Publications of Paul MASSION
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See detailVirtual reality and hypnosis for anxiety and pain management in intensive care units A prospective randomised trial among cardiac surgery patients
Rousseaux, Floriane ULiege; Dardenne, Nadia ULiege; MASSION, Paul ULiege et al

in European Journal of Anaesthesiology (2022)

Virtual reality and hypnosis are little studied in complex contexts, such as intensive care, where patients need significant physical and psychological assistance.

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See detailFace à la COVID-19. La transplantation d’organes en période de pandémie SARS-CoV-2 : l’expérience 2020-2021 du Centre liégeois de Transplantation.
Paolucci, Maité ULiege; DELBOUILLE, Marie-Hélène ULiege; WEEKERS, Laurent ULiege et al

in Revue medicale de Liege (2021), 76(10), 719-723

The «Severe Acute Respiratory Syndrome coronavirus 2» (SARS-CoV-2) pandemic has disrupted medical care and intra-hospital organization during 2020, both in Belgium and throughout the world. Solid organ ... [more ▼]

The «Severe Acute Respiratory Syndrome coronavirus 2» (SARS-CoV-2) pandemic has disrupted medical care and intra-hospital organization during 2020, both in Belgium and throughout the world. Solid organ transplantation was not spared and in Belgium, the number of organ donors and transplants overall decreased by 20 % for livers and by 33 % for hearts between 2019 and 2020. The aim of this article is to summarize the experience acquired in 2020 and 2021 on the organizational and medical implications of the coronavirus disease 2019 (COVID-19) pandemic with regard to the care of patients transplanted or awaiting for organ transplants, and to draw conclusions both for the aftermath of COVID-19 but also for future pandemics. Vaccination against SARS-CoV-2 is highly recommended and particularly important in organ transplant recipients, even if the response rate is lower than in the non-transplanted population. A third injection is now advised in immunosuppressed patients. [less ▲]

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See detailNovel method of transpulmonary pressure measurement with an air‑flled esophageal catheter
MASSION, Paul ULiege; Berg, Julien ULiege; SAMALEA SUAREZ, Nicolas ULiege et al

in Intensive Care Medicine Experimental (2021)

Background: There is a strong rationale for proposing transpulmonary pressureguided protective ventilation in acute respiratory distress syndrome. The reference esophageal balloon catheter method requires ... [more ▼]

Background: There is a strong rationale for proposing transpulmonary pressureguided protective ventilation in acute respiratory distress syndrome. The reference esophageal balloon catheter method requires complex in vivo calibration, expertise and specifc material order. A simple, inexpensive, accurate and reproducible method of measuring esophageal pressure would greatly facilitate the measure of transpulmonary pressure to individualize protective ventilation in the intensive care unit. Results: We propose an air-flled esophageal catheter method without balloon, using a disposable catheter that allows reproducible esophageal pressure measurements. We use a 49-cm-long 10 Fr thin suction catheter, positioned in the lower-third of the esophagus and connected to an air-flled disposable blood pressure transducer bound to the monitor and pressurized by an air-flled infusion bag. Only simple calibration by zeroing the transducer to atmospheric pressure and unit conversion from mmHg to cmH2O are required. We compared our method with the reference balloon catheter both ex vivo, using pressure chambers, and in vivo, in 15 consecutive mechanically ventilated patients. Esophageal-to-airway pressure change ratios during the dynamic occlusion test were close to one (1.03±0.19 and 1.00±0.16 in the controlled and assisted modes, respectively), validating the proper esophageal positioning. The Bland– Altman analysis revealed no bias of our method compared with the reference and good precision for inspiratory, expiratory and delta esophageal pressure measurements in both the controlled (largest bias −0.5 cmH2O [95% confdence interval: −0.9; −0.1] cmH2O; largest limits of agreement −3.5 to 2.5 cmH2O) and assisted modes (largest bias −0.3 [−2.6; 2.0] cmH2O). We observed a good repeatability (intra-observer, intraclass correlation coefcient, ICC: 0.89 [0.79; 0.96]) and reproducibility (inter-observer ICC: 0.89 [0.76; 0.96]) of esophageal measurements. The direct comparison with pleural pressure in two patients and spectral analysis by Fourier transform confrmed the reliability of the air-flled catheter-derived esophageal pressure as an accurate surrogate of pleural pressure. A calculator for transpulmonary pressures is available online. Conclusions: We propose a simple, minimally invasive, inexpensive and reproducible method for esophageal pressure monitoring with an air-flled esophageal catheter without balloon. It holds the promise of widespread bedside use of transpulmonary pressure-guided protective ventilation in ICU patients. [less ▲]

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See detailLa comparaison de l'hypnose et de la réalité virtuelle dans la gestion de la douleur et l'anxiété pré et post opératoire en chirurgie cardiaque.
Rousseaux, Floriane ULiege; Dardenne, Nadia ULiege; Bicego, Aminata Yasmina ULiege et al

Conference (2020, August)

De nos jours, l’hypnose et la réalité virtuelle sont de plus en plus utilisés durant les procédures médicales pour diminuer l’anxiété des patients et la perception de douleur. Pourtant, peu d’études ... [more ▼]

De nos jours, l’hypnose et la réalité virtuelle sont de plus en plus utilisés durant les procédures médicales pour diminuer l’anxiété des patients et la perception de douleur. Pourtant, peu d’études comparent ces techniques entre elles de façon randomisée et contrôlée. Notre objectif est de les comparer et de les combiner pour tester leur efficacité dans la gestion de l’anxiété et de la douleur en chirurgie cardiaque [less ▲]

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See detailComparing hypnosis and virtual reality to reduce anxiety and pain before and after a cardiovascular surgery
Rousseaux, Floriane ULiege; Dardenne, Nadia ULiege; Bicego, Aminata Yasmina ULiege et al

Poster (2020, March)

Anxiety, pain and fatigue are important factors influencing the good recovery of patients after a surgery. Nowadays, non-pharmacological techniques such as hypnosis and virtual reality are used in ... [more ▼]

Anxiety, pain and fatigue are important factors influencing the good recovery of patients after a surgery. Nowadays, non-pharmacological techniques such as hypnosis and virtual reality are used in addition to pharmacological treatment to reduce these symptoms. [less ▲]

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See detailLe don d’organes en 2020.
Detry, Olivier ULiege; MASSION, Paul ULiege; LEDOUX, Didier ULiege

in Revue medicale de Liege (2020), 75(5-6), 276-279

The success of solid organ transplantation induced an increased need for grafts and the necessary registration of transplant candidates on long waiting lists. Many patients die while waiting for ... [more ▼]

The success of solid organ transplantation induced an increased need for grafts and the necessary registration of transplant candidates on long waiting lists. Many patients die while waiting for transplantation, even in Belgium where the donation rates have been high these last years. In order to fight this lack of donor organs, the transplant centers widened donation criteria for brain dead donors, including older age and potential transmissible diseases. In addition, programs of donation after circulation death have been developed, first for kidneys, then for livers and recently for the hearts. Organ donation after euthanasia is also regularly performed in Belgium. All these policies lead to the fact that organ donation rates stay high in Belgium, and particularly in the Liege region, but efforts are still ahead if we aim to reduce waiting list mortalities. [less ▲]

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See detailCan hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: a randomised controlled trial
Rousseaux, Floriane ULiege; FAYMONVILLE, Marie-Elisabeth ULiege; NYSSEN, Anne-Sophie ULiege et al

in Trials (2020)

Different non-pharmacological techniques, including hypnosis and virtual reality (VR) are currently used as complementary tools in the treatment of anxiety, acute and chronic pain. A new technique called ... [more ▼]

Different non-pharmacological techniques, including hypnosis and virtual reality (VR) are currently used as complementary tools in the treatment of anxiety, acute and chronic pain. A new technique called 'virtual reality hypnosis' (VRH), which encompasses a combination of both tools, is regularly used although its benefits and underlying mechanisms remain unknown to this date. With the goal to improve our understanding of VRH combination effects, it is necessary to conduct randomized and controlled research trials in order to understand their clinical interest and potential benefits. [less ▲]

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See detailTranscutaneous Ultrasound for Maxillary Disease Screening in Intensive Care Unit: a Preliminary Study
Benchimol, Lionel ULiege; PIAZZA, Justine ULiege; ROGISTER, Florence ULiege et al

Conference (2020)

Introduction and Aim: Nosocomial airway infections are common and associated with high morbidity and mortality in Intensive Care Unit. Endotracheal intubation duration is an independent risk factor for ... [more ▼]

Introduction and Aim: Nosocomial airway infections are common and associated with high morbidity and mortality in Intensive Care Unit. Endotracheal intubation duration is an independent risk factor for maxillary sinusitis, which is a frequent gateway for pneumoniae, meningitis or sepsis. Diagnosis remains challenging, as CT imaging is not easily repeated in the daily assessment of unstable patients. Our aim was to evaluate the efficiency of transcutaneous ultrasound to screen maxillary sinus infection. Material and Methods: Patients presenting to our ENT department with a same-day sinus CT scan were prospectively included in this pilot study. Maxillary transcutaneous ultrasounds were performed by two independent examiners and scored in supine and sitting positions, blindly to the CT imaging, the clinical and endoscopic evaluations. Ability to diagnose sinusitis, repeatability in different positions and inter-examiners comparison were studied. Ultrasound scores were compared to Lund-Mackay-derived CT scores. Results: 7 patients (5 men and 2 women, median age 60 [56-64]) were enrolled in this experiment. In total, 14 left and right maxillary sinus were studied by same-day sinus CT scan and ultrasound in prone and sitting positions by 2 blind and independent examiners. Ultrasound was able to detect maxillary pathology the majority of the cases, with a sensitivity of 71.4% and a specificity of 87.5% in sitting position. However, sensitivity dropped to 46.8% in prone position, with a preserved specificity of 84.4%. Agreement between examiners was observed in 85.7% cases. Conclusion: Transcutaneous ultrasound was capable of screening for maxillary sinus disease compared with conventional sinus CT scan. A special attention should be paid to patient position, as sitting position improved the screening accuracy. Agreement between examiners could be improved. Moreover, despite its limitations, it is an attractive method for the screening of maxillary disease, allowing the ability to screen and/or monitor infection in unstable patients. [less ▲]

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See detailCan hypnosis be used in Intensive Care Units?
Rousseaux, Floriane ULiege; Bicego, Aminata Yasmina ULiege; MALENGREAUX, Christophe ULiege et al

in Médecine Intensive Réanimation (2020)

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See detailLa première vague de la COVID-19 aux Soins intensifs
MARCHETTA, Stella ULiege; LAMBERMONT, Bernard ULiege; MASSION, Paul ULiege et al

in Revue Médicale de Liège (2020)

In December 2019, in Wuhan, a new human infectious pathology was born, COVID-19, consisting above all in pneumoniae, induced by the coronavirus named SARS-CoV-2 because of the respiratory distress it ... [more ▼]

In December 2019, in Wuhan, a new human infectious pathology was born, COVID-19, consisting above all in pneumoniae, induced by the coronavirus named SARS-CoV-2 because of the respiratory distress it caused (SARS for severe acute respiratory syndrome, and CoV for Coronavirus). A real health and planetary crisis has appeared, much more substantial than that linked to SARS-CoV-1 in 2002-2004 and to MERS-CoV (Middle East Respiratory Syndrome Coronavirus) in 2012. In addition to respiratory damage that can be dramatic, this pathology is complicated by the frequency of cardiovascular, renal and coagulation diseases. Health care systems have had to adapt urgently, in the absence of hindsight from the patho- logy, and without effective therapeutic weapons. Through this review of the literature, we detail our local practices for the overall management of patients hospitalized in Intensive care. [less ▲]

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See detailLow incidence of thrombotic events in SARS-CoV-2 mechanically ventilated anticoagulated patients
Perot, Antoine ULiege; Misset, Benoît ULiege; MASSION, Paul ULiege et al

in Intensive Care Medicine Experimental (2020)

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See detailLe syndrome de détresse respiratoire aiguë
Parzibut, Gilles ULiege; CANIVET, Jean-Luc ULiege; GUIOT, Julien ULiege et al

in Revue Médicale de Liège (2019), 74(10), 514-520

Since its first description in 1967, a lot of progress has been made in understanding the pathophysiology, diagnosis and management of acute respiratory distress syndrome (ARDS). This nosological entity ... [more ▼]

Since its first description in 1967, a lot of progress has been made in understanding the pathophysiology, diagnosis and management of acute respiratory distress syndrome (ARDS). This nosological entity is based on the appearance of a diffuse alveolar damage associating pulmonary epithelial barrier disruption with an alveolar filling, both responsible of profound hypoxemia and important morbi-mortality. Nowadays, ARDS remains a frequent syndrome, associated with various etiologies. Diagnosis is based on the occurrence of acute hypoxic respiratory failure not explained by cardiac insufficiency or volume overload, within 7 days after a recognized risk factor, and in the presence of bilateral pulmonary opacities not fully explained by effusions, atelectasis or nodules on the chest radiography. Survivors present an increased risk of developing cognitive decline, depression, post-traumatic stress, and typical ICU related side-effects such as polyneuropathy and sarcopenia. In this context and not withstanding significant recent progress in the field of mechanical ventilation and extra-corporeal respiratory assistance, early diagnosis remains essential to identify patients with ARDS in order to offer them the most appropriate therapy. [less ▲]

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See detailFirst report of a successful pediatric heart transplantation from donation after circulatory death with distant procurement using normothermic regional perfusion and cold storage.
Tchana-Sato, Vincent ULiege; Ledoux, Didier ULiege; Vandendriessche, Katrien et al

in The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation (2019), 38(10), 1112-1115

Heart transplantation (HT) from donation after circulatory death (DCD) is a promising alternative to expand the heart donor pool. Cold storage can be used in a strategy to successfully retrieve and ... [more ▼]

Heart transplantation (HT) from donation after circulatory death (DCD) is a promising alternative to expand the heart donor pool. Cold storage can be used in a strategy to successfully retrieve and transplant DCD hearts after reconditioning using normothermic regional perfusion for distant procurement. Herein, we present the first report of a pediatric DCD heart reconditioned with normothermic regional perfusion, preserved using only cold storage while being transported to a neighboring center, and then successfully transplanted after nearly 2 hours of cold static storage. If supported by an appropriate trial, this finding could obviate the need to use expensive perfusion devices for short interhospital distances for DCD heart transportation and stimulate more centers across the world to embrace DCD HT. [less ▲]

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See detailMicroangiopathie thrombotique tumorale pulmonaire associée à un adénocarcinome gastrique
Raptis, A; De Landsheere, Fanny; Verscheure, Sara et al

in Revue Médicale de Liège (2019), 74(7-8), 431-435

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See detailSuccessful clinical transplantation of hearts donated after circulatory death using normothermic regional perfusion
TCHANA-SATO, Vincent ULiege; LEDOUX, Didier ULiege; DETRY, Olivier ULiege et al

in Journal of Heart and Lung Transplantation (2019), 38(6), 593-598

BACKGROUND: Heart transplantation (HT) from donation after circulatory death (DCD) has yet to achieve wide clinical application despite the encouraging resultsreported recently. In this study we describe ... [more ▼]

BACKGROUND: Heart transplantation (HT) from donation after circulatory death (DCD) has yet to achieve wide clinical application despite the encouraging resultsreported recently. In this study we describe 2 cases of successful adult DCD HT performed at our institution using an original protocol. METHODS: Our local abdominal DCD protocol was updated to allow DCD heart procurement, and was accepted by the institutional ethics committee. The main features of the protocol include: pre-mortem insertion of peripheral venoarterial extracorporeal membrane oxygenation cannulas; thoracoabdominal normothermic regional perfusion (NRP) by clamping the 3 aortic arch vessels to exclude cerebral circu- lation; and in-situ heart resuscitation. The retrieved hearts were directly transplanted into recipients located in an adjoining operating room. RESULTS: The procurement warm ischemic time was 25 minutes for the first donor, and 26 minutes for the second donor. The cold ischemic time was 16 minutes for the first recipient and 17 minutes for the second recipient. The suture time was 30 minutes for the first recipient, and 53 minutes for the second recipient. Both recipients were easily weaned off cardiopulmonary bypass in sinus rhythm and inotro- pic support. Post-operative evaluation of cardiac function was excellent and the patients were subse- quently discharged home. CONCLUSIONS: Transplantation of hearts from DCD donors is now a clinical reality.NRP is a useful tool for resuscitation, reperfusion, and preservation of transplanted hearts. It also offers the opportunity to assess the function and viability of organs before transplantation. However,due to ethical issues, some may object to ante-mortem intervention. [less ▲]

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See detailThe impact of non-pharmacological approaches on the patient’s comfort after a cardiac surgery: A randomized controlled trial.
Rousseaux, Floriane ULiege; Puttaert, Ninon ULiege; LEDOUX, Didier ULiege et al

Conference (2019, May 30)

Different non-pharmacological techniques including hypnosis, music, and virtual reality (VR) are being used as complementary tools in the treatment of pain. A new technique which encompasses a combination ... [more ▼]

Different non-pharmacological techniques including hypnosis, music, and virtual reality (VR) are being used as complementary tools in the treatment of pain. A new technique which encompasses a combination of hypnosis and VR, called "virtual reality hypnosis" (VRH), should soon be used on a regular basis in clinical settings. The aim of this study is to better understand the impact of hypnosis, music, VR and VRH, and to investigate their influence on the patient’s perception of pain, anxiety and tiredness after a cardiac surgery in intensive care unit [less ▲]

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