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LINTERET DU DECUBITUS VENTRAL EN MILIEU DE REANIMATION : ETUDE PROSPECTIVE AU SERVICE DE REANIMATION CHIRURGICALE DE RABAT

Authors: S. Smiti, Y. Smiti;

LINTERET DU DECUBITUS VENTRAL EN MILIEU DE REANIMATION : ETUDE PROSPECTIVE AU SERVICE DE REANIMATION CHIRURGICALE DE RABAT

Abstract

Le Decubitus ventral est une manœuvre reconnue depuis plus de 30 ans, mais dont la realisation ne sest accentuee que ces dernieres annees chez les patients en milieu de reanimation pour indications divers, dont le syndrome de detresse respiratoire est la principale. Cette manœuvre est realisee dans le but dameliorer à court terme la fonction respiratoire chez les patients en SDRA. Pour cela, a ete realisee notre etude qui est une etude prospective dune duree dune annee, portant sur 33 cas, au sein du service de reanimation urgences chirurgicales du centre hospitalier universitaire Avicenne de Rabat. Cette etude a eu comme conclusion que le decubitus ventral ameliore la fonction motrice, ainsi que les compliances pulmonaires.Il a ete prouve que le deces des patients navait aucun rapport avec le decubitus ventral, les complications aussi survenant lors du DV netaient pas en correlation avec le deces. Aucune atteinte hemodynamique ni respiratoire na ete prouvee suite au DV. Outre, notre etude a mis le point sur limportance majeure de la premiere seance, qui presentait les meilleurs resultats, la duree quant à elle etait en correlation direct en ameliorant la fonction respiratoire. Par contre, cette etude reste limitee sur le plan echantillon, qui etait heterogene, en plus les patients nont pas tous beneficie du meme nombre de seances et de la meme duree de seance vu quelles etaient parfois interrompue suite aux complications survenant en cours du DV.

Keywords

Decubitus Ventral Sdra Driving Pressure Recrutement Alveolaire

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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