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Intensive Medicine Resuscitation

Intensive Medicine Resuscitation

Intensive Medicine Resuscitation

Intensive Medicine · Resuscitation ( MIR department of Caen University Hospital is the only medical resuscitation department in the region. It is composed of 2 units of 11 resuscitation beds (including 2 specific rooms allowing sterile isolation for the care of immunocompromised patients requiring resuscitation) , and 4 continuous monitoring beds.

This service is at the heart of the referral center for the departments of Calvados, Manche and Orne, which have a population pool of approximately 1.45 million inhabitants. For example, it is a competence center for dysimmune pathologies such as thrombotic microangiopathies (CCR-MAT) that all local hospitals refer to CHU Caen Normandie for intensive care.

Intensive Medicine · Resuscitation ( MIR department of Caen University Hospital is the only medical resuscitation department in the region. It is composed of 2 units of 11 resuscitation beds (including 2 specific rooms allowing sterile isolation for the care of immunocompromised patients requiring resuscitation) , and 4 continuous monitoring beds.

This service is at the heart of the referral center for the departments of Calvados, Manche and Orne, which have a population pool of approximately 1.45 million inhabitants. For example, it is a competence center for dysimmune pathologies such as thrombotic microangiopathies (CCR-MAT) that all local hospitals refer to CHU Caen Normandie for intensive care.

  • Composition of service

    • 1 University Professor · Hospital Practitioner
    • 7 Hospital Practitioners
    • 1 Head of Clinic of Universities · Assistant of Hospitals
    • 1 senior health officer
    • 2 health executives
    • 2 secretaries
    Team detail
  • Our support

    The service is made up of 2 units which receive 800 to 850 patients each year.

    Types of patients

    The service takes care of serious medical patients with one or more organ failures requiring specific, most often invasive, and life-threatening care.

    However, it is common for surgical patients to also be taken care of in the service because of a surgical diagnosis made secondarily or in the absence of space in the surgical intensive care units of the anesthesia-resuscitation department or in local hospitals. . These acute failures are: respiratory distress, circulatory failure, renal failure, drug poisoning, severe infections, neurological failure and coma, or severe immunocompromised patients ( leukemia, aplasia, allograft, chemotherapy)

    The management of heavy patients with organ failure involving the vital prognosis requires:
    • teamwork: involving doctors, paramedics, physiotherapists, psychologists, etc.
    • a medical diagnostic approach : requiring active collaboration with other organ-specific specialties and CHU laboratories, as well as imaging specific to intensive care (ultrasound, scanner, MRI , isotopy)
    • and a therapeutic approach that may require the implementation of artificial techniques for the replacement of deficient vital organs:
      In addition to conventional medical care, invasive and non-invasive ventilation, cardiac monitoring, cardiac catheterizations are thus carried out in the department , continuous or discontinuous extra renal purification (dialysis), external respiratory assistance (ECMO and ECCO2R) and external circulatory assistance (ECLS). In addition, two specific rooms with sterile isolation ensure the care of immunocompromised patients (chemotherapy, leukemia, allograft marrow, solid cancer, AIDS, etc.) and requiring resuscitation.

    Pathologies

    The main pathologies treated are:

    • Acute respiratory pathologies: Acute respiratory failure and acute respiratory distress syndrome in the context of respiratory infection (example: Covid -19) or not...
    • Acute cardiovascular pathologies: Cardio-respiratory arrest, cardiogenic shock, myocardial infarction…
    • Acute neurological pathologies: Coma, cerebrovascular accidents, meningitis and meningoencephalitis
    • Acute renal failure
    • Infections, sepsis and septic shock
    • Acute pathologies of the immune system
    • Acute abdominal pathologies: Acute pancreatitis, complications of cirrhosis of the liver, gastrointestinal bleeding
    • Gynecological pathologies: postpartum hemorrhage, eclampsia, etc.
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  • The research

    clinical research

    The medical team supports significant clinical research activity with publications in high-impact international journals from clinical studies either initiated locally or multicenter with local participation.

    The main lines of research that are carried out by the various practitioners of the service are:

    • central venous catheters,
    • acute renal failure,
    • cardio-respiratory arrest,
    • lower respiratory infections,
    • acute neurology.

    Close collaborations exist with

    • the U2RM–EA4655 microbiology laboratory of Caen University Hospital,
    • UMR -S 1237 INSERM laboratory at the Cycéron center which constitutes a center of excellence in the field of neurosciences and in particular develops preclinical research models on acute neurovascular and neuro-inflammatory pathologies.

    Some flagship publications of the service are presented in attachments.

    An explanatory document on what biomedical research is and the rights of patients and users is available as an attachment.

    Publications

    Biomedical Research

    CVC Infection Prediction – CC 2022

    CVC Infection – CMI 2020

    HVAC 3SITES – NEJM 2015

    HVAC HDI – JAMA 2008

    Covid -19 ICU – ICM 2020

    Covid -19 ECMO Necrotizing Pneumonia – ERJOR 2020

    Covid -19 COVAPID – ICM 2021

    Covid -19 Corticosteroids – J Infect 2020

    Covid -19 Lymphadenopathy – Lancet Infect 2020

    AKI RFE EER – AIC 2015

    AKI HYDRAREA – CCM 2017

    • The latest news related to the service…

    Locate / contact service

    CHU Caen Normandy

    Côte de Nacre Hospital

    Avenue de la Côte de Nacre
    CS 30001
    14033 Caen cedex 9


    Intensive Medicine Resuscitation

    Service Secretariat

    Authorized family visits from 2 p.m. to 11 p.m.


    Level GPS accessHall E-mail
    Intensive Medicine Resuscitation
    Côte de Nacre Hospital
    Level : 16
    GPS Access: Main