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La ventilation non invasive aux urgences : une enquête d’évaluation des pratiques professionnelles en Aquitaine
| Content Provider | Semantic Scholar |
|---|---|
| Author | Gennai, Thomas |
| Copyright Year | 2017 |
| Abstract | Introduction : NIV is a therapeutic used by resuscitation services for a long time. Its indications, validated by a consensus conference in 2006, place the emergency physician as the first contributor of its implementation. Through an audit, we wanted to study the prevalence of its practice and its level of control by the emergency departments physiscians of Aquitaine. Material and method : 319 emergency physicians in Aquitaine were interviewed by sending a questionnaire in electronic form. The responses were collected between June 2014 and June 2015. The two main modes of ventilation were studied (CPAP and BIPAP). The analysis included demographic characteristics, implementation modalities, initial adjustment parameters and use of the resuscitator. Results. We collected 55 responses, representing a participation of 17.2%. Of these, 89.1% of emergency responders reported using NIV. The CPAP mode was used by 29.1% of them and the BIPAP mode by 80.0%. Cardiogenic acute pulmonary edema was retained as an indication for the establishment of a CPAP for 93.8% of practitioners. In the BIPAP mode, the acute pulmonary edema was 81.8% and the COPD decompensation was 95.5%. A protocol existed in 30.9% of the structures. Conclusion : NIV is a usual therapeutic used by emergency physicians. The indications of implementation chosen and parameters at the inception are in conformity with the recommendations of the consensus conference. Introduction : la VNI est une therapeutique utilisee de longue date par les services de reanimation. Ses indications, validees par une conference de consensus en 2006 placent l urgentiste comme premier intervenant de sa mise en oeuvre. Au travers d un audit, nous avons voulu etudier la prevalence de sa pratique et son niveau de maitrise par les urgentistes d Aquitaine. Materiel et methode : 319 urgentistes d Aquitaine ont ete interroges par l envoi d un questionnaire sous forme electronique. Les reponses ont ete collectees entre juin 2014 et juin 2015. Les 2 modes principaux de ventilation ont ete etudies (VS-PEP et VS-AI-PEP). L analyse incluait les caracteristiques demographiques, les modalites de mise en oeuvre, les parametres de reglage initiaux ainsi que le recours au reanimateur. Resultats. Nous avons recueilli 55 reponses, soit une participation de 17.2%. Parmi elles, 89.1% des urgentistes affirmaient avoir recours a la VNI. Le mode VS-PEP etait utilise par 29.1% d entre eux et le mode VS-AI-PEP par 80.0%. L OAP cardiogenique etait retenu comme indication a la mise en place d une VS-PEP pour 93.8% des praticiens. En mode VS-AI-PEP, l OAP l etait pour 81.8% et la decompensation de BPCO pour 95.5%. Un protocole existait dans 30.9% des structures. Conclusion : la VNI est une therapeutique utilisee en routine par les urgentistes. Les indications de mise en oeuvre retenues et parametres a l instauration sont conformes aux preconisations de la conference de consensus. |
| Starting Page | 91 |
| Ending Page | 91 |
| Page Count | 1 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://dumas.ccsd.cnrs.fr/dumas-01491763/document |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
