📇 Rhumatologue · LAON CEDEX · (02) · Salarié

M Francois LEMAIRE

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3 raisons identifiées

Auteur de référence en rhumatologie
31 articles scientifiques publiés — un praticien à la pointe de la recherche
Expérience confirmée
35 ans d'exercice en rhumatologie — recul clinique solide
Délais de RDV courts dans la région
84.6 rhumatos / 100 000 hab. — département bien doté

Rhumatologue

📍 LAON CEDEX (02)SalariéRPPS 10001778959

Expérience confirmée

35ans d'exercice (thèse 1991)

📊 Reconnaissance scientifique : 54/100📝 299 articles publiés🇫🇷 Publications académiques françaises (8)

✨ Génération du profil synthétique IA en cours…

Thèses universitaires

Données ANS publiques (Licence Ouverte 2.0) · Enrichissements MonRhumato 100 % opt-in · Toute personne référencée peut demander la suppression ou la rectification.

Top publications · les plus citées

Fever control using external cooling in septic shock: a randomized controlled trial

American journal of respiratory and critical care medicine · 2012

📚 196 citations🎯 RCR 6.81Top 5% NIH🩺 Clinique

Lire l'abstract Crossref ↓

Abstract Rationale Fever control may improve vascular tone and decrease oxygen consumption, but fever may contribute to combat infection. Objectives To determine whether fever control by external cooling diminishes vasopressor requirements in septic shock. Methods In a multicenter randomized controlled trial, febrile patients with septic shock requiring vasopressors, mechanical ventilation, and sedation were allocated to external cooling (n = 101) to achieve normothermia (36.5–37°C) for 48 hours or no external cooling (n = 99). Vasopressors were tapered to maintain the same blood pressure target in the two groups. The primary endpoint was the number of patients with a 50% decrease in baseline vasopressor dose after 48 hours. Measurements and Main Results Body temperature was significantly lower in the cooling group after 2 hours of treatment (36.8 ± 0.7 vs. 38.4 ± 1.1°C; P &lt; 0.01). A 50% vasopressor dose decrease was significantly more common with external cooling from 12 hours of treatment (54 vs. 20%; absolute difference, 34%; 95% confidence interval [95% CI], −46 to −21; P &lt; 0.001) but not at 48 hours (72 vs. 61%; absolute difference, 11%; 95% CI, −23 to 2). Shock reversal during the intensive care unit stay was significantly more common with cooling (86 vs. 73%; absolute difference, 13%; 95% CI, 2 to 25; P = 0.021). Day-14 mortality was significantly lower in the cooling group (19 vs. 34%; absolute difference, –16%; 95% CI, −28 to −4; P = 0.013). Conclusions In this study, fever control using external cooling was safe and decreased vasopressor requirements and early mortality in septic shock.

End-of-life practices in 282 intensive care units: data from the SAPS 3 database

Intensive care medicine · 2009

📚 161 citations🎯 RCR 5.25Top 7% NIH

Prevalence and prognosis of shunting across patent foramen ovale during acute respiratory distress syndrome

Critical care medicine · 2010

📚 107 citations🎯 RCR 3.47Top 13% NIH

Cookies & analyse de trafic

M Francois LEMAIRE

Pourquoi vous devez consulter ce praticien

Thèses universitaires

Activité de recherche & publications

Publications académiques en France

Lieu de consultation

Tarifs & secteur de conventionnement

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Top publications · les plus citées

Publications scientifiques (31) — classées par pathologie

Transversal16

Revue générale11

Essai clinique3

Épidémiologie & registres1

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