WorldCat Identities

Mfam, Willy-Serge (19..-....).

Overview
Works: 4 works in 5 publications in 2 languages and 8 library holdings
Roles: Opponent, Thesis advisor
Publication Timeline
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Most widely held works by Willy-Serge Mfam
Incidence et facteurs de risque d'hypoxémie lors des endoscopies digestives sous sédation profonde : analyse post-hoc d'un essai randomisé contrôlé by Axelle Eugène( )

2 editions published in 2020 in French and held by 3 WorldCat member libraries worldwide

Introduction Deep sedation during upper or lower gastrointestinal endoscopy (GIE) improves the comfort and quality of the procedure, but is associated with a greater number of cardiopulmonary complications. Hypoxemia is the main complication and knowing the risk factors would allow the implementation of preventive measures. Few studies investigating the risk factors for hypoxemia in GIE have been conducted during deep sedation. Material and methods Post-hoc analysis of patients included in the standard oxygenation arm of the ODEPHI study (a randomized, controlled, multicenter study that compared high-flow nasal oxygen therapy to standard oxygenation during programmed deep sedation GIEs in patients predisposed to hypoxemia). Patients included already had hypoxemia-predisposing factors such as: cardiac or respiratory pathology, age ≥60 years, obstructive sleep apnea syndrome (OSA), obesity (defined by body mass index ≥30kg.m-²), or classified as class ≥2 on the American Society of Anesthesiologist physical status classification (ASA). The primary objective of our study was to identify the main risk factors for hypoxemia (defined as pulsed oxygen saturation SpO2≤ 92%.). Secondary objectives were to evaluate the incidence of cardiopulmonary complications and to analyze usual sedation practices during GIE. Results 202 patients were analyzed. The incidence of hypoxemia was 31%. Endoscopy had to be interrupted for 6 patients (3%) with need for intubation for 3 of them in 3 cases (2%). In univariate analysis, hypoxemia was more frequent in male patients (P=0.039), high blood pressure (P<0.01), with high body mass index (P=0.014), ASA score ≥2 (P=0.03), Mallampati score ≥3 (P<0.01) or obstructive sleep apnea syndrome (OSA) (P=0.01). Multivariate analysis recognizes high blood pressure and OSA as independent risk factors. Conclusion The independent risk factors for the occurrence of hypoxemia in deep sedation for GIEs are the presence of high blood pressure and/or obstructive sleep apnea syndrome
MILAR : évaluation du taux de succès d'intubation orotrachéale à la première laryngoscopie entre le vidéolaryngoscope McGrath MAC et le laryngoscope McIntosh chez les patients avec moins de deux critères d'intubation difficile en chirurgie programmée : un essai clinique, contrôlé, randomisé, prospectif, multicentrique by Jonathan Richard( )

1 edition published in 2020 in French and held by 2 WorldCat member libraries worldwide

Introduction: McIntosh direct laryngoscopy (DL) is used daily for orotracheal intubation (OTI) with a failure rate of up to 15% responsible for various complications. In 2017, the French Society of Anesthesia-Resuscitation recommends the use of a videolaryngoscope (VL) for the OTI of patients with at least 2 criteria of difficult intubation (DIC). Our goal is to compare the VL McGrath MAC to the DL in patients with less than 2 DIC. Material and methods: Controlled, randomized, prospective, multicenter, French clinical trial carried out between 03/2018 and 09/2019. The primary outcome was the success of IOT at the first laryngoscopy. Secondary outcomes included glottic exposure, tooth breakage, desaturation, esophageal intubation, and pharyngeal injury. Results: Out of 1244 patients analyzed by intention to treat (mean [SD] age 55 [+/- 16] years; 722 [58%] women) the success rate of IOT at the first laryngoscopy was significantly higher in VL group than in DL group (97.4% vs 94%; absolute difference 3.39% [95% CI, 1.15% -5.62%]; p = 0.003) like glottic exposure (99, 5% vs 93.6%; absolute difference, 5.96% [95% CI, 3.95% -8%]; p <0.001) with a strong association between these 2 criteria (OR = 57.51 [95% CI , 26.87% -128.6%]; p <0.001). Esophageal desaturations, intubations and pharyngeal lesions were less frequent with VL. Conclusion: In patients with less than 2 DIC in scheduled surgery, the VL McGrath MAC significantly improves the success rate of OTI at first laryngoscopy compared to DL by McIntosh while improving glottic exposure
Laparoscopic versus full robotic Roux-en-Y gastric bypass: retrospective, single-center study of the feasibility and short-term results by Perrine Senellart( )

1 edition published in 2019 in English and held by 2 WorldCat member libraries worldwide

MILAR, évaluation du taux de succès d'intubation orotrachéale à la première laryngoscopie entre le vidéolaryngoscope McGrath MAC et le laryngoscope McIntosh chez les patients avec moins de deux critères d'intubation difficile en chirurgie programmée : un essai clinique, contrôlé, randomisé, prospectif, multicentrique by Jonathan Richard( )

1 edition published in 2020 in French and held by 1 WorldCat member library worldwide

Introduction : La laryngoscopie directe par McIntosh (LD) est utilisée quotidiennement pour l'intubation orotrachéale (IOT) avec un taux d'échec allant jusqu'à 15% responsable de diverses complications. En 2017 la Société Française d'Anesthésie-Réanimation recommande d'utiliser un vidéolaryngoscope (VL) pour l'IOT des patients avec au moins 2 critères d'intubation difficile (CID). Notre objectif est de comparer le VL McGrath MAC à la LD chez les patients avec moins de 2 CID. Matériel et méthodes : Essai clinique contrôlé, randomisé, prospectif, multicentrique, français réalisé entre 03/2018 et 09/2019. Le critère de jugement principal était le succès d'IOT à la première laryngoscopie. Les critères de jugement secondaires incluaient exposition glottique, bris dentaire, désaturation, intubation oesophagienne et lésion pharyngée. Résultats : Sur 1244 patients analysés en intention de traiter (moyenne [DS] d'âge 55 [+/- 16] ans; 722 [58%] femmes) le taux de succès d'IOT à la première laryngoscopie était significativement plus élevé dans le groupe VL que dans le groupe LD (97,4% vs 94%; différence absolue 3,39% [IC 95%, 1,15%-5,62%]; p = 0,003) tout comme l'exposition glottique (99,5% vs 93,6%; différence absolue, 5,96% [IC 95%, 3,95%-8%]; p < 0,001) avec une forte association entre ces 2 critères (OR = 57,51 [IC95%, 26,87%-128,6%]; p < 0,001). Les désaturations, intubations oesophagiennes et lésions pharyngées étaient moins fréquentes avec VL. Conclusion : Chez les patients avec moins de 2 CID en chirurgie programmée, le VL McGrath MAC améliore significativement le taux de succès d'IOT à la première laryngoscopie comparé à la LD par McIntosh tout en améliorant l'exposition glottique
 
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Audience level: 0.95 (from 0.92 for Laparoscop ... to 0.97 for Incidence ...)

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