questionsmedicales.fr
Équipement et fournitures
Équipement chirurgical
Instruments chirurgicaux
Instruments chirurgicaux : Questions médicales fréquentes
Termes MeSH sélectionnés :
Persistent Vegetative State
Diagnostic
5
Instruments chirurgicaux
Équipement médical
Évaluation des instruments
Qualité des soins
Matériaux médicaux
Instruments chirurgicaux
Stérilisation
Instruments chirurgicaux
Sécurité des instruments
Instruments chirurgicaux
Symptômes
5
Défaillance des instruments
Instruments chirurgicaux
Infection
Instruments chirurgicaux
Allergies
Matériaux médicaux
Complications chirurgicales
Instruments chirurgicaux
Prévention
5
Prévention des infections
Stérilisation
Pratiques chirurgicales
Instruments chirurgicaux
Choix des instruments
Instruments chirurgicaux
Normes de sécurité
Instruments chirurgicaux
Formation du personnel
Instruments chirurgicaux
Traitements
5
Allergies
Antihistaminiques
Technologie chirurgicale
Instruments chirurgicaux
Complications chirurgicales
Gestion des soins
Soins postopératoires
Infection
Complications
5
Complications chirurgicales
Infection
Allergies
Instruments chirurgicaux
Complications chirurgicales
Gestion des soins
Instruments à usage unique
Complications
Prévention des complications
Instruments chirurgicaux
Facteurs de risque
5
Facteurs de risque
Infection
Âge
Complications chirurgicales
Allergies
Facteurs de risque
Type d'intervention
Complications chirurgicales
Antécédents médicaux
Facteurs de risque
{
"@context": "https://schema.org",
"@graph": [
{
"@type": "MedicalWebPage",
"name": "Instruments chirurgicaux : Questions médicales les plus fréquentes",
"headline": "Instruments chirurgicaux : Comprendre les symptômes, diagnostics et traitements",
"description": "Guide complet et accessible sur les Instruments chirurgicaux : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.",
"datePublished": "2024-02-13",
"dateModified": "2025-02-07",
"inLanguage": "fr",
"medicalAudience": [
{
"@type": "MedicalAudience",
"name": "Grand public",
"audienceType": "Patient",
"healthCondition": {
"@type": "MedicalCondition",
"name": "Instruments chirurgicaux"
},
"suggestedMinAge": 18,
"suggestedGender": "unisex"
},
{
"@type": "MedicalAudience",
"name": "Médecins",
"audienceType": "Physician",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "France"
}
},
{
"@type": "MedicalAudience",
"name": "Chercheurs",
"audienceType": "Researcher",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "International"
}
}
],
"reviewedBy": {
"@type": "Person",
"name": "Dr Olivier Menir",
"jobTitle": "Expert en Médecine",
"description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale",
"url": "/static/pages/docteur-olivier-menir.html",
"alumniOf": {
"@type": "EducationalOrganization",
"name": "Université Paris Descartes"
}
},
"isPartOf": {
"@type": "MedicalWebPage",
"name": "Équipement chirurgical",
"url": "https://questionsmedicales.fr/mesh/D013523",
"about": {
"@type": "MedicalCondition",
"name": "Équipement chirurgical",
"code": {
"@type": "MedicalCode",
"code": "D013523",
"codingSystem": "MeSH"
},
"identifier": {
"@type": "PropertyValue",
"propertyID": "MeSH Tree",
"value": "E07.858"
}
}
},
"hasPart": [
{
"@type": "MedicalWebPage",
"name": "Forceps obstétrical",
"alternateName": "Obstetrical Forceps",
"url": "https://questionsmedicales.fr/mesh/D009772",
"about": {
"@type": "MedicalCondition",
"name": "Forceps obstétrical",
"code": {
"@type": "MedicalCode",
"code": "D009772",
"codingSystem": "MeSH"
},
"identifier": {
"@type": "PropertyValue",
"propertyID": "MeSH Tree",
"value": "E07.858.700.650"
}
}
},
{
"@type": "MedicalWebPage",
"name": "Agrafeuses chirurgicales",
"alternateName": "Surgical Staplers",
"url": "https://questionsmedicales.fr/mesh/D013528",
"about": {
"@type": "MedicalCondition",
"name": "Agrafeuses chirurgicales",
"code": {
"@type": "MedicalCode",
"code": "D013528",
"codingSystem": "MeSH"
},
"identifier": {
"@type": "PropertyValue",
"propertyID": "MeSH Tree",
"value": "E07.858.700.750"
}
}
}
],
"about": {
"@type": "MedicalCondition",
"name": "Instruments chirurgicaux",
"alternateName": "Surgical Instruments",
"code": {
"@type": "MedicalCode",
"code": "D013525",
"codingSystem": "MeSH"
}
},
"author": [
{
"@type": "Person",
"name": "Mobarakol Islam",
"url": "https://questionsmedicales.fr/author/Mobarakol%20Islam",
"affiliation": {
"@type": "Organization",
"name": "University College London, London, UK."
}
},
{
"@type": "Person",
"name": "Francisco Vasconcelos",
"url": "https://questionsmedicales.fr/author/Francisco%20Vasconcelos",
"affiliation": {
"@type": "Organization",
"name": ""
}
},
{
"@type": "Person",
"name": "Danail Stoyanov",
"url": "https://questionsmedicales.fr/author/Danail%20Stoyanov",
"affiliation": {
"@type": "Organization",
"name": ""
}
},
{
"@type": "Person",
"name": "Lars Wagner",
"url": "https://questionsmedicales.fr/author/Lars%20Wagner",
"affiliation": {
"@type": "Organization",
"name": "Technical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany. lars.wagner@tum.de."
}
},
{
"@type": "Person",
"name": "Alissa Jell",
"url": "https://questionsmedicales.fr/author/Alissa%20Jell",
"affiliation": {
"@type": "Organization",
"name": "Technical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany."
}
}
],
"citation": [
{
"@type": "ScholarlyArticle",
"name": "Resolving the ethical quagmire of the persistent vegetative state.",
"datePublished": "2023-05-08",
"url": "https://questionsmedicales.fr/article/37157947",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1111/jep.13848"
}
},
{
"@type": "ScholarlyArticle",
"name": "Regulating liminality: Making sense of the vegetative state and defining the limits of end-of-life action.",
"datePublished": "2023-05-24",
"url": "https://questionsmedicales.fr/article/37222294",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1111/bjso.12653"
}
},
{
"@type": "ScholarlyArticle",
"name": "Public and Clinician Perspectives on Ventilator Withdrawal in Vegetative State Following Severe Acute Brain Injury: A Vignette Survey.",
"datePublished": "2024-09-09",
"url": "https://questionsmedicales.fr/article/39252684",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.3346/jkms.2024.39.e242"
}
},
{
"@type": "ScholarlyArticle",
"name": "Combined treatment of nerve growth factor and transcranical direct current stimulations to improve outcome in children with vegetative state after out-of-hospital cardiac arrest.",
"datePublished": "2023-05-10",
"url": "https://questionsmedicales.fr/article/37165387",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1186/s13062-023-00379-5"
}
},
{
"@type": "ScholarlyArticle",
"name": "Neural coding of autonomic functions in different states of consciousness.",
"datePublished": "2023-07-26",
"url": "https://questionsmedicales.fr/article/37491259",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1186/s12984-023-01216-6"
}
}
],
"breadcrumb": {
"@type": "BreadcrumbList",
"itemListElement": [
{
"@type": "ListItem",
"position": 1,
"name": "questionsmedicales.fr",
"item": "https://questionsmedicales.fr"
},
{
"@type": "ListItem",
"position": 2,
"name": "Équipement et fournitures",
"item": "https://questionsmedicales.fr/mesh/D004864"
},
{
"@type": "ListItem",
"position": 3,
"name": "Équipement chirurgical",
"item": "https://questionsmedicales.fr/mesh/D013523"
},
{
"@type": "ListItem",
"position": 4,
"name": "Instruments chirurgicaux",
"item": "https://questionsmedicales.fr/mesh/D013525"
}
]
}
},
{
"@type": "MedicalWebPage",
"name": "Article complet : Instruments chirurgicaux - Questions et réponses",
"headline": "Questions et réponses médicales fréquentes sur Instruments chirurgicaux",
"description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.",
"datePublished": "2025-05-07",
"inLanguage": "fr",
"hasPart": [
{
"@type": "MedicalWebPage",
"name": "Diagnostic",
"headline": "Diagnostic sur Instruments chirurgicaux",
"description": "Quels sont les types d'instruments chirurgicaux ?\nComment évaluer la qualité d'un instrument chirurgical ?\nQuels matériaux sont utilisés pour les instruments chirurgicaux ?\nComment stériliser les instruments chirurgicaux ?\nQuels sont les critères de sécurité pour les instruments ?",
"url": "https://questionsmedicales.fr/mesh/D013525?mesh_terms=Persistent+Vegetative+State#section-diagnostic"
},
{
"@type": "MedicalWebPage",
"name": "Symptômes",
"headline": "Symptômes sur Instruments chirurgicaux",
"description": "Quels symptômes indiquent un instrument chirurgical défectueux ?\nComment reconnaître une infection liée à un instrument ?\nQuels signes d'allergie aux matériaux des instruments ?\nQuels symptômes d'une mauvaise manipulation d'instruments ?\nComment identifier une mauvaise stérilisation ?",
"url": "https://questionsmedicales.fr/mesh/D013525?mesh_terms=Persistent+Vegetative+State#section-symptômes"
},
{
"@type": "MedicalWebPage",
"name": "Prévention",
"headline": "Prévention sur Instruments chirurgicaux",
"description": "Comment prévenir les infections chirurgicales ?\nQuelles sont les bonnes pratiques d'utilisation des instruments ?\nComment choisir des instruments de qualité ?\nQuelles sont les normes de sécurité pour les instruments ?\nComment former le personnel à l'utilisation des instruments ?",
"url": "https://questionsmedicales.fr/mesh/D013525?mesh_terms=Persistent+Vegetative+State#section-prévention"
},
{
"@type": "MedicalWebPage",
"name": "Traitements",
"headline": "Traitements sur Instruments chirurgicaux",
"description": "Quels traitements pour les infections liées aux instruments ?\nComment traiter une allergie aux matériaux chirurgicaux ?\nQuelles sont les alternatives aux instruments chirurgicaux traditionnels ?\nComment gérer les complications chirurgicales ?\nQuels soins postopératoires pour éviter les infections ?",
"url": "https://questionsmedicales.fr/mesh/D013525?mesh_terms=Persistent+Vegetative+State#section-traitements"
},
{
"@type": "MedicalWebPage",
"name": "Complications",
"headline": "Complications sur Instruments chirurgicaux",
"description": "Quelles complications peuvent survenir avec des instruments mal stérilisés ?\nQuels risques d'allergie aux instruments chirurgicaux ?\nComment gérer une rupture d'instrument pendant une opération ?\nQuels effets secondaires des instruments à usage unique ?\nComment prévenir les complications liées aux instruments ?",
"url": "https://questionsmedicales.fr/mesh/D013525?mesh_terms=Persistent+Vegetative+State#section-complications"
},
{
"@type": "MedicalWebPage",
"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Instruments chirurgicaux",
"description": "Quels facteurs augmentent le risque d'infection chirurgicale ?\nComment l'âge influence-t-il les risques liés aux instruments ?\nQuels comportements augmentent les risques d'allergie ?\nComment le type d'intervention influence-t-il les risques ?\nQuels antécédents médicaux augmentent les risques ?",
"url": "https://questionsmedicales.fr/mesh/D013525?mesh_terms=Persistent+Vegetative+State#section-facteurs de risque"
}
]
},
{
"@type": "FAQPage",
"mainEntity": [
{
"@type": "Question",
"name": "Quels sont les types d'instruments chirurgicaux ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les types incluent scalpels, ciseaux, pinces, et écarteurs."
}
},
{
"@type": "Question",
"name": "Comment évaluer la qualité d'un instrument chirurgical ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "La qualité se mesure par la précision, la durabilité et la facilité d'utilisation."
}
},
{
"@type": "Question",
"name": "Quels matériaux sont utilisés pour les instruments chirurgicaux ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils sont souvent fabriqués en acier inoxydable, en titane ou en plastique médical."
}
},
{
"@type": "Question",
"name": "Comment stériliser les instruments chirurgicaux ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "La stérilisation se fait par autoclave, chaleur sèche ou produits chimiques."
}
},
{
"@type": "Question",
"name": "Quels sont les critères de sécurité pour les instruments ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les critères incluent l'absence de bords tranchants, la solidité et la facilité de nettoyage."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent un instrument chirurgical défectueux ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes incluent des coupures inégales, des défaillances de mécanisme ou des rouilles."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une infection liée à un instrument ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent rougeur, gonflement, douleur et écoulement au site chirurgical."
}
},
{
"@type": "Question",
"name": "Quels signes d'allergie aux matériaux des instruments ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent éruptions cutanées, démangeaisons ou réactions anaphylactiques."
}
},
{
"@type": "Question",
"name": "Quels symptômes d'une mauvaise manipulation d'instruments ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes peuvent être des douleurs, des lésions tissulaires ou des saignements."
}
},
{
"@type": "Question",
"name": "Comment identifier une mauvaise stérilisation ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes incluent des infections postopératoires ou des complications inattendues."
}
},
{
"@type": "Question",
"name": "Comment prévenir les infections chirurgicales ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention passe par une stérilisation adéquate et des techniques chirurgicales aseptiques."
}
},
{
"@type": "Question",
"name": "Quelles sont les bonnes pratiques d'utilisation des instruments ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les bonnes pratiques incluent la formation, l'inspection régulière et le respect des protocoles."
}
},
{
"@type": "Question",
"name": "Comment choisir des instruments de qualité ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Choisissez des instruments certifiés, de marques reconnues et adaptés à l'intervention."
}
},
{
"@type": "Question",
"name": "Quelles sont les normes de sécurité pour les instruments ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les normes incluent des tests de résistance, des contrôles de qualité et des certifications."
}
},
{
"@type": "Question",
"name": "Comment former le personnel à l'utilisation des instruments ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "La formation doit inclure des sessions pratiques, des démonstrations et des évaluations régulières."
}
},
{
"@type": "Question",
"name": "Quels traitements pour les infections liées aux instruments ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent antibiotiques et, si nécessaire, drainage chirurgical."
}
},
{
"@type": "Question",
"name": "Comment traiter une allergie aux matériaux chirurgicaux ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement consiste en l'évitement des matériaux et l'utilisation d'antihistaminiques."
}
},
{
"@type": "Question",
"name": "Quelles sont les alternatives aux instruments chirurgicaux traditionnels ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les alternatives incluent les instruments à usage unique et les technologies laser."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications chirurgicales ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "La gestion inclut une surveillance étroite, des traitements médicaux et parfois une réintervention."
}
},
{
"@type": "Question",
"name": "Quels soins postopératoires pour éviter les infections ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les soins incluent le nettoyage régulier, le changement de pansements et l'observation des signes d'infection."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec des instruments mal stérilisés ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des infections, des septicémies et des retards de guérison."
}
},
{
"@type": "Question",
"name": "Quels risques d'allergie aux instruments chirurgicaux ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les risques incluent des réactions cutanées, des chocs anaphylactiques et des complications respiratoires."
}
},
{
"@type": "Question",
"name": "Comment gérer une rupture d'instrument pendant une opération ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il faut évaluer la situation, retirer les morceaux et continuer l'opération avec prudence."
}
},
{
"@type": "Question",
"name": "Quels effets secondaires des instruments à usage unique ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les effets incluent des coûts élevés et des déchets médicaux accrus, mais moins d'infections."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications liées aux instruments ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention passe par une formation adéquate, une stérilisation rigoureuse et des contrôles réguliers."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque d'infection chirurgicale ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'obésité, le diabète, et une mauvaise hygiène préopératoire."
}
},
{
"@type": "Question",
"name": "Comment l'âge influence-t-il les risques liés aux instruments ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes âgées ont un risque accru de complications en raison de la fragilité des tissus."
}
},
{
"@type": "Question",
"name": "Quels comportements augmentent les risques d'allergie ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les comportements incluent l'exposition répétée à des matériaux allergènes et des antécédents familiaux."
}
},
{
"@type": "Question",
"name": "Comment le type d'intervention influence-t-il les risques ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les interventions complexes présentent un risque plus élevé de complications liées aux instruments."
}
},
{
"@type": "Question",
"name": "Quels antécédents médicaux augmentent les risques ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents de maladies auto-immunes ou d'infections récurrentes augmentent les risques."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 07/02/2025
Contenu vérifié selon les dernières recommandations médicales
2 publications dans cette catégorie
Affiliations :
University College London, London, UK.
Publications dans "Instruments chirurgicaux" :
2 publications dans cette catégorie
Publications dans "Instruments chirurgicaux" :
2 publications dans cette catégorie
Publications dans "Instruments chirurgicaux" :
2 publications dans cette catégorie
Affiliations :
Technical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany. lars.wagner@tum.de.
Publications dans "Instruments chirurgicaux" :
2 publications dans cette catégorie
Affiliations :
Technical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany.
Technical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Department of Surgery, Munich, Germany.
Publications dans "Instruments chirurgicaux" :
2 publications dans cette catégorie
Affiliations :
Technical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany.
Technical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Department of Surgery, Munich, Germany.
Publications dans "Instruments chirurgicaux" :
2 publications dans cette catégorie
Affiliations :
Department of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan.
Publications dans "Instruments chirurgicaux" :
2 publications dans cette catégorie
Affiliations :
Department of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan.
Publications dans "Instruments chirurgicaux" :
2 publications dans cette catégorie
Affiliations :
Department of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan.
Publications dans "Instruments chirurgicaux" :
1 publication dans cette catégorie
Affiliations :
Chacha Nehru Bal Chikitsalaya, Geeta Colony Delhi, Delhi, India.
Publications dans "Instruments chirurgicaux" :
1 publication dans cette catégorie
Affiliations :
Chacha Nehru Bal Chikitsalaya, Geeta Colony Delhi, Delhi, India.
Publications dans "Instruments chirurgicaux" :
1 publication dans cette catégorie
Affiliations :
Chacha Nehru Bal Chikitsalaya, Geeta Colony Delhi, Delhi, India.
Publications dans "Instruments chirurgicaux" :
1 publication dans cette catégorie
Affiliations :
Chacha Nehru Bal Chikitsalaya, Geeta Colony Delhi, Delhi, India.
Publications dans "Instruments chirurgicaux" :
1 publication dans cette catégorie
Affiliations :
Department of Neurosurgery, Haukeland University Hospital, Bergen, Norway. Electronic address: jcganz9@gmail.com.
Publications dans "Instruments chirurgicaux" :
1 publication dans cette catégorie
Affiliations :
Central Sterile Supply Department, The First Affiliated Hospital of Soochow University, 215008 Suzhou City, Jiangsu Province, China.
Publications dans "Instruments chirurgicaux" :
1 publication dans cette catégorie
Affiliations :
Central Sterile Supply Department, The First Affiliated Hospital of Soochow University, 215008 Suzhou City, Jiangsu Province, China.
Publications dans "Instruments chirurgicaux" :
1 publication dans cette catégorie
Affiliations :
Central Sterile Supply Department, The First Affiliated Hospital of Soochow University, 215008 Suzhou City, Jiangsu Province, China.
Publications dans "Instruments chirurgicaux" :
1 publication dans cette catégorie
Affiliations :
Central Sterile Supply Department, The First Affiliated Hospital of Soochow University, 215008 Suzhou City, Jiangsu Province, China. Chengping197307@suda.edu.cn.
Publications dans "Instruments chirurgicaux" :
1 publication dans cette catégorie
Affiliations :
Department of Surgery, University of Bonn, Bonn, Germany.
Publications dans "Instruments chirurgicaux" :
1 publication dans cette catégorie
Affiliations :
Resourcify GmbH, Hamburg, Germany.
Publications dans "Instruments chirurgicaux" :
A patient is diagnosed with the persistent vegetative state (PVS) when they show no evidence of the awareness of the self or the environment for an extended period of time. The chance of recovery of a...
At present, there is a wealth of literature that discusses the relevant neurology, that elucidates the plethora of ethical challenges in understanding and dealing with the condition, and that analyses...
I start from the very foundations, laying out a sentientist approach which serves as the basis for the consequent moral decision-making, and then proceed to systematically identify and deconstruct the...
A major intellectual contribution concerns the fluidity of the duty of care which I argue is demanded by the sentientist focus....
The said duty is shown initially to have for its object the patient, which depending on the circumstances, can change to the patient's kin, or the health care staff themselves....
In conclusion, the proposed framework represents the first comprehensive proposal regarding the decision-making processes involved in the deliberation on the provision of life sustaining treatment to ...
Persistently alive but unaware, vegetative state patients are stuck in the transition between life and death - that is, in a liminal hotspot. This condition raises complex ethical and legal dilemmas c...
The vegetative state (VS) after severe acute brain injury (SABI) is associated with significant prognostic uncertainty and poor long-term functional outcomes. However, it is generally distinguished fr...
A cross-sectional survey was undertaken, utilizing a self-reported online questionnaire based on a case vignette. Nationally selected by quota sampling, the GP comprised 500 individuals aged 20 to 69 ...
Two months after SABI in the case, 79% of the GP and 83.5% of clinicians had positive attitudes toward mechanical ventilator withdrawal. In the GP, attitudes were associated with spirituality, househo...
More than three quarters of both the GP and clinicians had positive opinions regarding ventilator withdrawal in patients in a VS after SABI, which was reinforced with time and the presence of AD. Legi...
Out-of-hospital cardiac arrest (OHCA) is one of the most dramatic events in pediatric age and, despite advanced neurointensive care, the survival rate remains low. Currently, no effective treatments c...
Three children with a chronic vegetative state secondary to OHCA were treated. The combined treatment with hr-NGF and tDCS improved functional (PET and SPECT) and electrophysiological (EEG and PSD) as...
These promising preliminary results and the ease of administration of this treatment make it worthwhile to be investigated further, mainly in the early stages from OHCA and in patients with better bas...
Detecting signs of residual neural activity in patients with altered states of consciousness is a crucial issue for the customization of neurorehabilitation treatments and clinical decision-making. Wi...
Persistent vegetative state often occurs as a result of traumatic brain injuries; these patients are usually hospitalized for sustained periods, and the family caregivers are the main care providers i...
This descriptive phenomenological study was carried out in 2019. Semi-structured interviews were done with 12 family caregivers caring for the patients in persistent vegetative state, hospitalized in ...
After analysis of 12 interviews, 5 themes, and 10 subthemes were extracted from 428 codes. Five themes include "uncountable struggles/challenges," "looking for peace," "therapeutic concerns," "preserv...
In this study, the family caregivers of the persistent vegetative state patients in the hospital experienced some challenges, and looked for peace by doing some work, for example, praying. They had so...
Decannulation for people in a persistent vegetative state (PVS) is challenging and relevant predictors of successful decannulation have yet to be identified....
This study aimed to explore the predictors of tracheostomy decannulation outcomes in individuals in PVS and to develop a nomogram....
In 2022, 872 people with tracheostomy in PVS were retrospectively enrolled and their data was randomly divided into a training set and a validation set in a 7:3 ratio. Univariate and multivariate regr...
Data from 610 to 262 individuals were used for the training and validation sets, respectively. The multivariate regression analysis found that duration of tracheostomy tube placement≥30 days (Odds Rat...
The nomogram can help adjust the treatment and reduce decannulation failure....
Clinical registration is not mandatory for retrospective studies....
Sensory stimulation in Snoezelen room increased responsiveness after brain injury and dementia....
To explore the physiological and clinical effects of Snoezelen stimulation in persons with unresponsive wakefulness syndrome or minimally conscious state (UWS or MCS)....
A comparative prospective observational cohort study....
Ten patients with UWS and 25 in MCS were exposed to consecutive stimuli involving the 5 senses in a Snoezelen room. Heart rate (HR) and cerebral blood flow velocity (CBFV), and scores of the Loewenste...
The stimuli increased HR values and decreased left hemisphere CBFV values in patients with MCS (p < 0.05). Stimulation increased LCS scores (from 28.48 ± 6.55 to 31.13 ± 7.14; p < 0.001) in patients w...
Snoezelen stimulation induced immediate improvement in communication and physiological changes in patients with MSC, and had a minor physiological effect in patients with UWS. If additional studies su...
The minimally conscious state (MCS) is a prolonged disorder of consciousness (pDoC) and one of the most severe outcomes of acquired brain injury. Prevalence data are scarce. The aim of this study was ...
This was a descriptive cross-sectional study in which all 86 Dutch hospitals, all 5 specialized pDoC rehabilitation facilities, and all 274 nursing homes were asked whether they were treating patients...
Seventy patients were reported to have a pDoC, of whom 6 were excluded. The level of consciousness was verified for 49 patients while for 15, it could not be verified. Of the patients verified, 38 had...
This nationwide study revealed a low prevalence of institutionalized patients in MCS in the Netherlands. These findings are now being used to organize pDoC care in this country....
The minimally conscious state (MCS) is a disorder of consciousness described in recent years for patients who have behavioral responses to stimuli that do not meet the classification of chronic vegeta...