineking, B., Roedig, Edna, Sabaté, S., Steinkamp, J., Suckow, F., Vacchiano, G., Wild, J., Xu, C., Reyer, C.P.O., Bugmann, H., Seidl, R., Hartig, F., Bohn, Friedrich, Brůna, J., Cailleret, M., François, L., Heinke, J., Henrot, A.-J., Hickler, T., Hülsmann, L., Huth, Andreas, Jacquemin, I., Kollas, C., Lasch‐Born, P., Lexer, M.J., Merganič, J., Merganičová, K., Mette, T., Miranda, B.R., Nadal‐Sala, D., Rammer, W., Rammig, A., Reineking, B., Roedig, Edna, Sabaté, S., Steinkamp, J., Suckow, F., Vacchiano, G., Wild, J., Xu, C., and Reyer, C.P.O.

Abstract

Models are pivotal for assessing future forest dynamics under the impacts of changing climate and management practices, incorporating representations of tree growth, mortality, and regeneration. Quantitative studies on the importance of mortality submodels are scarce. We evaluated 15 dynamic vegetation models (DVMs) regarding their sensitivity to different formulations of tree mortality under different degrees of climate change. The set of models comprised eight DVMs at the stand scale, three at the landscape scale, and four typically applied at the continental to global scale. Some incorporate empirically derived mortality models, and others are based on experimental data, whereas still others are based on theoretical reasoning. Each DVM was run with at least two alternative mortality submodels. Model behavior was evaluated against empirical time series data, and then, the models were subjected to different scenarios of climate change. Most DVMs matched empirical data quite well, irrespective of the mortality submodel that was used. However, mortality submodels that performed in a very similar manner against past data often led to sharply different trajectories of forest dynamics under future climate change. Most DVMs featured high sensitivity to the mortality submodel, with deviations of basal area and stem numbers on the order of 10–40% per century under current climate and 20–170% under climate change. The sensitivity of a given DVM to scenarios of climate change, however, was typically lower by a factor of two to three. We conclude that (1) mortality is one of the most uncertain processes when it comes to assessing forest response to climate change, and (2) more data and a better process understanding of tree mortality are needed to improve the robustness of simulated future forest dynamics. Our study highlights that comparing several alternative mortality formulations in DVMs provides valuable insights into the effects of process uncertainties on simulated fut

Published
2019

48. Impact of a training program on the surveillance of Clostridioiaes difficile infection

Author

Universitat Rovira i Virgili, Sopena, N; Freixas, N; Bella, F; Pérez, J; Hornero, A; Limon, E; Gudiol, F; Pujol, M; Salgado, X; Lora, M; Martos, P; Niubó, J; Fernández, G; Castellà, L; Valls, S; Santana, G; López, M; Calbo, E; Falgueras, L; Piriz, M; Horcajada, JP; Sorlí, L; López-Contreras, J; Cotura, MA; Jover-Sáenz, A; Ramírez-Hidalgo, M; García, G; Picó, E; Pérez, MO; Domenech, MF; Mas, D; Pérez, R; Coloma, A; Grau, L; Andrés, M; Vilamala, A; Martínez, MJ; Cuquet, J; Vásquez, R; Castro, A; Iftimie, S; Sánchez, I; Clarós, M; Vilaró, I; Jofre, M; Garcia, G; Coll, R; Brugués, M; Marrón, A; Sauca, G; Barrufet, MP; Marimón, M; Tortajada, S; Gallardo, M; Vaque, M; Meije, Y; Berbel, C; Garcia, I; Serrat, J; Palau, E; Garcia, A; Gallés, C; Laborda, R; Martínez, A; Burgas, MC; Girbal, P; Sala, C; Moreno, MJ; Ros, MT; Angas, J; Smithson, A; Bastida, MT; de la Fuente, JC; Rovira, M; Martin-Urda, A; Aliu, T; Diaz-Brito, V; Moreno, E; Agusti, C; Peña, I; Grau, J; Benítez, RM; Blancas, D; Moreno, E; Martínez, S; Ferrer, R; Capdevila, E; Sanfeliu, E; Blasco, MM; Monzón, H; Sancliment, S; Hernández, S; Castander, D; Montardit, I; Sanz, M; Sabaté, S; Gesé, T; Hernández, PJ; Tricas, JM; Redón, E; Panisello, M; Ferré, RM; Cuscó, M; Gabarró, L; Farguell, J; Calaf, E; Fernández, MC; Oviedo, E; Gudiol, C; Albasanz-Puig, A; Jiménez, M; Rodrigues, G, Universitat Rovira i Virgili, and Sopena, N; Freixas, N; Bella, F; Pérez, J; Hornero, A; Limon, E; Gudiol, F; Pujol, M; Salgado, X; Lora, M; Martos, P; Niubó, J; Fernández, G; Castellà, L; Valls, S; Santana, G; López, M; Calbo, E; Falgueras, L; Piriz, M; Horcajada, JP; Sorlí, L; López-Contreras, J; Cotura, MA; Jover-Sáenz, A; Ramírez-Hidalgo, M; García, G; Picó, E; Pérez, MO; Domenech, MF; Mas, D; Pérez, R; Coloma, A; Grau, L; Andrés, M; Vilamala, A; Martínez, MJ; Cuquet, J; Vásquez, R; Castro, A; Iftimie, S; Sánchez, I; Clarós, M; Vilaró, I; Jofre, M; Garcia, G; Coll, R; Brugués, M; Marrón, A; Sauca, G; Barrufet, MP; Marimón, M; Tortajada, S; Gallardo, M; Vaque, M; Meije, Y; Berbel, C; Garcia, I; Serrat, J; Palau, E; Garcia, A; Gallés, C; Laborda, R; Martínez, A; Burgas, MC; Girbal, P; Sala, C; Moreno, MJ; Ros, MT; Angas, J; Smithson, A; Bastida, MT; de la Fuente, JC; Rovira, M; Martin-Urda, A; Aliu, T; Diaz-Brito, V; Moreno, E; Agusti, C; Peña, I; Grau, J; Benítez, RM; Blancas, D; Moreno, E; Martínez, S; Ferrer, R; Capdevila, E; Sanfeliu, E; Blasco, MM; Monzón, H; Sancliment, S; Hernández, S; Castander, D; Montardit, I; Sanz, M; Sabaté, S; Gesé, T; Hernández, PJ; Tricas, JM; Redón, E; Panisello, M; Ferré, RM; Cuscó, M; Gabarró, L; Farguell, J; Calaf, E; Fernández, MC; Oviedo, E; Gudiol, C; Albasanz-Puig, A; Jiménez, M; Rodrigues, G

Abstract

A high degree of vigilance and appropriate diagnostic methods are required to detect Clostridioides difficile infection (CDI). We studied the effectiveness of a multimodal training program for improving CDI surveillance and prevention. Between 2011 and 2016, this program was made available to healthcare staff of acute care hospitals in Catalonia. The program included an online course, two face-to-face workshops and dissemination of recommendations on prevention and diagnosis. Adherence to the recommendations was evaluated through surveys administered to the infection control teams at the 38 participating hospitals. The incidence of CDI increased from 2.20 cases/10 000 patient-days in 2011 to 3.41 in 2016 (P < 0.001). The number of hospitals that applied an optimal diagnostic algorithm rose from 32.0% to 71.1% (P = 0.002). Hospitals that applied an optimal diagnostic algorithm reported a higher overall incidence of CDI (3.62 vs. 1.92, P < 0.001), and hospitals that were more active in searching for cases reported higher rates of hospital-acquired CDI (1.76 vs. 0.84, P < 0.001). The results suggest that the application of a multimodal training strategy was associated with a significant rise in the reporting of CDI, as well as with an increase in the application of the optimal diagnostic algorithm.

Published
2019

49. High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial

Author

Hemmes, S, Gama de Abreu, M, Severgnini, P, Hollmann, MW, Binnekade, JM, Wrigge, H, Canet, J, Hiesmayr, M, Schmid, W, Jaber, S, Hedenstierna, G, Putensen, C, Pelosi, P, Schultz, MJ, Sessler, DI, Lachmann, B, Kacmarek, RM, Slutsky, AS, De Baerdemaeker, L, De Hert, S, Heyse, B, Van Limmen, J, Mulier, JP, Velghe, D, Jamaer, L, Vandenbrande, J, Bugedo, G, Florez, J, Goranović, T, Mazul Sunko, B, Bluth, T, Güldner, A, Kiss, T, Koch, T, Spieth, PM, Uhlig, C, Yaqub, J, Bastin, B, Geib, J, Schaefer, MS, Weiss, M, Treschan, TA, Reske, AW, Simon, P, Brodhun, A, Ferner, M, Hartmann, E, Laufenberg Feldmann, R, Strys, L, De Robertis, E, Perilli, V, Proietti, R, Amantea, B, Caroleo, S, Tropea, F, Bacuzzi, A, Vanoni, M, Cinnella, G, Caggianelli, G, D'Antini, D, La Bella, D, Mollica, G, CORTEGIANI, Andrea, Montalto, F, Barberis, B, Celentano, C, Grio, M, Spagnolo, L, Gratarola, A, Molin, A, Pellerano, G, Pezzato, S, Rusca, R, Della Rocca, G, Bos, LD, Hemmes, SN, Brunelli, A, Marti, A, Cegarra, V, Merten, A, Moral, MV, Parera, A, Unzueta, MC, Sabaté, S, Sierra, P, Mayoral, JF, Prieto, M, Gil, MG, Marín, CM, Mills, GH, Bodger, P, Vidal Melo, MF, Sulemanji, D, Sprung, J., GIARRATANO, Antonino, RAINERI, Santi Maurizio, Hemmes, Sn, Gama de Abreu, M, Pelosi, P, Schultz, Mj, PROVE Network Investigators for the Clinical Trial Network of the European Society of, Anaesthesiology, DE ROBERTIS, Edoardo, AII - Amsterdam institute for Infection and Immunity, Anesthesiology, Intensive Care Medicine, ACS - Amsterdam Cardiovascular Sciences, Other Research, Hemmes, S, Severgnini, P, Hollmann, MW, Binnekade, JM, Wrigge, H, Canet, J, Hiesmayr, M, Schmid, W, Jaber, S, Hedenstierna, G, Putensen, C, Schultz, MJ, Sessler, DI, Lachmann, B, Kacmarek, RM, Slutsky, AS, De Baerdemaeker, L, De Hert, S, Heyse, B, Van Limmen, J, Mulier, JP, Velghe, D, Jamaer, L, Vandenbrande, J, Bugedo, G, Florez, J, Goranović, T, Mazul-Sunko, B, Bluth, T, Güldner, A, Kiss, T, Koch, T, Spieth, PM, Uhlig, C, Yaqub, J, Bastin, B, Geib, J, Schaefer, MS, Weiss, M, Treschan, TA, Reske, AW, Simon, P, Brodhun, A, Ferner, M, Hartmann, E, Laufenberg-Feldmann, R, Strys, L, De Robertis, E, Perilli, V, Proietti, R, Amantea, B, Caroleo, S, Tropea, F, Bacuzzi, A, Vanoni, M, Cinnella, G, Caggianelli, G, D'Antini, D, La Bella, D, Mollica, G, Cortegiani, A, Giarratano, A, Montalto, F, Raineri, SM, Barberis, B, Celentano, C, Grio, M, Spagnolo, L, Gratarola, A, Molin, A, Pellerano, G, Pezzato, S, Rusca, R, Della Rocca, G, Bos, LD, Hemmes, SN, Brunelli, A, Marti, A, Cegarra, V, Merten, A, Moral, MV, Parera, A, Unzueta, MC, Sabaté, S, Sierra, P, Mayoral, JF, Prieto, M, Gil, MG, Marín, CM, Mills, GH, Bodger, P, Vidal Melo, MF, Sulemanji, D, and Sprung, J

Subjects
Lung Diseases, Male, medicine.medical_specialty, medicine.medical_treatment, Settore MED/41 - Anestesiologia, Atelectasis, Anesthesia, General, Lung injury, Article, Positive-Pressure Respiration, abdominal surgery, PEEP, Postoperative Complications, Double-Blind Method, Risk Factors, Abdomen, Tidal Volume, medicine, Humans, General anaesthesia, PEEP, recruitment manoeuvres, abdominal surgery, Positive end-expiratory pressure, Tidal volume, Aged, Mechanical ventilation, business.industry, General Medicine, respiratory system, medicine.disease, Cardiac surgery, Surgery, Abdomen, Aged, Double-Blind Method, Humans, Lung Diseases, Positive-Pressure Respiration, Postoperative Complications, Risk Factors, Tidal Volume, Treatment Outcome, Treatment Outcome, Surgical Procedures, Operative, Anesthesia, Female, business, Abdominal surgery
Abstract

BACKGROUND: The role of positive end-expiratory pressure in mechanical ventilation during general anaesthesia for surgery remains uncertain. Levels of pressure higher than 0 cm H(2)O might protect against postoperative pulmonary complications but could also cause intraoperative circulatory depression and lung injury from overdistension. We tested the hypothesis that a high level of positive end-expiratory pressure with recruitment manoeuvres protects against postoperative pulmonary complications in patients at risk of complications who are receiving mechanical ventilation with low tidal volumes during general anaesthesia for open abdominal surgery. METHODS: In this randomised controlled trial at 30 centres in Europe and North and South America, we recruited 900 patients at risk for postoperative pulmonary complications who were planned for open abdominal surgery under general anaesthesia and ventilation at tidal volumes of 8 mL/kg. We randomly allocated patients to either a high level of positive end-expiratory pressure (12 cm H(2)O) with recruitment manoeuvres (higher PEEP group) or a low level of pressure (≤2 cm H(2)O) without recruitment manoeuvres (lower PEEP group). We used a centralised computer- generated randomisation system. Patients and outcome assessors were masked to the intervention. Primary endpoint was a composite of postoperative pulmonary complications by postoperative day 5. Analysis was by intention-to-treat. The study is registered at Controlled-Trials.com, number ISRCTN70332574. FINDINGS: From February, 2011, to January, 2013, 447 patients were randomly allocated to the higher PEEP group and 453 to the lower PEEP group. Six patients were excluded from the analysis, four because they withdrew consent and two for violation of inclusion criteria. Median levels of positive end-expiratory pressure were 12 cm H(2)O (IQR 12–12) in the higher PEEP group and 2 cm H(2)O (0–2) in the lower PEEP group. Postoperative pulmonary complications were reported in 174 (40%) of 445 patients in the higher PEEP group versus 172 (39%) of 449 patients in the lower PEEP group (relative risk 1·01; 95% CI 0·86–1·20; p=0·86). Compared with patients in the lower PEEP group, those in the higher PEEP group developed intraoperative hypotension and needed more vasoactive drugs. INTERPRETATION: A strategy with a high level of positive end-expiratory pressure and recruitment manoeuvres during open abdominal surgery does not protect against postoperative pulmonary complications. An intraoperative protective ventilation strategy should include a low tidal volume and low positive end-expiratory pressure, without recruitment manoeuvres. FUNDING: Academic Medical Center (Amsterdam, Netherlands), European Society of Anaesthesiology.

Published
2014

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