Titre : Trachéostomie

Trachéostomie : Questions médicales fréquentes

Termes MeSH sélectionnés :

Colorectal Neoplasms
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précèdent une trachéostomie ?\nQuels signes indiquent une obstruction des voies respiratoires ?\nQuand envisager une trachéostomie en urgence ?\nQuels symptômes nécessitent une trachéostomie ?", "url": "https://questionsmedicales.fr/mesh/D014139?mesh_terms=Colorectal+Neoplasms&page=2#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Trachéostomie", "description": "Quels symptômes indiquent une trachéostomie ?\nComment reconnaître une détresse respiratoire ?\nQuels signes de complications post-trachéostomie ?\nQuels symptômes d'infection après trachéostomie ?\nQuels signes d'irritation des voies respiratoires ?", "url": "https://questionsmedicales.fr/mesh/D014139?mesh_terms=Colorectal+Neoplasms&page=2#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Trachéostomie", "description": "Comment se déroule une trachéostomie ?\nQuels soins post-opératoires pour trachéostomie ?\nQuels 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médicaux sont des facteurs de risque ?\nQuel rôle joue l'âge dans le besoin de trachéostomie ?\nComment les allergies affectent-elles la trachéostomie ?", "url": "https://questionsmedicales.fr/mesh/D014139?mesh_terms=Colorectal+Neoplasms&page=2#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)

Risk and preventive factors of early-onset colorectal neoplasms: endoscopic and histological database analysis.

The incidence of early-onset colorectal neoplasms has been increasing in both Western and Eastern countries. However, the risks and preventive factors for these neoplasms in Eastern countries remain u... The data of 5580 patients who underwent colonoscopy between 2016 and 2021 were retrospectively evaluated. The primary outcome was advanced colorectal neoplasm (ACRN), defined as advanced adenomas (ade... Among 1001 patients (age ≤50 years), ACRN was found in 94 (9.4%). In this younger category, male sex (adjusted odds ratio [aOR]:2.34, 95% confidence interval [CI]:1.51-3.63) and a family history of co... The development of early-onset ACRNs was primarily associated with congenital factors, whereas that of late-onset ACRNs was associated with acquired ones. Colonoscopy is recommended for young male pat...

Tip-in EMR as an alternative to endoscopic submucosal dissection for 20- to 30-mm nonpedunculated colorectal neoplasms.

Tip-in EMR, which includes anchoring the snare tip, has recently shown a favorable en-bloc and R0 resection rate for colorectal neoplasms. Thus, Tip-in EMR may be an alternative to endoscopic submucos... This retrospective study evaluated consecutive patients who underwent Tip-in EMR or ESD for 20- to 30-mm nonpedunculated colorectal neoplasms at a Japanese tertiary cancer center between January 2014 ... Seven hundred nine lesions were evaluated. The Tip-in EMR group included 1 lesion with a nonlifting sign but no lesions with fold convergence. After propensity score matching, each group included 140 ... Tip-in EMR is comparable with ESD with respect to the local recurrence rate but has a shorter procedure time, despite the lower en-bloc and R0 resection rates for 20- to 30-mm nonpedunculated colorect...

Clinical outcomes of endoscopic submucosal dissection for colorectal neoplasms: A single-center experience in Southern Taiwan.

Endoscopic submucosal dissection (ESD) as an advanced endoscopic procedure can be considered for the removal of colorectal lesions with high suspicion of limited submucosal invasion or cannot be optim... We retrospectively enrolled 230 patients with 244 colorectal neoplasms who received ESD procedures from April 2012 to October 2020 at Kaohsiung Chang Gung Memorial Hospital. Clinicopathological data w... The average age was 64 years old, with a mean follow-up time of 22.59 months. There was a loss of follow-up in 34 lesions. Most lesions were lateral spreading tumors of the non-granular type. The aver... ESD for colorectal neoplasms is an effective and safe technique. Size ≥ 10 cm2 and endoscopist's experience < 3 years were significantly associated with long procedure time. Pre-ESD EUS provided a goo...

Risk prediction of second primary malignancies in primary colorectal neuroendocrine neoplasms patients: a population-based study.

In this study, we aimed to identify risk factors for developing second primary malignancies (SPMs) in colorectal neuroendocrine neoplasms (NENs) patients and develop a competing-risk nomogram to predi... Patients with colorectal NENs were retrospectively collected from the Surveillance, Epidemiology, and End Results (SEER) database during 2000-2013. Potential risk factors for SPMs' occurrence in color... We identified 11,017 colorectal NENs' patients, and randomly divided them into training (n = 7711 patients) and validation (n = 3306 patients) cohorts. In the whole cohort, 12.4% patients (n = 1369) h... This research identified risk factors for SPMs' occurrence in colorectal NENs' patients. Competing-risk nomogram was constructed and proved to have good performance....

Treatment indicators and prognostic factors in colorectal neuroendocrine neoplasms and adenocarcinoma with neuroendocrine differentiation: a single center retrospective study.

This study compared survival and metastasis occurrence between colorectal neuroendocrine neoplasms (cNEN) and colorectal adenocarcinoma with neuroendocrine differentiation (cNED) and further explored ... Patients diagnosed as cNEN and cNED in West China Hospital from January 2009 to December 2020 were enrolled. The diagnosis and metastasis rates were calculated. Univariate and multivariate Cox analyse... The study enrolled 435 patients, including 257 neuroendocrine tumors (NET), 52 neuroendocrine carcinomas (NEC), 29 mixed neuroendocrine-non-neuroendocrine neoplasms (MiNEN), and 97 NED patients, of wh... cNEN show high metastatic capacity and are challenging to diagnose. More aggressive treatment and follow-up strategies are necessary for those patients. NET tumor grade higher than G2, size larger tha...

Pokemon inhibits Bim transcription to promote the proliferation, anti-anoikis, invasion, histological grade, and dukes stage of colorectal neoplasms.

This study aims to determine whether Pokemon regulates Bim activity in colorectal carcinoma (CRC) carcinogenesis.... Clinical tissue samples were analyzed to detect the expression and clinicopathological significance of Pokemon and Bim in CRC. Proliferation, apoptosis, and invasion assays were conducted to identify ... Immunohistochemical analysis of 80 samples of colorectal epithelia (CRE), 80 cases of colorectal adenoma (CRA), and 160 of CRC samples revealed protein expression rates of 23.8%, 38.8%, and 70.6% for ... These findings suggest that Pokemon inhibits Bim transcription, thereby promoting CRC proliferation, resistance to apoptosis, invasion, and advancing histological grade and Dukes staging. Pokemon knoc...

Endoscopic submucosal tunnel dissection vs conventional endoscopic submucosal dissection for large colorectal neoplasms: a single-centre retrospective study.

Colorectal endoscopic submucosal dissection (ESD) is still not widely used due to its technical difficulty and the risk of complications. Several techniques, such as traction techniques, pocket techni... The charts of consecutive patients referred to the Arcispedale Santa Maria Nuova (Reggio Emilia, Italy) for colorectal ESD between January 2014 and February 2021 for colorectal neoplasms > 40 mm were ... There were 59 patients (M:F ratio 29:30, median age 70 years [range 50-93 years]). Of 59 colorectal lesions > 40 mm, 25 were removed by ESTD and 34 by CESD. The en bloc resection rate was 100% in both... ESTD achieves a very high en bloc resection rate and is faster than CESD....