Titre : Trachéostomie

Trachéostomie : Questions médicales fréquentes

Termes MeSH sélectionnés :

Multicenter Studies as Topic
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"inLanguage": "fr", "hasPart": [ { "@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Trachéostomie", "description": "Comment diagnostiquer un besoin de trachéostomie ?\nQuels examens 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=Multicenter+Studies+as+Topic&page=1000#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": 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"https://questionsmedicales.fr/mesh/D014139?mesh_terms=Multicenter+Studies+as+Topic&page=1000#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Trachéostomie", "description": "Quels facteurs augmentent le besoin de trachéostomie ?\nComment le tabagisme influence-t-il la trachéostomie ?\nQuels antécédents 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=Multicenter+Studies+as+Topic&page=1000#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)

Setting 6-Minute Minimal Examination Time Improves the Detection of Focal Upper Gastrointestinal Tract Lesions During Endoscopy: A Multicenter Prospective Study.

Positive correlation between examination time and neoplasm detection using esophagogastroduodenoscopy (EGD) has been described by observational studies, but the effect of setting minimal examination t... This prospective, 2-stage, interventional study was conducted in 7 tertiary hospitals in China, enrolling consecutive patients undergoing intravenously sedated diagnostic EGDs. In stage I, the baselin... A total of 847 and 1,079 EGDs performed by 21 endoscopists were included in stages I and II, respectively. In stage II, the minimal examination time was set as 6 minutes, and the median time for norma... Setting a 6-minute minimal examination time significantly improved the detection of focal lesions during EGDs and has the potential to be implemented for quality improvement....

Cefepime vs carbapenems for treating third-generation cephalosporin-resistant AmpC β-lactamase-hyperproducing Enterobacterales bloodstream infections: a multicenter retrospective study.

AmpC β-lactamase-hyperproducing Enterobacterales (ABLHE) bloodstream infections (BSI) are emerging and leading to therapeutic challenges worldwide. Prescriptions of carbapenems may lead to the emergen... This retrospective multicenter study included patients with ABLHE BSI from two tertiary hospitals in France, between July 2017 and July 2022. Non-AmpC-producing Enterobacterales, extended-spectrum β-l... We analyzed 164 BSI, which included 77 in the cefepime group and 87 in the carbapenem group. In the weighted cohort, the 30-day mortality rates were similar between the cefepime group (23.3%) and the ... This study adds evidence in favor of the use of cefepime for treating third-generation cephalosporin-resistant ABLHE BSI in case of minimal inhibitory concentration ≤ 1 mg/l, which could spare carbape...

Incidence of and risk factors for postoperative ileus between right and left laparoscopic colectomy using propensity-score-matched analysis: A retrospective multicenter study.

In colon cancer, the incidence of postoperative ileus is reportedly higher for the right-side than for the left-side colon, but those studies included small numbers of subjects and contained several b... This multicenter study reviewed 1986 patients who underwent laparoscopic colectomy between 2016 and 2021 for right-side (n = 907) and left-side (n = 1079) colon cancer. After propensity score matching... Postoperative ileus occurred in 97 patients. Before matching, the proportion of female patients and median age were higher and frequency of preoperative stent insertion was lower with right colectomy ... This study revealed a higher risk of postoperative ileus after right colectomy with laparoscopic surgery. Male gender and history of abdominal surgery were risk factors for postoperative ileus after r...

Evaluation of the one-step nucleic acid amplification method for rapid detection of lymph node metastases in endometrial cancer: prospective, multicenter, comparative study.

To evaluate the diagnostic performance of the one-step nucleic acid amplification (OSNA) method for the detection of sentinel lymph node (SLN) metastases in women with apparent early-stage endometrial... Prospective, multicentric, interventional study. Patients with apparent early-stage endometrial cancer who underwent primary surgical staging with SLN mapping were included. SLNs were serially section... Three-hundred and sixteen patients with 668 SLNs were included. OSNA assay detected 22 (3.3%) positive SLNs, of which 17 (2.5%) were micrometastases and 5 (0.7%) macrometastases, whereas ultrastaging ... The OSNA method had high specificity and high accuracy in detecting SLN metastasis in apparent early-stage endometrial cancer. The advantage of the OSNA method could be represented as the possibility ...

Role of Endoscopic Biopsies and Morphologic Features in Predicting Microsatellite Instability Status in Gastric Cancer: A Multicenter Comparative Study of Endoscopic Biopsies and Surgical Specimens.

Evaluation of mismatch repair (MMR) protein and microsatellite instability (MSI) status plays a pivotal role in the management of gastric cancer (GC) patients. In this study, we aimed to evaluate the ...

Acute Disorders of Consciousness in Pediatric Severe Sepsis and Organ Failure: Secondary Analysis of the Multicenter Phenotyping Sepsis-Induced Multiple Organ Failure Study.

Acute disorders of consciousness (DoC) in pediatric severe sepsis are associated with increased risk of morbidity and mortality. We sought to examine the frequency of and factors associated with DoC i... Secondary analysis of the multicenter Phenotyping Sepsis-Induced Multiple Organ Failure Study (PHENOMS).... Nine tertiary care PICUs in the United States.... Children less than 18 years old admitted to a PICU with severe sepsis and at least one organ failure during a PICU stay.... None.... The primary outcome was frequency of DoC, defined as Glasgow Coma Scale (GCS) less than 12 in the absence of sedatives during an ICU stay, among children with severe sepsis and the following: single o... One of every five children with severe sepsis and organ failure experienced acute DoC during their PICU stay. Preliminary findings suggest the need for prospective evaluation of DoC in children with s...

Management of small subepithelial tumors by endoscopic banding without resection and single-incision needle-knife-assisted biopsy sampling: a prospective multicenter study.

Endoscopic band ligation (EBL) without resection combined with single-incision needle-knife (SINK) biopsy sampling may have a positive impact on small GI subepithelial tumor (SET) management, but the ... This prospective multicenter observational cohort study in 7 centers included patients with SETs ≤15 mm (confirmed by EUS) between March 2017 and March 2020. The primary outcome was clinical success a... Of 273 patients screened, 122 (62.3% women; mean age, 60.9 ± 13.2 years) were included with SETs (mean size, 9 ± 2.8 mm; gastric location, 77%; superficial layer dependence, 63%). The primary endpoint... EBL plus SINK biopsy sampling seems to be feasible and safe, and it may offer a favorable clinical impact in small-sized SETs. In particular, SETs ≤10 mm are the best candidates. (Clinical trial regis...

Surgical site infection after intracorporeal and extracorporeal anastomosis in laparoscopic left colectomy for colon cancer: a multicenter propensity score-matched cohort study.

Intracorporeal anastomosis (IA) is associated with reduced surgical site infection (SSI) and other postoperative complications in laparoscopic right colectomy (LRC). However, evidence is inadequate fo... In this retrospective multicenter propensity score-matched (PSM) cohort study, we enrolled consecutive patients who underwent LLC with IA (TLLC/IA) and laparoscopic-assisted left colectomy with EA (LA... Overall, 574 and 99 patients received LALC/EA and TLLC/IA, respectively. After PSM, 84 patients with TLLC/IA were matched with 141 patients with LALC/EA. Thirty patients (13.3%) patients experienced S... IA in LLC is associated with a reduced risk of overall SSI and superficial/deep SSI. However, it may require a longer operating time....