Titre : Trachéostomie

Trachéostomie : Questions médicales fréquentes

Termes MeSH sélectionnés :

Attention Deficit Disorder with Hyperactivity
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joue l'âge dans le besoin de trachéostomie ?\nComment les allergies affectent-elles la trachéostomie ?", "url": "https://questionsmedicales.fr/mesh/D014139?mesh_terms=Attention+Deficit+Disorder+with+Hyperactivity&page=6#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer un besoin de trachéostomie ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un besoin de trachéostomie est diagnostiqué par l'évaluation des voies respiratoires et des difficultés respiratoires." } }, { "@type": "Question", "name": "Quels examens précèdent une trachéostomie ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des examens comme la fibroscopie bronchique et des imageries peuvent être réalisés." } }, { "@type": "Question", "name": "Quels signes indiquent une obstruction des voies respiratoires ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent une respiration bruyante, une cyanose et une détresse respiratoire." } }, { "@type": "Question", "name": "Quand envisager une trachéostomie en urgence ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "En cas d'obstruction aiguë des voies respiratoires ou d'insuffisance respiratoire sévère." } }, { "@type": "Question", "name": "Quels symptômes nécessitent une trachéostomie ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes comme l'apnée, la stridor ou une incapacité à ventiler peuvent nécessiter l'intervention." } }, { "@type": "Question", "name": "Quels symptômes indiquent une trachéostomie ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent une respiration difficile, une toux persistante et une cyanose." } }, { "@type": "Question", "name": "Comment reconnaître une détresse respiratoire ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Une détresse respiratoire se manifeste par une respiration rapide, des battements de ailes du nez et une agitation." } }, { "@type": "Question", "name": "Quels signes de complications post-trachéostomie ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent une fièvre, des saignements ou une difficulté accrue à respirer." } }, { "@type": "Question", "name": "Quels symptômes d'infection après trachéostomie ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes d'infection comprennent rougeur, écoulement purulent et douleur au site de la trachéostomie." } }, { "@type": "Question", "name": "Quels signes d'irritation des voies respiratoires ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent une toux sèche, des douleurs thoraciques et une sensation de brûlure." } }, { "@type": "Question", "name": "Comment se déroule une trachéostomie ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La trachéostomie est réalisée sous anesthésie, avec une incision dans la trachée pour insérer un tube." } }, { "@type": "Question", "name": "Quels soins post-opératoires pour trachéostomie ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Les soins incluent le nettoyage du site, la surveillance des signes d'infection et le changement de tube." } }, { "@type": "Question", "name": "Quels médicaments après une trachéostomie ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Des analgésiques et des antibiotiques peuvent être prescrits pour gérer la douleur et prévenir l'infection." } }, { "@type": "Question", "name": "Comment gérer la trachéostomie à domicile ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Il est essentiel de suivre les instructions médicales, de maintenir une bonne hygiène et de surveiller les signes d'infection." } }, { "@type": "Question", "name": "Quand retirer le tube de trachéostomie ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Le tube peut être retiré lorsque le patient peut respirer normalement sans assistance." } }, { "@type": "Question", "name": "Quelles sont les complications possibles d'une trachéostomie ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent l'infection, le saignement, et la déviation du tube." } }, { "@type": "Question", "name": "Comment prévenir les infections après trachéostomie ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Pour prévenir les infections, il est crucial de maintenir une bonne hygiène et de surveiller le site." } }, { "@type": "Question", "name": "Quels risques de saignement après trachéostomie ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Le saignement peut survenir en raison de lésions des vaisseaux sanguins lors de l'intervention." } }, { "@type": "Question", "name": "Comment gérer une obstruction du tube de trachéostomie ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "En cas d'obstruction, il faut aspirer le tube ou le remplacer si nécessaire." } }, { "@type": "Question", "name": "Quels signes d'une déviation du tube ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent une respiration difficile, un bruit anormal et une cyanose." } }, { "@type": "Question", "name": "Quels facteurs augmentent le besoin de trachéostomie ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent des maladies respiratoires chroniques, des traumatismes ou des cancers de la tête et du cou." } }, { "@type": "Question", "name": "Comment le tabagisme influence-t-il la trachéostomie ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Le tabagisme augmente le risque de maladies respiratoires, rendant la trachéostomie plus probable." } }, { "@type": "Question", "name": "Quels antécédents médicaux sont des facteurs de risque ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Des antécédents de maladies respiratoires, d'accidents vasculaires cérébraux ou de cancers sont des facteurs de risque." } }, { "@type": "Question", "name": "Quel rôle joue l'âge dans le besoin de trachéostomie ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les personnes âgées ont un risque accru de complications respiratoires nécessitant une trachéostomie." } }, { "@type": "Question", "name": "Comment les allergies affectent-elles la trachéostomie ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Les allergies peuvent provoquer des inflammations des voies respiratoires, augmentant le besoin d'une trachéostomie." } } ] } ] }

Sources (10000 au total)

Extended-Release Viloxazine Compared with Atomoxetine for Attention Deficit Hyperactivity Disorder.

In our outpatient pediatric and adult psychiatry centers, we reserve psychostimulants for predominantly inattentive attention deficit hyperactivity disorder (ADHD) due to the potential for appetite an... 50 patients (35 children) received mean doses of atomoxetine 60 mg (25-100 mg once daily) followed by VER 300 mg (100-600 mg once daily) after a 5-day atomoxetine washout. Both atomoxetine and VER wer... From the baseline total ADHD-RS-5 mean score (40.3 ± 10.3), improvements were greater on VER (13.9 ± 10.2) than atomoxetine (33.1 ± 12.1; t = - 10.12, p < 0.00001) in inattention (t = - 8.57, p < 0.00... Pediatric and adult ADHD patients who have experienced less than optimal response to atomoxetine demonstrate rapid improvement in inattention and in hyperactivity/impulsivity with greater tolerability...

Investigating young-adult social outcomes of attention deficit hyperactivity disorder.

Attention Deficit Hyperactivity Disorder (ADHD) is associated with a range of adverse outcomes in adult life. However it is unclear whether the risk pathways to adverse adult outcomes are established ... We examined associations between broadly defined child-limited (remitted) and persistent ADHD (assessed using the ADHD subscale of the Strengths and Difficulties Questionnaire) with social outcomes (l... Up to 20% of young-people with less favourable social outcomes at age 25 had persistent ADHD. Persistent ADHD was associated with an increased likelihood of being not in education, employment or train... Our findings highlight the importance of continued monitoring and management of ADHD symptoms and related social as well as clinical outcomes across development into adulthood. Future research is need...

Cannabis use in Attention - Deficit/Hyperactivity Disorder (ADHD): A scoping review.

Treatments for Adult ADHD include stimulants, two non-stimulant medications, as well as cognitive-behavioral therapy (CBT). These pharmacological agents are often associated with side effects, contrib... We systematically searched MEDLINE, EMBASE, EMCARE, PsycINFO, Web of Science, Cochrane Library, and Clinicaltrials.gov. The searches included all publications in English up to June 27, 2022. We includ... Our scoping review included a total of 39 studies. Only one study employed a randomized and placebo-controlled design to directly measure the effect of cannabis on ADHD, and no significant effect was ... Given the current evidence, cannabis is not recommended for people with ADHD. Limitations of the literature include the absence of objective measurements for cannabis exposure and ADHD symptoms, heter...

Cerebro-cerebellar Dysconnectivity in Children and Adolescents With Attention-Deficit/Hyperactivity Disorder.

Abnormal cerebellar development has been implicated in attention-deficit/hyperactivity disorder (ADHD), although cerebro-cerebellar functional connectivity (FC) has yet to be examined in ADHD. Our obj... We analyzed a dataset of 106 individuals with ADHD (68 children, 38 adolescents) and 62 healthy comparison individuals (34 children, 28 adolescents) from the publicly available ADHD-200 dataset. We id... Compared to comparisons, ADHD showed higher cerebro-cerebellar FC in the superior temporal gyrus within the somatomotor network. Interactions of diagnosis and age were identified in the supplementary ... Increased cerebro-cerebellar FC in the superior temporal gyrus within the somatomotor network could underlie impairments in cognitive control and somatic motor function in ADHD. In addition, increasin...

The friendships of children and youth with attention-deficit hyperactivity disorder: A systematic review.

Children with attention-deficit hyperactivity disorder (ADHD) experience substantial difficulty maintaining meaningful friendships, which has implications for social functioning and mental health. No ... To systematically review and methodologically appraise the quality of existing studies reporting on friendships of children with ADHD. To compare their friendships to typically-developing children, an... Six databases were searched. The methodological quality of studies was assessed using the QualSyst appraisal tool and the Appraisal tool for Cross-Sectional Studies. Aspects of friendships measured we... Twenty-three cross-sectional studies and one longitudinal follow-up study were included. Studies included 1509 participants with ADHD, with 1197 typically-developing participants used as a companion i... Limited longitudinal studies, small sample sizes and variability in measurement restrict the interpretations of friendship over time and the causal impact of friendship on social and emotional outcome...

A model of care for attention deficit and hyperactivity disorder among adults in the community.

To describe the process of collaborative, contextualised development and implementation of a model of care for adults with symptoms suggestive of attention deficit and hyperactivity disorder in an Abo... The current article describes an attempt to reduce unmet mental health needs through a systemic approach within a well-established Indigenous community-controlled organisation....

Attention-deficit/hyperactivity disorder and ischemic stroke: A Mendelian randomization study.

Observational studies have found an association between attention-deficit/hyperactivity disorder (ADHD) and ischemic stroke.... The purpose of this study was to investigate whether genetic liability to ADHD has a causal effect on ischemic stroke and its subtypes.... In this two-sample Mendelian randomization (MR) study, genetic variants (nine single-nucleotide polymorphisms;... Genetically determined ADHD (per 1 SD) was significantly associated with a higher risk of any ischemic stroke (AIS) (odds ratio (OR) = 1.15, 95% confidence interval (CI) = 1.05-1.25,... Genetic liability to ADHD was significantly associated with an increased risk of AIS, especially LAS. The association between ADHD and LAS was independent of age of smoking initiation but mediated by ...