Titre : Oxygénation extracorporelle sur oxygénateur à membrane

Oxygénation extracorporelle sur oxygénateur à membrane : Questions médicales fréquentes

Termes MeSH sélectionnés :

Simulation Training
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extracorporelle sur oxygénateur à membrane", "description": "Comment prévenir la nécessité d'ECMO ?\nQuels soins peuvent réduire les complications de l'ECMO ?\nComment éduquer les patients sur l'ECMO ?\nQuelles mesures de sécurité sont mises en place pour l'ECMO ?\nComment surveiller les patients sous ECMO ?", "url": "https://questionsmedicales.fr/mesh/D015199?mesh_terms=Simulation+Training&page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Oxygénation extracorporelle sur oxygénateur à membrane", "description": "Comment fonctionne l'ECMO ?\nQuels sont les types d'ECMO disponibles ?\nQuels médicaments sont utilisés avec l'ECMO ?\nQuelle est la durée typique d'un traitement ECMO ?\nQuelles sont les alternatives à l'ECMO ?", "url": "https://questionsmedicales.fr/mesh/D015199?mesh_terms=Simulation+Training&page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur 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"FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une insuffisance respiratoire sévère ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un diagnostic repose sur des examens cliniques, des gaz du sang et des imageries thoraciques." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour évaluer la fonction cardiaque ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "L'échocardiographie et les tests d'effort sont couramment utilisés pour évaluer la fonction cardiaque." } }, { "@type": "Question", "name": "Quels signes cliniques indiquent une nécessité d'ECMO ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Des signes comme l'hypoxie persistante et l'acidose métabolique peuvent indiquer la nécessité d'ECMO." } }, { "@type": "Question", "name": "Comment évaluer la réponse au traitement de l'ECMO ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "La réponse est évaluée par l'amélioration des gaz du sang et la réduction des besoins en support." } }, { "@type": "Question", "name": "Quels critères de gravité sont utilisés pour l'ECMO ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les critères incluent le score APACHE II et la nécessité d'une assistance respiratoire avancée." } }, { "@type": "Question", "name": "Quels symptômes indiquent une insuffisance cardiaque ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent l'essoufflement, la fatigue, et l'œdème des membres inférieurs." } }, { "@type": "Question", "name": "Quels signes d'hypoxie sont observés ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les signes d'hypoxie incluent cyanose, confusion, et tachycardie." } }, { "@type": "Question", "name": "Comment reconnaître une détresse respiratoire ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "La détresse respiratoire se manifeste par une respiration rapide, des tirages et des bruits respiratoires anormaux." } }, { "@type": "Question", "name": "Quels symptômes peuvent nécessiter une ECMO ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes comme l'hypoxie réfractaire et l'acidose métabolique peuvent nécessiter une ECMO." } }, { "@type": "Question", "name": "Quels signes cliniques indiquent une défaillance multi-organes ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent une altération de la conscience, une hypotension et des anomalies urinaires." } }, { "@type": "Question", "name": "Comment prévenir la nécessité d'ECMO ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention passe par la gestion précoce des maladies respiratoires et cardiaques." } }, { "@type": "Question", "name": "Quels soins peuvent réduire les complications de l'ECMO ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Des soins intensifs appropriés et une surveillance étroite peuvent réduire les complications." } }, { "@type": "Question", "name": "Comment éduquer les patients sur l'ECMO ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "L'éducation des patients sur les risques et les bénéfices de l'ECMO est essentielle avant le traitement." } }, { "@type": "Question", "name": "Quelles mesures de sécurité sont mises en place pour l'ECMO ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Des protocoles de sécurité rigoureux et des formations pour le personnel sont essentiels." } }, { "@type": "Question", "name": "Comment surveiller les patients sous ECMO ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "La surveillance inclut le suivi des paramètres vitaux, des gaz du sang et des signes de complications." } }, { "@type": "Question", "name": "Comment fonctionne l'ECMO ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "L'ECMO utilise une pompe pour faire circuler le sang à travers un oxygénateur, où il est oxygéné." } }, { "@type": "Question", "name": "Quels sont les types d'ECMO disponibles ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Les types incluent l'ECMO veino-veineux (VV) et l'ECMO veino-artériel (VA), selon les besoins." } }, { "@type": "Question", "name": "Quels médicaments sont utilisés avec l'ECMO ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Des anticoagulants et des sédatifs sont souvent administrés pour prévenir les complications." } }, { "@type": "Question", "name": "Quelle est la durée typique d'un traitement ECMO ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "La durée varie, mais elle est généralement de quelques jours à plusieurs semaines selon la condition." } }, { "@type": "Question", "name": "Quelles sont les alternatives à l'ECMO ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Les alternatives incluent la ventilation mécanique et les dispositifs d'assistance circulatoire." } }, { "@type": "Question", "name": "Quelles sont les complications possibles de l'ECMO ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent les hémorragies, les infections et les thromboses." } }, { "@type": "Question", "name": "Comment prévenir les infections liées à l'ECMO ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Des protocoles d'asepsie stricts et une surveillance régulière aident à prévenir les infections." } }, { "@type": "Question", "name": "Quels sont les risques de thrombose avec l'ECMO ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Le risque de thrombose est élevé en raison de l'utilisation d'anticoagulants et de dispositifs." } }, { "@type": "Question", "name": "Comment gérer les hémorragies pendant l'ECMO ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "La gestion inclut l'ajustement des anticoagulants et la transfusion de produits sanguins si nécessaire." } }, { "@type": "Question", "name": "Quels effets secondaires peuvent survenir avec l'ECMO ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Les effets secondaires incluent des troubles neurologiques et des complications rénales." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque pour l'ECMO ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent des maladies pulmonaires chroniques, des cardiopathies et des infections sévères." } }, { "@type": "Question", "name": "Comment l'âge influence-t-il le besoin d'ECMO ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Les patients âgés ont un risque accru de complications, ce qui peut influencer la décision d'ECMO." } }, { "@type": "Question", "name": "Quel rôle joue l'obésité dans l'ECMO ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "L'obésité augmente le risque de complications respiratoires et cardiovasculaires, rendant l'ECMO plus probable." } }, { "@type": "Question", "name": "Les antécédents médicaux influencent-ils l'ECMO ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents de maladies cardiaques ou pulmonaires augmentent le risque de besoin d'ECMO." } }, { "@type": "Question", "name": "Comment le tabagisme affecte-t-il le besoin d'ECMO ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Le tabagisme est un facteur de risque majeur pour les maladies respiratoires, augmentant le besoin d'ECMO." } } ] } ] }

Sources (10000 au total)

Training to Transition: Using Simulation-Based Training to Improve Resident Physician Confidence in Hospital Discharges.

Hospital discharge is a highly critical and complex process that is prone to medical errors, poor communication, and ineffective synchronization of transitional teams. Improving safety during postacut... As an integral part of a transitions curriculum, 36 PGY 1 residents from internal medicine and transitional year residency programs underwent a discharge simulation utilizing a trained simulated parti... Thirty-six internal medicine and transitional year residents (100%) completed an observed discharge simulation with an SP and a separate encounter with the EMR discharge navigator. All 36 residents (1... Simulation encounters are an effective adjunct to postacute care transition education....

Mirror training device improves dental students' performance on virtual simulation dental training system.

Clinical practice of dentistry entails the use of indirect vision using a dental mirror. The Mirrosistant is a device that helps dental students become proficient with use of indirect vision mirror op... A total of 72 dental students were equally assigned to the Control group and the Experimental group. Subsequently, Mirrosistant was used to conduct a series of mirror training exercises in the Experim... The mirror operation examination conducted by the SIMODONT system revealed that mirror training using Mirrosistant had statistically improved students' performances (score: 80.42 ± 6.43 vs. 69.89 ± 15... Mirror training using Mirrosistant can enhance dental students' mirror perceptual and operational skills on virtual simulation dental training system....

Improving compliance with isolation measures in the operating room: a prospective simulation study comparing the effectiveness and costs of simulation-based training vs video-based training.

Different isolation measures are required according to the routes of transmission of pathogens. Few studies have compared different forms of hygiene training in terms of efficiency and/or improvement ... This multi-centre, prospective, randomized, controlled trial compared hygiene knowledge, psychological safety and perception of training among healthcare workers after in-centre simulation training an... Neither type of training led to a significant improvement in knowledge or perceived psychological safety (F=0.235, P=0.629, η... Clear definition of the goals of training based on the pre-existing level of knowledge of the participants is crucial. For future studies, it would be interesting to investigate the long-term effect a...

Low-fidelity simulation models in urology resident's microsurgery training.

To evaluate the gain of microsurgical skills and competencies by urology residents, using low-fidelity experimental models.... The study involved the use of training boards, together with a low-fidelity microsurgery simulator, developed using a 3D printer. The model consists in two silicone tubes, coated with a resin, measuri... There was a decrease in the time needed to perform the anastomosis (p=0.0019), as well as a progressive increase in the score in the OSATS over during sessions S1 to S4. At S5, there was a slightly de... The low-fidelity simulation was able to guarantee urology residents a solid gain in skills and competencies in microsurgery....

A pilot study: Application of paired ultrasound simulator training in obstetrics.

Medical trainees in obstetrics must develop competency in fetal ultrasonography. To date, no studies have utilized ultrasound simulator training for basic fetal anatomy with paired didactic coursework... A prospective observational study was performed at a tertiary care center during the 2021-2022 academic year. Medical trainees in obstetrics without prior simulator experience could participate. Parti... Of the 26 trainees that completed the training, 96% reported that simulation positively impacted their confidence and ability to perform real-time scanning of patients. Self-reported knowledge of feta... Paired ultrasound simulation with didactic instruction significantly improves medical trainees' knowledge of fetal anatomy and ability to perform fetal ultrasonography. Implementing an ultrasound simu...

Effectiveness of Flexible Bronchoscopy Simulation-Based Training: A Systematic Review.

The implementation of simulation-based training (SBT) to teach flexible bronchoscopy (FB) skills to novice trainees has increased during the last decade. However, it is unknown whether SBT is effectiv... How effective is FB SBT and which instructional features contribute to training effectiveness?... We searched Embase, PubMed, Scopus, and Web of Science for articles on FB SBT for novice trainees, considering all available literature until November 10, 2022. We assessed methodological quality of i... We identified 14 studies from an initial pool of 544 studies. Eleven studies reported positive effects of FB SBT on most of their outcome measures. However, risk of bias was moderate or high in eight ... Although most studies reported positive effects of simulation training programs on their outcome measures, definitive conclusions regarding training effectiveness on actual bronchoscopy performance in... PROSPERO; No.: CRD42021262853; URL: https://www.crd.york.ac.uk/prospero/....

Performance effects of simulation training for medical students - a systematic review.

Simulation based medical education (SBME) is fast becoming embedded into undergraduate medical curricula with many publications now describing its various modes and student self-reported impacts. This... A narrative systematic review was conducted according to PRISMA guidelines using Ovid MEDLINE, EMBASE, and PubMed databases for studies, published in English, reporting on general medical and surgical... 3074 articles were initially identified using the search criteria with 92 full-text articles then screened for eligibility. Nineteen articles, including nine randomised trials, concerning 2459 student... SBME, as an adjunct to existing curricula, improves knowledge-based performance of medical students at least in the short-term. Future studies should broaden its topics, assess longer term impacts and...