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"name": "Comment diagnostiquer un besoin de trachéostomie ?",
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"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."
}
}
]
}
]
}
The purpose of this study was to predict visual acuity (VA) 90 days after presentation for patients with microbial keratitis (MK) from data at the initial clinical ophthalmic encounter....
Patients with MK were identified in the electronic health record between August 2012 and February 2021. Random forest (RF) models were used to predict 90-day VA < 20/40 [visual impairment (VI)]. Predi...
One thousand seven hundred ninety-one patients were identified. The presenting logMAR VA was on average 0.86 (Snellen equivalent and standard deviation = 20/144 ± 12.6 lines) in the affected or worse ...
RF modeling yielded good sensitivity and specificity to predict VI at 90 days which could guide clinicians about the risk of poor vision outcomes for patients with MK....
Myopia control spectacle lenses with peripheral lenslets are gaining popularity because they are non-invasive and easy to manage, and ongoing clinical trials have shown promising results. This study a...
High-contrast (100%) VA was measured at 300 cm and 10 lx. For each test, two lens designs were evaluated in counterbalanced order: a spectacle lens with highly aspherical lenslets (HALs) and a standar...
Mean (SD) central VAs with peripheral gaze through the SVL and the HAL lens were 0.08 (0.13) and 0.17 (0.12) logMAR, respectively. The HAL lens reduced central VA with peripheral gaze by 0.10 (0.08) l...
Under high-contrast and low-luminance conditions, the HAL lens reduced central VA with peripheral gaze by approximately one line compared with the SVL. The impact on central VA did not vary with gaze ...
To investigate associated factors including structural parameters of myopia and vessel density (VD) using optical coherence tomography angiography (OCT-A) to visual acuity (VA) and central visual func...
Retrospective cross-sectional study....
Sixty-five eyes of 60 glaucoma patients with myopia and without media opacity and retinal lesions were included. Both Swedish interactive thresholding algorithm (SITA) 24-2 and 10-2 visual field (VF) ...
The worse mean deviation of SITA 24-2, thinner GCIPL thickness, and lower deep peripapillary VD were associated with the presence of central VF damage in glaucoma patients with myopia. Thinner GCIPL t...
Decreased VA in glaucoma patients with myopia was associated with lower deep peripapillary VD and papillomacular bundle damage. Lower deep peripapillary VD was independently associated with decreased ...
Visual acuity measurement is important for the detection and monitoring of eye disorders. Developing accurate and sensitive visual acuity tests suitable for young children is therefore desirable....
Recognition or form visual acuity (VA), which is measured with matching in children aged 3 years and up, is more sensitive for detecting visual deficits compared to resolution VA. The Waterloo Differe...
Fifty-one typically-developing children aged 12-36 months participated in the study. Data for Patti Pics (PP) and Face targets (FT) were collected for formats with 3, 4 and 5 distractors. The targets ...
Of participants aged 18-36 months, 87% could perform the WatDAT PP targets with 3 distractors compared to 68% for the FT, while 48% could perform matching with PP. The testability for FT increased to ...
WatDAT testability is higher than matching VA tests. This indicates that the newly developed WatDAT has potential for measuring recognition VA in children 18 months and older....
Visual acuity is commonly assumed to be determined by the eye optics and spatial sampling in the retina. Unlike a camera, however, the eyes are never stationary during the acquisition of visual inform...
To investigate the agreement between a mobile applet-based visual acuity (VA) self-test program and the conventional VA tests....
This consecutive case series study included 121 children and adults (242 eyes). Patients were classified into three groups according to age (children, adolescents, and adults). They underwent uncorrec...
Correlations among UDVA, DVA with ASC, UNVA, and NVA with ASC between the two methods were significant in all subjects (all p < 0.001). The intraclass correlation coefficient were 0.960, 0.845, 0.960,...
There is good agreement between the mobile applet-based VA self-test program and the conventional VA tests. The VA self-test has good practical value especially in the current pandemic, allowing self-...
To validate the Easee web-based tool for the assessment of visual acuity in patients who underwent cataract surgery....
University Eye Clinic Maastricht, Maastricht, the Netherlands....
Prospective method comparison study....
Subjects aged between 18 and 69 years who underwent cataract surgery on 1 or both eyes at the Maastricht University Medical Center+ were eligible to participate in this study. The uncorrected (UDVA) a...
46 subjects with 75 operated eyes were included in this study. The difference of the UDVA between the web-based tool and ETDRS or Snellen was -0.05 ± 0.10 logMAR ( P < .001 [0.15; -0.26]) and -0.04 ± ...
The web-based tool was validated for the assessment of visual acuity in patients who underwent cataract surgery and showed clinically acceptable outcomes in up to 88% of patients. Most of the particip...
Astronauts are exposed to an austere and constantly changing environment during space travel. To respond to these rapid environmental changes, high levels of dynamic visual acuity (DVA) are required. ...
This study aimed to assess grating visual acuity and functional vision in children with congenital Zika syndrome....
Initial and final grating visual acuity was measured using Teller acuity cards. Cerebral vision impairment standardized tests were used to assess functional vision. Patients were referred to the early...
In this study, 10 children were included with an age range of 1-37 months. Eight patients presented with macular atrophic scars. Neuroimaging revealed microcephaly and cerebral abnormalities in all pa...
The grating visual acuity test revealed low vision in all children with congenital Zika syndrome. Functional vision evaluation revealed cerebral vision impairment characteristics in all patients, who ...