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Discipline: Anesthesie

anesthesie

Locoregionale anesthesie: een bondgenoot in de strijd tegen pijn én de COVID-pandemie

De meest doeltreffende manier van pijnstilling is de onderbreking van het pijnsignaal op weg van het letsel naar de somatosensorische…

COVID-19 en obesitas

Tijdens de COVID-19-pandemie kwamen er geregeld alarmerende berichten dat naast oudere patiënten ook meer mannen met zwaarlijvigheid of obesitas ernstig…

REBOA

REBOA: nieuwe therapie bij levensbedreigende bloedingen, zoals placenta percreta

Een nieuwe techniek, Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), geeft de mogelijkheid om tijd te winnen bij majeure…

Gevestigde TCI-technologie kan belangrijke bijdrage leveren tot optimalisatie anesthesie

Op de hoogte blijven van de steeds evoluerende kennis van zaken is een belangrijke focus binnen de dienst Anesthesie op…

Paradigmashift in de anesthesiologische praktijk: naar een opiaatvrije anesthesie?

De klassieke algehele anesthesie bestaat uit drie hoekstenen: hypnose of slaap, immobilisatie door curarisatie en analgesie of pijnstilling. Deze drie elementen vullen we doorgaans aan met een vierde pijler: controle van het sympathische zenuwstelsel. Twee generaties anesthesiologen hebben steeds op basis van dit stramien gewerkt, en dit sinds de introductie van intraveneuze barbituraten, curares en opiaten. Wordt dit paradigma nu verlaten?

Extracorporele membraanoxygenatie

Twintig jaar geleden startte ons ziekenhuis met extracorporele circulatie bij CPR-resistente gevallen van hartstilstand en ernstige gevallen van accidentele hypothermie.…

Volledige standaardisatie van de laparoscopische gastric bypass

Morbide obesitas is een chronische aandoening, geassocieerd met een verhoogd mortaliteitsrisico en met een groot aantal co-morbiditeiten (diabetes type 2, arteriële hypertensie, obstructief slaapapneu syndroom, hypercholesterolemie, gewrichtsproblematiek, …). De Wereldgezondheidsorganisatie (WHO) heeft obesitas uitgeroepen tot epidemie van de 21ste eeuw.

Therapeutische milde hypothermie bij reanimatie

Cardiovasculair lijden is nog steeds een van de belangrijkste doodsoorzaken in de Westerse Wereld. Zestig percent van deze mortaliteit doet zich voor na een plotse collaps van de patiënt. Ook al overleeft de patiënt de hartstilstand dankzij snelle reanimatie door omstaanders en professionele hulpverleners, dan nog is de kans op neurologische schade bijzonder groot. Drie tot vijf minuten na de hartstilstand worden de neuronen al onherstelbaar beschadigd. Zelfs na herstel van de eigen circulatie bij succesvolle reanimatie wordt de eerste uren en dagen verdere schade aangericht door veelvuldig ingezette cascades zoals calcium shifts, excitotoxiciteit, lipideperoxidatie en andere vrijradicaalreacties die leiden tot DNA-beschadiging en apoptose – beter bekend als het post-reanimatie syndroom. Deze agressors brengen eerst schade toe aan de meest kwetsbare delen van de hersenen (hippocampus, neocortex en cerebellum), wat leidt tot post-anoxische encephalopathie.

Langetermijneffecten van anesthesie

In oktober 2006 organiseerde de Dienst Anesthesiologie een symposium over de langetermijneffecten van anesthesie. Dit thema kan geneesheer noch patiënt onberoerd laten. Anesthesiologen hebben zich altijd bekommerd om de onmiddellijke peroperatieve morbiditeit en mortaliteit. Nu verruimen we echter de horizon.

Publicaties

A deadly capillary leak attack. Clarkson’s disease: a narrative review.

Acta Clinica Belgica, DOI: 10.1080/17843286.2020.1792685 - To link to this article: https://doi.org/10.1080/17843286.2020.1792685

Anaesthetic Factors Affecting Outcome After Bariatric Surgery, a Retrospective Levelled Regression Analysis.

Obesity surgery 29: 6. 1841-1850 Jun.

Is opioid-free general anesthesia for breast and gynecological surgery a viable option?

Current opinion in anaesthesiology 32: 3. 257-262 Jun.

Is the Balance in Anesthesia Right? Multitarget Approach and Alteration of Systemic Inflammation.

Anesthesia and analgesia 128: 6. Jun.

Twelve-Year Experience with Roux-en-Y Gastric Bypass as a Conversional Procedure for Vertical Banded Gastroplasty: Are We on the Right Track?

Obesity surgery Jun.

Perioperative Care of Patients With Obstructive Sleep Apnea Undergoing Upper Airway Surgery: A Review and Consensus Recommendations.

JAMA otolaryngology-- head & neck surgery Jun.

Lung-protective ventilation for the surgical patient: international expert panel-based consensus recommendations.

British journal of anaesthesia Oct.

Administration of anesthetic drugs according to pharmacological principles: are we heading in the right direction?

E. M., Dec-2019, In : Journal of clinical monitoring and computing. 33, 6, p. 945-947 3 p.

Invited speaker for the Draeger technology user Symposium: The science behind “Smart Pilot View®”

Sweden

Administration of anesthetic drugs according to pharmacological principles: are we heading in the right direction?

E. M., Dec-2019, In : Journal of clinical monitoring and computing. 33, 6, p. 945-947

A Novel Machine Learning based Drug-Independent Sedation Level Estimation using Quantitative Features from Frontal Electroencephalogram.

Br J Anaesth. 2019 Oct;123(4):479-487. doi: 10.1016/j.bja.2019.06.004. Epub 2019 Jul 18.

Corrigendum to ‘Study of the time course of the clinical effect of propofol compared with the time course of the predicted effect-site concentration: performance of three pharmacokinetic-dynamic models’

Br J Anaesth. 2019 Feb;122(2):287. doi: 10.1016/j.bja.2018.11.017. Epub 2018 Dec 14.

Population Pharmacodynamics of Propofol and Sevoflurane in Healthy Volunteers Using a Clinical Score and the Patient State Index: A Crossover Study.

Anesthesiology. 2019 Dec;131(6):1223-1238. doi: 10.1097/ALN.0000000000002966.

Pharmacokinetic Pharmacodynamic Perspective on the Detection of Signs of Neural Inertia in Humans.

Anesthesiology. 2018 Aug;129(2):373-375. doi: 10.1097/ALN.0000000000002287.

Test of neural inertia in humans during general anaesthesia.

Br J Anaesth. 2018 Mar;120(3):525-536. doi: 10.1016/j.bja.2017.11.072. Epub 2017 Dec 1.

Ability of Bispectral Index, Autoregressive Modelling with Exogenous Input- derived Auditory Evoked Potentials and Predicted Propofol Concentrations to Measure Patient Responsiveness during Anesthesia with Propofol and Remifentanil.

Ability of Bispectral Index, Autoregressive Modelling with Exogenous Input- derived Auditory Evoked Potentials and Predicted Propofol Concentrations to Measure Patient Responsiveness during Anesthesia with Propofol and Remifentanil.

A Comparison of Bispectral Index and ARX-derived Auditory Evoked Potential Index in measuring the clinical interaction between ketamine and propofol anaesthesia.

A Comparison of Bispectral Index and ARX-derived Auditory Evoked Potential Index in measuring the clinical interaction between ketamine and propofol anaesthesia.

Perioperative opioids aggravate obstructive breathing in sleep apnea syndrome:mechanisms and alternative anesthesia strategies.

Current opinion in anaesthesiology 29: 1. 129-133 Feb. 2016

Optimal Surgical Conditions in Laparoscopic Surgery: Just Relax and Lower the Pressure.

Anesthesia and analgesia 122: 1. Jan. 2016

Pharmacokinetic and pharmacodynamic interactions in anaesthesia. A review of current knowledge and how it can be used to optimize anaesthetic drug administration.

British Journal of Anaesthesia, 118 (1): 44–57 (2017) doi: 10.1093/bja/aew312

The role of abdominal compliance, the neglected parameter in critically ill patients – a consensus review of 16. Part 2: measurement techniques and management recommendations.

Anaesthesiol Intensive Ther. 2014 Nov-Dec;46(5):406-32. doi: 10.5603/AIT.2014.0063. Review. PubMed PMID: 25432559.

Failure of sugammadex to reverse rocuronium-induced neuromuscular blockade: Simply an outlier or are we missing something?

Eur J Anaesthesiol. 2015 Oct;32(10):743-4. doi: 10.1097/EJA.0000000000000301. PubMed PMID: 26132985.

Factors determining the smooth flow and the non-operative time in a one-induction room to one-operating room setting.

J Eval Clin Pract. 2015 Apr;21(2):205-14. doi: 10.1111/jep.12288. Epub 2014 Dec 11. PubMed PMID: 25496600; PubMed Central PMCID:PMC4406160.

Sedation options for the morbidly obese intensive care unit patient: a concise survey and an agenda for development.

Multidiscip Respir Med. 2015 Mar 7;10(1):8. doi: 10.1186/s40248-015-0007-2. eCollection 2015. PubMed PMID: 25883785; PubMed Central PMCID: PMC4399437. d

Factors determining the smooth flow and the non-operative time in a one-induction room to one-operating room setting.

Journal of evaluation in clinical practice 21: 2. 205-214 Apr.

Sedation options for the morbidly obese intensive care unit patient: a concise survey and an agenda for development.

Multidisciplinary respiratory medicine 10: 1. 03.

The role of abdominal compliance, the neglected parameter in critically ill patients – a consensus review of 16. Part 1: definitions and pathophysiology.

Anaesthesiol Intensive Ther. 2014 Nov-Dec;46(5):392-405. doi: 10.5603/AIT.2014.0062. Review. PubMed PMID: 25432558.

The role of abdominal compliance, the neglected parameter in critically ill patients – a consensus review of 16. Part 2: measurement techniques and management recommendations.

Anaesthesiology intensive therapy 46: 5. 406-432 Nov/Dec.

High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial.

Lancet. 2014 Aug 9;384(9942):495-503. doi: 10.1016/S0140-6736(14)60416-5. Epub 2014 Jun 2. PubMed PMID: 24894577.

A COMPREHENSIVE GUIDE TO ORTHOFACIAL SURGERY vol 1 planning and operative techniques chapter: Anaesthesia for facial surgeons by J Mulier.

isbn:9789080776500.

A review of the interest of sugammadex for deep neuromuscular blockade management in Belgium.

Acta anaesthesiologica Belgica 64: 2. 49-60.

Controversies in the Anesthetic Management of the Obese Surgical Patient Springer.

Book chapters

Presentaties

Impact of OFA versus opioids on diepflap perfusion and recovery.

08/11/2019
Brugge

“The Science behind PKPD models for TIVA”.

28-29/11/2019
Bristol, UK

Chair of the advisory board for BD medical on the new target controlled infusion models.

05/12/2019
Genève, Swiss

“Measuring nociception-antinociception balance. Do we know what to expect?”

18/10/2019
Orlando, USA

“Liver” and “general anaesthesia”

1-3/06/2019
Vienna, Austria

Lead coordination for recording a Medasense® sponsored educational video on the use of NOL monitoring during clinical practice.

21-22/03/2019
Brugge

https://www.youtube.com/watch?v=Wab3QXMUeQA. AND https://www.youtube.com/watch?v=dCD56Rcqtzc.

Chair of the international seminar on new target-controlled infusion models. One week of lectures and live sessions with patient cases.

22-28/03/2019
Brugge

Invited speaker for workshop on advanced PKPD modeling at the SIVA UK 2018.

21/11/2018
Manchester, UK

“Critical care Issues” – Post-Influenza Aspergillosis, do not under estimate Influenza B.

06/10/2018
Brugge

From single-drug pharmacokinetics and pharmacodynamics to multi-drug interaction modeling: using population-based modeling to increase accuracy of anesthetic drug titration.

26/06/2018

The effect of volatile anaesthetics on QT prolongation: new insights.

09/06/2018
Gent

“The use of intravenous anesthetics for induction and maintenance of children.”

27/01/2018
Tervuren

Measuring intraoperative nociception.

17/12/2016
Gent

Does the SAD have any place in Obese patients?

08/12/2016
UCL

“Anesthesievoering bij elektroconvulsietherapie”

01/12/2016
KUL, campus Kortenberg

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“Chiraliteit in anesthesie: relevantie”

25/11/2016
AZ Sint-Jan Brugge-Oostende AV

Pro-Con debate: Opioid free general anesthesia?

19/11/2016
Brussel

Hoe OFA implementeren in de derde wereld?

16/11/2016
Sint-Truiden

Der obese patient.

04/11/2016
BASEL SGAR

What extra ERAS recommendations do we need for obese patients.

28/10/2016
Sydney

Opioid free anesthesia in bariatric surgery and beyond ASA.

24/10/2016
Chicago ISPCOP

Sedaties in de anesthesiologie.

05/10/2016
Den Haag

New anti atelectasis strategies for optimizing ventilation in the morbidly obese.

24/09/2016
Timisoara ESCTAIC

Opioid reduction to the max.

07/09/2016
Bern

Impact of anesthesia on inflammation. do we need further research?

18/08/2016
UCL

Efficiency in Bariatric Anesthesiology

08/06/2016
Spakenburg

Post operative ventilation in obese patients

30/05/2016
London

Anaesthesia (opioid free) in Bariatric Surgery.

21/04/2016
Moscow

Optimizing deep Muscle paralysis and insufflation pressure during abdominal laparoscopic surgery.

26/03/2016
Taipei

Anesthetic technique in laparoscopic surgery and ventilation setting for morbidly obese patients.

25/03/2016
Bangkok

iologic and anaesthetic considerations in optimizing clinical outcome in high risk patients. Do we need Sevoflurane?

24/03/2016
Singapore

Anaesthetic considerations in optimizing clinical outcome.

23/03/2016
Zhongda Hospital Eastsouth University Nanjing

Efficiency in Anesthesiology.

22/03/2016
Zhengzhou Medical University

Improve total outcome in obese patients by adapting anesthesia.

21/03/2016
KunMing China

Improving surgical outcome in bariatric patients.

20/03/2016
Hong Kong

Pourquoi et comment éviter les opioids?

11/03/2016
JEPU Paris

Sedaties in de anesthesiologische praktijk: visie vanuit Vlaanderen.

09/03/2016
CEEA Den Haag

Enhanced recovery after bariatric surgery.

04/02/2016
Rome

Enquete peri operatieve activiteit in Belgie.

30/01/2016
België

Key points for bariatric anesthesia.

29/01/2016
Diest

Anesthesie bij risico patienten.

22/01/2016
Brugge

A randomized double blind study evaluating the effect of opioid free versus opioid anesthesia on postoperative pain and discomfort in 50 laparoscopic bariatric surgery patients.

01/01/2016
London

Opioid free (OFA) versus opioid (OA) and low opioid anesthesia (LOA) for the laparoscopic gastric bypass surgery. Immediate post operative morbidity and mortality in a single center study on 5061 consecutive patients from March 2011 till June 2015.

01/01/2016
London

Deep neuromuscular blockade versus remifentanyl or sevoflurane to augment measurable laparoscopic workspace during bariatric surgery.

01/01/2016
London

623 answers for World Survey on opioid free anaesthesia (OFA) today.

01/01/2016
London

Comparison of opioid free anaesthesia with opioid anesthesia on postoperative shivering in morbidly obese patients scheduled for bariatric surgery.

01/01/2016
London

Live anesthesia demonstraties in Az Sint Jan voor bariatrische anesthesia. (CAPE: Clinical Anesthesia Programme)

01/01/2016
Brugge

Anesthesie voor risico patienten.

26/02/2015
Vives Brugge

Optimized concepts for NMB management.

05/02/2015
Madrid

Zorginspectie Vlaanderen en Safety First.

31/01/2015
SBAR

Dexdor het ultieme sedatiemiddel bij opiaat vrije bariatrische anesthesie.

17/01/2015
Congress Utrecht NVAM

OFA Roeselare.

01/01/2015
Roeselare

ERAS and obesity pan arabic.

01/01/2015
ERAS Dubai

How to improve surgical outcome PAN arabic.

01/01/2015
ERAS Dubai

Low vs Standard Pneumoperitoneum Pressure during Abdominal Laparoscopic Surgery.

01/01/2015
NIAS Mexico city

Optimierte Konzepte für das NMB-Management.

Sedation of obese patients in remote locations.

20/12/2014
ESPCOP Ghent

What you should know as an anaesthesiologist to help improve the bariatric surgical outcome.

02/05/2014
IFSO Brussels

Anaesthesia without opioids might reduce obstructive breathing, silent aspiration and post-operative pain in morbidly obese patients.

02/05/2014
IFSO Brussels

Best Practices in the OR: Anaesthesia-Surgery cooperation during RNY gastric bypass surgery.

02/05/2014
IFSO Brussels

Anesthesiologist ́s view on metabolic syndrome.

30/04/2014
IFSO Brussels

OFA Mogelijk? Voordelen, Nadelen en Moeilijkheden?

04/04/2014
VVOV Blankenberge

Why and how using protective lung ventilation in anaesthesia for morbid obese patients.

27/03/2014
Siastok Budapest

Pourquoi et comment éviter les opioïdes en anesthésie ambulatoire?

22/03/2014
JEPU Paris

Le syndrome du compartiment abdominal durant la laparoscopie.

21/03/2014
JEPU Paris

Safe sedation in morbid obese patients.

17/03/2014
ISICEM Brussels

Anesthesia for the high risk patient.

14/02/2014
Vives Brugge

Ventilation of morbid obese patients Networks in anesthesia.

06/02/2014
Prague

Opioid vrije anesthesie. Voordelen, Nadelen en Moeilijkheden.

06/02/2014
Vives Brugge

The place of Nicardipine in the opioid free anaesthesia and the Peri operative hypertension treatment.

30/01/2014
Middelheim

Assessing Abdominal Compliance and the Impact on Intra-abdominal Volume.

01/01/2014
Networks in anesthesia Mexico

Case Studies in Patients with Different Abdominal Elastance Patterns.

Keypoints that are important for morbidly obese patients.

01/01/2014
ESA Stockholm

Best Practice Video lecture.

01/01/2014
Montreal

Opioid free anaesthesia.

01/01/2014
Munster

OFA Why and How.

01/01/2014
Mortsel

OFA ASA

01/01/2014
New Orleans

Controlled hypotension during opioid free anaesthesia.

01/01/2014
Moorsel

When is deep NMB needed TARK.

Anaesthesia for endoscopic nasal surgery.

01/01/2014
LOK Brugge

Bleeding and leak prevention.

01/01/2014
Breda

ERAS and Obesity.

01/01/2014
Breda

Opioid free anaesthesia.

01/01/2014
SIVA Cardiff

.

Bariatric anesthesia subspeciality?

01/01/2014
London Ethicon

Best Practice video lect.

01/01/2014
London Ethicon

Pourquoi et comment éviter les opioïdes en anesthésie ambulatoire ?

01/01/2014
JEPU Paris

Le syndrome du compartiment abdominal durant la laparoscopie.

01/01/2014
JEPU Paris

kinderanesthesie in ontwikkelingslanden

28/11/2013
Brugge

167th Ether Day Celebration

14th October, 2013
Yangon MyanMar

167th Ether Day Celebration

14/10/2013
Yangon MyanMar

Kinderanesthesie ‘child with a cold’

23/09/2013
Brugge
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