Les lunettes nasales à haut débit : nouvelle modalité d’oxygénothérapie ou nouvel outil de ventilation non invasive en réanimation pédiatrique ... View Full Text


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Article Info

DATE

2014-09

AUTHORS

C. Milési, M. Boubal, A. Jacquot, J. Baleine, M. Pons-Odena, G. Cambonie

ABSTRACT

Les lunettes nasales à haut débit (LNHD) sont un nouveau mode de support respiratoire. En pédiatrie, l’administration d’un gaz humidifié, réchauffé, à un débit supérieur à 2 L/min et ajusté au poids du patient par des lunettes nasales adaptées à la taille des narines permet d’améliorer la délivrance en oxygène, le lavage de l’espace mort et la clairance mucociliaire par rapport aux autres modes d’oxygénation classique. Le dispositif peut potentiellement générer une pression positive pharyngée et modifier sensiblement le travail des muscles respiratoire, le positionnant entre le masque à haute concentration et la pression positive continue. Sa tolérance est généralement excellente et sa mise en oeuvre simple. La littérature pédiatrique suggère un intérêt pour les LNHD dans la prise en charge des bronchiolites de gravité modérée. L’expérience acquise en néonatologie et chez les adultes devrait conduire à évaluer de nouvelles indications, telles que le support respiratoire après extubation et la prise en charge des crises d’asthme modérées. Comme pour tout support ventilatoire, l’initiation des LNHD nécessite une surveillance rigoureuse dans un service de surveillance continue ou de réanimation pédiatrique. More... »

PAGES

517-522

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s13546-014-0919-4

DOI

http://dx.doi.org/10.1007/s13546-014-0919-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1021966948


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Turtle is a human-readable linked data format.

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RDF/XML is a standard XML format for linked data.

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This table displays all metadata directly associated to this object as RDF triples.

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