Titre : Trachéostomie

Trachéostomie : Questions médicales fréquentes

Termes MeSH sélectionnés :

Visual Fields
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urgence ?\nQuels symptômes nécessitent une trachéostomie ?", "url": "https://questionsmedicales.fr/mesh/D014139?mesh_terms=Visual+Fields&page=5#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=Visual+Fields&page=5#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Trachéostomie", "description": "Comment se déroule une trachéostomie ?\nQuels soins post-opératoires pour trachéostomie ?\nQuels médicaments après une trachéostomie ?\nComment gérer la trachéostomie à domicile ?\nQuand retirer le tube de trachéostomie ?", "url": "https://questionsmedicales.fr/mesh/D014139?mesh_terms=Visual+Fields&page=5#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Trachéostomie", "description": "Quelles sont les complications possibles d'une trachéostomie ?\nComment prévenir les infections après trachéostomie ?\nQuels risques de saignement après trachéostomie ?\nComment gérer une obstruction du tube de trachéostomie ?\nQuels signes d'une déviation du tube ?", "url": "https://questionsmedicales.fr/mesh/D014139?mesh_terms=Visual+Fields&page=5#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=Visual+Fields&page=5#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)

Comparing a head-mounted virtual reality perimeter and the Humphrey Field Analyzer for visual field testing in healthy and glaucoma patients.

To compare clinical visual field outputs in glaucoma and healthy patients returned by the Humphrey Field Analyzer (HFA) and virtual reality (Virtual Field, VF) perimetry.... One eye of 54 glaucoma patients and 41 healthy subjects was prospectively tested (three times each in random order) using the HFA and VF perimeters (24-2 test grids). We extracted and compared global ... The VF test was shorter (by 76 s) and had lower fixation losses (by 0.08) and false-positive rate (by 0.01) compared to the HFA (all p < 0.0001). Intraclass correlations were 0.86, 0.82 and 0.47 for M... Virtual Field returns global results that are correlated with the HFA, but pointwise sensitivities were more variable. Differences in test-retest variability and defect detection by its current normat...

Smoking Cessation May Reduce Risk of Visual Field Progression in Heavy Smokers.

The earlier a person quits smoking the more likely is the optic nerve be spared from damage.... To investigate the effect of smoking cessation on visual field (VF) progression in glaucoma.... Primary open angle glaucoma patients with a minimum of 3 years follow-up and 5 VFs were included. Linear mixed models were used to investigate the effects of smoking on the rates of 24-2 VF mean devia... Five hundred eleven eyes of 354 patients were included over the mean follow-up of 12.4 years. Mean baseline age (95% confidence interval) was 62.3 (61.2, 63.4) years. One hundred forty nine (42.1%) pa... After ≥25 years of smoking cessation, the risk of VF progression in former heavy smokers becomes similar to never smokers. Long-term smoking cessation may be associated with lower VF progression in gl...

Predicting 60-4 visual field tests using 3D facial reconstruction.

Despite, the potential clinical utility of 60-4 visual fields, they are not frequently used in clinical practice partly, due to the purported impact of facial contour on field defects. The purpose of ... Subjects with no ocular pathology were included. Participants were subject to optical coherence tomography, 60-4 Swedish interactive thresholding algorithm visual field tests and photography. The pred... 30 healthy were enrolled. Three-dimensional facial reconstruction using a convolution neural network (CNN) was able to predict facial contour-dependent 60-4 visual field defects in 30 subjects without... This pilot study reports the development of a CNN-enhanced platform capable of predicting 60-4 visual field defects in healthy controls based on facial contour. Further study with this platform may en...

Long-Term Visual Field Outcomes After Ahmed Glaucoma Valve Implantation.

To measure visual field (VF) rates of change after Ahmed Glaucoma Valve (AGV) implantation and to investigate risk factors for progression.... Retrospective, clinical cohort study.... Patients who underwent AGV implantation with at least 4 eligible postoperative VFs and 2 years of follow-up were included. Baseline, intraoperative, and postoperative data were collected. VF progressi... A total of 173 eyes were included. The intraocular pressure (IOP) and number of glaucoma medications were significantly reduced from a median (interquartile range [IQR]) of 23.5 (12.1) mm Hg at baseli... To our knowledge, this is the largest published series reporting long-term VF outcomes after glaucoma drainage device implantation. There is a continued, significant rate of VF decline after AGV surge...

Correlation between Interocular Asymmetry of Corneal Hysteresis and Visual Field Defect in Glaucoma.

To evaluate the relationship between interocular asymmetries of corneal hysteresis (CH) and visual field defects in Korean patients with glaucoma.... A total of 444 eyes from 222 participants with glaucoma in at least one eye were enrolled. CH was measured using an ocular response analyzer (Reichert Technologies Inc). Eyes of each participant were ... Median (interquartile range) MD value was -3.71 dB (-6.87 to -1.30 dB) in the better eye and -10.20 dB (-16.32 to -5.62 dB) in the worse eye. When the correlation between the asymmetry of the MD value... The interocular asymmetry of CH was significantly correlated with the interocular asymmetry of visual field defects in glaucoma....

Comparing the Accuracy of Peripapillary OCT Scans and Visual Fields to Detect Glaucoma Worsening.

To compare the accuracy of detecting moderate and rapid rates of glaucoma worsening over a 2-year period with different numbers of OCT scans and visual field (VF) tests in a large sample of glaucoma a... Descriptive and simulation study.... The OCT sample comprised 12 150 eyes from 7392 adults with glaucoma or glaucoma suspect status followed up at the Wilmer Eye Institute from 2013 through 2021. The VF sample comprised 20 583 eyes from ... Within-eye rates of change in retinal nerve fiber layer (RNFL) thickness and mean deviation (MD) were measured using linear regression. For each measured rate, simulated measurements of RNFL thickness... The accuracy of diagnosing moderate and rapid rates of glaucoma worsening for different numbers of OCT scans and VF tests over a 2-year period.... Accuracy was less than 50% for both OCT and VF when diagnosing worsening after a 2-year period. OCT accuracy was 5 to 10 percentage points higher than VF accuracy at detecting moderate worsening and 1... More frequent OCT scans and VF tests are needed to improve the accuracy of diagnosing glaucoma worsening. Accuracy greatly increases when relying on both OCT and VF to detect worsening.... The author(s) have no proprietary or commercial interest in any materials discussed in this article....