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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."
}
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"@type": "Question",
"name": "Quels examens précèdent une trachéostomie ?",
"position": 2,
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"@type": "Answer",
"text": "Des examens comme la fibroscopie bronchique et des imageries peuvent être réalisés."
}
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{
"@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."
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"@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."
}
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{
"@type": "Question",
"name": "Quels symptômes nécessitent une trachéostomie ?",
"position": 5,
"acceptedAnswer": {
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"text": "Des symptômes comme l'apnée, la stridor ou une incapacité à ventiler peuvent nécessiter l'intervention."
}
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{
"@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."
}
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{
"@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."
}
}
]
}
]
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Tablet-based perimetry could be used to test for glaucomatous visual field defects in settings without easy access to perimeters, although few studies have assessed diagnostic accuracy of tablet-based...
This was a prospective, cross-sectional study of patients undergoing their first Humphrey Field Analyser (HFA) visual field test at a glaucoma clinic in India. Participants underwent 24-2 SITA Standar...
203 eyes from 115 participants were included, with 82 eyes classified as moderate or worse glaucoma. iPad perimetry had an area under the receiver operating characteristic (AUROC) curve of 0.64 (95% C...
iPad perimetry using the visualFields Easy application had inadequate diagnostic accuracy to be used as a screening tool for glaucoma in this South Indian population....
The benefit of protective headgear for recreational skiers is an ongoing debate in the snow sports industry, and there are a lot of opposing opinions. Due to the dynamic conditions in which winter spo...
To determine the horizontal extent of the binocular visual field (BVF) in subjects with horizontal strabismus and whether the BVF falls below the driving standard....
Adults with congenital esotropia and infantile exotropia ≤45 Prism Dioptres (PD), and subjects with orthotropia were recruited. The manifest angle of deviation was measured using a simultaneous prism ...
Forty-nine subjects were included: 10 with orthotropia, 20 with exotropia and 19 with esotropia. The horizontal extent of BVF (degrees) was significantly smaller in esotropes (122.8 ± 18.8) than in or...
The horizontal extent of BVF is significantly smaller and more variable in adults with congenital esotropia and may fall below the driving standard....
Largest study on visual fields in subjects with horizontal strabismus including an orthotropic control group who do not have diplopia and who would otherwise meet the driving standard. Visual field qu...
The findings of this study would suggest that people with an esotropia should be offered the opportunity to have a binocular visual field test before applying for a driving license. The DVLA may want ...
Visual abilities tend to vary predictably across the visual field-for simple low-level stimuli, visibility is better along the horizontal vs. vertical meridian and in the lower vs. upper visual field....
In natural environments, head movements are required to search for objects outside the field of view (FoV). Here we investigate the power of a salient target in an extended visual search array to faci...
Optic disc drusen (ODD) are calcified deposits in the prelaminar portion of the optic nerve head. Although often asymptomatic, these deposits can cause progressive visual field defects and vision loss...
This was a retrospective cohort study including 65 eyes of 43 patients with ODD from the Duke Ophthalmic Registry. All eyes had at least 12 months of follow-up and at least 3 reliable standard automat...
Subjects were followed for an average of 7.6 ± 5.3 years. The mean rate of SAP MD change was -0.23 ± 0.26 dB/year, ranging from -1.19 to 0.13 dB/year. Fifty-seven eyes (87.7%) had slow progression (sl...
Most eyes with ODD had slow rates of visual field loss over time. Age and baseline severity were significantly associated with faster rates of visual field loss....
To evaluate the association between baseline severity of visual field (VF) damage and the initial rates of VF progression with quality of life (QOL) outcomes over an extended follow-up in glaucoma....
Retrospective cohort study....
Both eyes of 167 glaucoma or suspected glaucoma patients were followed for 10.0±0.3 years. The National Eye Institute Visual Function Questionnaire (NEI-VFQ)-25 was performed at the end of the follow-...
All models demonstrated association of worse baseline severity of VF damage with worse subsequent NEI-VFQ-25 scores. Faster rates of decline in VF mean deviation of the better eye and the mean sensiti...
Baseline severity and initial rates of change of VF damage are associated with QOL outcomes over an extended follow-up. Assessment of longitudinal VF changes, especially in better eye, provides progno...
To investigate the intereye correlations between and differences in the rates of visual field (VF) progression in eyes with bilateral open-angle glaucoma....
Retrospective, longitudinal, observational study....
Patients with bilateral open-angle glaucoma with 8 or more reliable 30 - 2 standard automated perimetry tests over a period of more than 2 years were enrolled. The rate of change of the MD (MD slope) ...
One hundred eighty-eight eyes from 94 patients (56 women) were enrolled. A significant intereye correlation of the rates of visual field progression (P = .002) was found. The mean ± standard deviation...
A significant intereye correlation in the rate of VF progression was found in eyes with bilateral open-angle glaucoma. We showed the distributions and associated factors of intereye differences in VF ...
To investigate the influence of peripapillary retinoschisis (PRS) on visual field (VF) test results in patients with primary open angle glaucoma (POAG)....
Thirty eyes of 30 patients with POAG who had PRS at least once were included. All eyes were followed-up for a minimum 5 years at 4-6-month intervals. The occurrence of PRS was determined by circumpapi...
Global MD (p=0.345) and regional VF deviations (p=0.255) did not differ significantly between immediately after and just prior to PRS formation. Global MD (p=0.846) and regional VF deviations (p=0.758...
PRS has no short-term effect on the VF sensitivity. Therefore, VF test can still be useful for evaluating glaucomatous damage even in the presence of PRS compared with OCT....
Visual input is not equally processed over space. In recent years, a right visual field advantage during free walking and standing in orientation discrimination and contrast detection task was reporte...