Download or read book valuation de la ventilation non invasive domicile chez le sujet g written by Adrien Tissot and published by . This book was released on 2012 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: La population âgée dans les pays développés est en augmentation constante depuis plusieurs décennies et est marquée par une prévalence importante de l'insuffisance respiratoire chronique. La ventilation non invasive au long cours est un traitement efficace de l'IRC au stade d'hypoventilation alvéolaire mais nécessite une bonne coopération du sujet pouvant faire défaut chez les patients âgés. A partir des données d'une étude de cohorte multicentrique nous avons analysé la tolérance de la VNI chez les patients de 75 ans et plus. Cinquante quatre patients étaient âgés de 75 ans et plus à l'inclusion. L'étiologie majoritaire de l'IRC sur l'ensemble de la cohorte et parmi les patients les plus âgés est le syndrome obésité/hypoventilation alvéolaire. Sur l'ensemble de la cohorte le taux de désappareillage est faible et l'observance est satisfaisante. L'analyse comparative montre que l'observance et la qualité de vie chez les patients âgés ne diffère pas du reste de la cohorte. En revanche, il existe un risque plus important de désappareillage chez les patients âgés de 80 ans et plus. Une altération sévère des fonctions cognitives à l'initiation de la VNI semble être un facteur péjoratif pour l'observance et la tolérance au long cours. En revanche le statut de vie en couple n'a pas d'influence dans cette population. Finalement la VNI semble avoir un effet bénéfique à deux ans de suivi sur les fonctions cognitives des patients de plus de 75 ans.
Download or read book Evaluation de l adaptation la ventilation non invasive chez des patients atteints d insuffisance respiratoire chronique written by Roomila Naeck and published by . This book was released on 2011 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: L’objectif est d’étudier les influences de la ventilation non invasive (VNI) sur l’organisme d’un patient atteint d’une insuffisance respiratoire chronique. A partir des signaux de polysomnographie (PSG), examen de référence permettant d’analyser les mécanismes d’interactions patient-ventilateur, l’efficacité de la VNI a pu être appréciée. 1) Etude rétrospective : des synoptiques permettant une visualisation globale des événements au cours de la nuit par la représentation simultanée des variables enregistrées lors de la PSG ont été construits. Puis, les relations entre les différents asynchronismes patient-ventilateur et les fuites non intentionnelles ont été quantifiées. Quatre types de profil ventilatoire ont été mis en évidence. 2) Etude prospective : adaptation à la VNI. Trois PSG ont été réalisées : une en ventilation spontanée (J1), une la nuit de la mise en place de la VNI (J2) et une après 15 jours de VNI (J15). Une analyse individuelle a été effectuée par l’interprétation des synoptiques, et une analyse globale a été effectuée par une approche statistique. Une entropie de Shannon, calculée à partir de diagrammes de proche-retour, a été utilisée pour estimer la qualité du sommeil. La mise en place de la VNI se traduit par une amélioration des paramètres ventilatoires, une amélioration voire une restauration du temps passé en sommeil paradoxal, et une diminution de la fragmentation du sommeil par la correction des apnées obstructives. Sous VNI, la variabilité cardiaque, estimée à partir d’une entropie de Shannon calculée sur la base d’une dynamique symbolique, diminue significativement. Peu d’effets des asynchronismes sur la qualité de la ventilation ont été notés.
Download or read book Evaluation de la ventilation non invasive domicile dans la dystrophie myotonique de type 1 written by Marie-Amélie Hamon and published by . This book was released on 2008 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Tol rance et efficacit de la ventilation non invasive domicile chez 44 patients g s de 75 ans et plus written by Olivier Papin and published by . This book was released on 2005 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectif : valider l' indication de la mise en route d' une ventilation non invasive à domicile chez les patients âgés de 75 ans et plus. Méthode : étude rétrospective de ces patients âgés appareillés dans le service de 1992 à 2002, étude prospective des patients appareillés du 1/08/2002 au 1/08/2003 et âgés de 75 ans et plus. Pour chaque patient nous avons renseigné un vaste questionnaire constitué de deux parties principales : un bilan somatique et un bilan psychosocial. Résultats : la tolérance et l' efficacité sont bonnes et comparables aux patients plus jeunes. Conclusion : Ventiler de façon non invasive à domicile les patients à un âge supérieur ou égal à 75 ans semble donc licite pour une partie sélectionnée de ces patients.
Download or read book Optimisation et valuation physiopathologique des techniques de ventilation non invasive et de sevrage ventilatoire written by Gilles Hilbert and published by . This book was released on 2002 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'insuffisance respiratoire aigue (IRA) des patients broncho-pneumopathes chroniques obstructifs (BPCO)est un motif fréquent d'hospitalisation en réanimation. Un risque élevé de fatigue des muscles respiratoires est présent chez les patients BPCO qui font partie des malades les plus difficiles à sevrer du respirateur. Très étudiée dans le sevrage, l'Aide Inspiratoire (AI) permet de diminuer le travail effectué par les muscles respiratoires en prenant à sa charge une partie de ce travail. L'échec d'extubation, défini par la nécessité de réintubation avant la 48-72° heure après l'extubation, est responsable d'une augmentation de morbidité et de mortalité. C'est également dans la décompensation aigue des patients BPCO que les bénéfices majeurs de la ventilation non-invasive (VNI) ont surtout été démontrés. Chez les patients immunodéprimés avec IRA, le recours à la ventilation mécanique est associé à une mortalité élevée ; ainsi, éviter l'intubation pourrait être un objectif majeur dans cette pathologie. Cependant, l'expérience de la VNI dans l'IRA hypoxémiante reste encore relativement pauvre comparée à̧ la prise en charge des BPCO. Nos travaux de recherche clinique concernent le niveau d'AI "optimal" pour débuter le sevrage établi par le monitorage de l'analyse spectrale de l'électromyogramme diaphragmatique enregistré à l'aide d'une électrode de surface placée dans l'oesophage, l'évaluation de la VNI chez des patients BPCO avec insuffisance respiratoire hypercapnique post extubation et l'intérêt du monitorage de la pression mesurée 0,1 seconde après le début d'un effort inspiratoire (P0.1) dans cette situation. Nous avons également évalué le mode BiPAP (Bi Level Positive Airway Pressure) et démontré l'intérêt des mesures précoces de pH dans la décompensation aigue de BPCO traitée par VNI, le mode Ventilation Spontanée en Pression Pösitive Continue puis le mode Ventilation Spontanée-AI-Pression Expiratoire Positive, dans l'IRA de patients immunodéprimés. Dans cette dernière situation, nous avons également montré l'intérêt d'établir le diagnostic de l'IRA, et d'utiliser un masque laryngé pour la réalisation d'une fibroscopie bronchique avec lavage broncho-alvéolaire chez les patients avec un rapport PaO2/FiO2
Download or read book Monaldi Archives for Chest Disease written by and published by . This book was released on 1997 with total page 518 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Management of Patients with Neuromuscular Disease written by John R. Bach and published by . This book was released on 2004 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers the interventions that the researchers and clinicians of the UMDNH-NJMS Center for Ventilator Management Alternatives and Pulmonary Rehabilitation have found most effective as well as the interventions offered by other investigators so that the clinician can choose among all available options. It is designed to be a comprehensive guide for the day-to-day management of these conditions.
Download or read book Noninvasive Mechanical Ventilation written by Jean-François Muir and published by . This book was released on 2001 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Ventilatory Support for Chronic Respiratory Failure written by Nicolino Ambrosino and published by CRC Press. This book was released on 2019-08-30 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: As our population continues to grow, more and more patients are becoming dependent on long-term ventilatory support. Therefore, the need for quality options such as home mechanical ventilation is fast becoming a necessity. Ventilatory Support For Chronic Respiratory Failure (CRF) is the first resource to authoritatively address the needs of the acute or chronic respiratory patient through the transition from the hospital to the home-care setting. This reference covers best practices in the management of CRF patients who are: clinically stable ventilator dependent in an institutional setting transitioning back to the community likely to require home-based care Covering ethical and economic management issues, as well as perspectives from renowned national and international specialists, this guide: guides clinicians through transitional care stages, from weaning in the acute care setting to long-term ventilation in the home discusses topics rarely detailed in acute care texts, such as physical therapy and secretion clearance contains a chapter focused on the special care needs of the CRF patient including nutritional concerns, pressure ulcers, pneumonia, and speech challenges
Download or read book Respiratory Function of the Upper Airway written by Oommen P. Mathew and published by CRC Press. This book was released on 1988-03-30 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Management of the Difficult and Failed Airway Second Edition written by Orlando Hung and published by McGraw-Hill Education / Medical. This book was released on 2011-12-07 with total page 608 pages. Available in PDF, EPUB and Kindle. Book excerpt: Meet the clinical challenge of the difficult and failed airway with this updated full-color guide A Doody's Core Title for 2015! Includes DVD with airway techniques! "This beautifully illustrated and extensively referenced textbook provides a comprehensive review of the available options for airway management....For the busy clinician, this book provides the most up-to-date review available of the many innovations that have been introduced in the past 10 years."--Steven L. Shafer, MD, Columbia University Written by the founders of The Difficult Airway Course: AnesthesiaTM and utilizing an instructive case-based approach, this text/DVD presents all of the leading-edge principles, tools, and procedures of airway assessment and management. The scope of the book encompasses the many airway devices that have been developed since the publication of the first edition, many of which have the potential to markedly enhance airway management. Extensively revised and updated, the second edition of Management of the Difficult and Failed Airway emphasizes how airway management is context-sensitive: included are strategies for treating patients in a range of settings, from prehospital care to the ER, as well as proven techniques for special patient populations. In addition, new chapters have been added to further refresh the book’s content and provide you with a solid grasp of the most critical topics in this fast-evolving area. The book’s effective organization has been maintained, beginning with the first section’s focus on the basic foundations of difficult and failed airway management. The second section reviews must-know airway devices and techniques, while the third part of the text introduces case studies that thoroughly examine the application of these techniques in complex clinical situations. A final section covers the practical considerations, such as difficult airway carts and teaching and simulation in airway management. FEATURES Skill-building, case-based approach highlights the right tools and techniques for stabilizing the patient, plus important safety precautions relevant to the clinical setting New “context-sensitive” focus links airway techniques to specific clinical environments, including airway cases in prehospital care, the emergency department, the critical care unit, and the operating room Essential new chapters cover the fundamental principles of bag-mask-ventilation, single lung ventilation using double lumen tubes, and airway management in austere environments, in addition to airway education and simulation Mnemonics, easy-to-follow algorithms, and alternative strategies (Plan A, Plan B, etc.) in every chapter reinforce pivotal concepts Chapter-ending questions offer effective self-assessment Accompanying DVD with instructive video visually explains common procedures in a learn-as-you-go style
Download or read book Perspectives of Law and Culture on the End of life Legislations in France Germany India Italy and United Kingdom written by Stéphanie Rohlfing-Dijoux and published by Nomos Verlagsgesellschaft. This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Présentation de l'éditeur : "The interactions between law and culture in addressing the legal problems at the end of a life are currently being discussed in many countries. The discourse on this issue should be multidisciplinary, taking into account its legal, medical, ethical, philosophical and anthropological aspects. The concepts designed to manage the legal problems that occur when a life comes to an end are closely linked to the culture of each country. For this reason, countries with different cultural backgrounds have been selected for this comparative end-of-life study. In France, Germany and Italy, which have a continental legal system, the United Kingdom, which has a common law system, and India, the various religions and cultures exert an important influence on the modernisation of the legislation in this respect. The book deals with recent legislative changes and developments in the countries surveyed."
Download or read book Management of Acute Decompensated Heart Failure written by Christopher O'Connor and published by CRC Press. This book was released on 2005-11-29 with total page 644 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although the majority of heart failure represents the exacerbation of chronic disease, about 20% will present as a first time diagnosis. And although there are a number of intravenous agents that can be used for acute decompensated heart failure, there are no national guidelines currently available. Edited by a well-known expert and his team of con
Download or read book ERS Handbook of Respiratory Medicine written by Paolo Palange and published by European Respiratory Society. This book was released on 2019-09-01 with total page 891 pages. Available in PDF, EPUB and Kindle. Book excerpt: The European Respiratory Society (ERS) Handbook of Respiratory Medicine, now in its third edition, is a concise, compact and easy-to-read guide to each of the key areas in respiratory medicine. Its 20 sections, written by clinicians and researchers at the forefront of the field, explain the structure and function of the respiratory system, its disorders and how to treat them. The Handbook is a must-have for anyone who intends to remain up to date in the field, and to have within arm's reach a reference that covers everything from the basics to the latest developments in respiratory medicine.
Download or read book Research Planning and Action for the Elderly written by Donald Peterson Kent and published by Behavioral Publishing Company. This book was released on 1972 with total page 602 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Pain in Infants Children and Adolescents written by Neil L. Schechter and published by Lippincott Williams & Wilkins. This book was released on 2003 with total page 924 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.
Download or read book Fatal Asthma written by Albert L. Sheffer and published by CRC Press. This book was released on 1998-04-14 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by an international team of physicians experienced in all aspects of asthma care, this opportune work defines, with exceptional clarity, the atopic and environmental risk factors attributable to fatal asthma-recommending means of lowering the incidence of life-threatening episodes through timely prognosis and the start of treatment with drugs that reduce and prohibit the remodeling process. Establishes the criteria for fatality-prone asthma individuals! Exploring elements that contribute to fatal asthma attacks, such as socioeconomic deprivation inadequate medical care genetic susceptibility to serious asthma delayed recognition and introduction of suitable treatment, and early airway remodeling not treated with anti-inflammatory drugs Fatal Asthma outlines the epidemiological characteristics of fatal asthma in inner cities and specific countries, as well as in seasons worldwide details the circumstances surrounding pathogenic alterations concurring with asthma-related fatalities reviews therapeutic interventions designed to check or reverse near-fatal attacks discusses the molecular implications of ß2-adrenergic receptor physiology and much more! With over 1800 references, drawings, and photographs, this authoritative and up-to-date book is ideal for respiratory specialists, clinical immunologists, allergists, physiologists, pulmonologists, occupational health physicians, environmental toxicologists, otolaryngologists, and graduate and medical school students in these disciplines.
