Difficult tracheal intubation in neonates and infants. NEonate and Children audiT of Anaesthesia pRactice IN Europe (NECTARINE): a prospective European multicentre observational study

BACKGROUND: Neonates and infants are susceptible to hypoxaemia in the perioperative period. The aim of this study was to analyse interventions related to anaesthesia tracheal intubations in this European cohort and identify their clinical consequences. METHODS: We performed a secondary analysis of tracheal intubations of the European multicentre observational trial (NEonate and Children audiT of Anaesthesia pRactice IN Europe [NECTARINE]) in neonates and small infants with difficult tracheal intubation. The primary endpoint was the incidence of difficult intubation and the related complications. The secondary endpoints were the risk factors for severe hypoxaemia attributed to difficult airway management, and 30 and 90 day outcomes. RESULTS: Tracheal intubation was planned in 4683 procedures. Difficult tracheal intubation, defined as two failed attempts of direct laryngoscopy, occurred in 266 children (271 procedures) with an incidence (95% confidence interval [CI]) of 5.8% (95% CI, 5.1–6.5). Bradycardia occurred in 8% of the cases with difficult intubation, whereas a significant decrease in oxygen saturation (SpO2<90% for 60 s) was reported in 40%. No associated risk factors could be identified among co-morbidities, surgical, or anaesthesia management. Using propensity scoring to adjust for confounders, difficult anaesthesia tracheal intubation did not lead to an increase in 30 and 90 day morbidity or mortality. CONCLUSIONS: The results of the present study demonstrate a high incidence of difficult tracheal intubation in children less than 60 weeks post-conceptual age commonly resulting in severe hypoxaemia. Reassuringly, the morbidity and mortality at 30 and 90 days was not increased by the occurrence of a difficult intubation event

A simple access to ω-aminoalkyltrialkoxysilanes: Tunable linkers for self-organised organosilicas

International audienceA simple route to ω-aminoalkyltriethoxysilanes with variable alkylene chain lengths, (EtO)3Si(CH2)nNH2 (n = 5, 11) is described. These silyl linkers have been used to prepare urea-based compounds with H-bonding and hydrophobic interactions which enable the self-assembly of the molecules. These molecular precursors are suitable for the obtention of nano-structured hybrid silicas

A soft chemistry route to prepare hybrid ZnO nanostructured films with a lamellar structure

International audienc

Highly EfficientWideband Microwave Absorbers Based on Zero-Valent Fe@ -Fe2O3 and Fe/Co/Ni Carbon-Protected Alloy Nanoparticles Supported on Reduced Graphene Oxide

Electronic systems and telecommunication devices based on low-power microwaves, ranging from 2 to 40 GHz, have massively developed in the last decades. Their extensive use has contributed to the emergence of diverse electromagnetic interference (EMI) phenomena. Consequently, EMI shielding has become a ubiquitous necessity and, in certain countries, a legal requirement. Broadband absorption is considered the only convincing EMI shielding solution when the complete disappearance of the unwanted microwave is required. In this study, a new type of microwave absorber materials (MAMs) based on reduced graphene oxide (rGO) decorated with zero-valent Fe@-Fe2O3 and Fe/Co/Ni carbon-protected alloy nanoparticles (NPs) were synthesized using the Pechini sol-gel method. Synthetic parameters were varied to determine their influence on the deposited NPs size and spatial distribution. The deposited superparamagnetic nanoparticles were found to induce a ferromagnetic resonance (FMR) absorption process in all cases. Furthermore, a direct relationship between the nanocomposites’ natural FMR frequency and their composition-dependent saturation magnetization (Ms) was established. Finally, the microwave absorption efficiency (0.4 MHz to 20 GHz) of these new materials was found to range from 60% to 100%, depending on the nature of the metallic particles grafted onto rGO

Photoluminescence changes induced by self-organisation in bridged silsesquioxanes

International audienceTwo organo-bridged silsequioxanes derived from the same molecular precursor were synthesized with completely different local structure, namely long-range ordering. The photoluminescence features (emission, excitation, and time-resolved modes) were studied in the temperature range 13-300 K and compared with those of the molecular precursor. The effects of the self-assembling of the nanobuild blocks on these emission properties were discussed in terms of the magnitude of the hydrogen bonds between adjacent organic groups

A Better Understanding of the Self-Structuration of Bridged Silsesquioxanes

International audienc

A highly virulent variant of HIV-1 circulating in the Netherlands

We discovered a highly virulent variant of subtype-B HIV-1 in the Netherlands. One hundred nine individuals with this variant had a 0.54 to 0.74 log10 increase (i.e., a ~3.5-fold to 5.5-fold increase) in viral load compared with, and exhibited CD4 cell decline twice as fast as, 6604 individuals with other subtype-B strains. Without treatment, advanced HIV-CD4 cell counts below 350 cells per cubic millimeter, with long-term clinical consequences-is expected to be reached, on average, 9 months after diagnosis for individuals in their thirties with this variant. Age, sex, suspected mode of transmission, and place of birth for the aforementioned 109 individuals were typical for HIV-positive people in the Netherlands, which suggests that the increased virulence is attributable to the viral strain. Genetic sequence analysis suggests that this variant arose in the 1990s from de novo mutation, not recombination, with increased transmissibility and an unfamiliar molecular mechanism of virulence