Publications by authors named "Louis Modestin"
Article Synopsis
- ICU admission decisions for elderly COVID-19 patients are complex, influenced by potential patient-centered benefits and often involve discussions about limiting therapeutic efforts (LTE), which have been understudied.
- A study was conducted with 82 patients aged 70 and above, highlighting that 27% had early LTE discussions, which were more common in older and frailer patients; however, this did not correlate with higher in-hospital mortality rates.
- Early LTE discussions led to significantly reduced use of invasive procedures and shorter ICU stays, suggesting that such discussions may optimize care for elderly patients without increasing mortality risks, but further research is necessary to confirm these findings.
Coronavirus disease 2019 (COVID-19) may be complicated by life-threatening pneumonia requiring tracheal intubation, mechanical ventilation and veno-venous extracorporeal membrane oxygenation (vvECMO). It is not yet clear to what extent and after which delay the most severe cases of COVID-19 pneumonia are reversible. Here, we present a 39-year-old patient who developed a severe COVID-19-attributed acute respiratory distress syndrome (ARDS) resulting in complete alveolar consolidation and airway closure for several weeks.
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