{"id":151964,"date":"2018-01-26T08:11:23","date_gmt":"2018-01-26T16:11:23","guid":{"rendered":"https:\/\/clarius.com\/blog\/bye-bye-batons-daiguille-aveugle\/"},"modified":"2018-01-26T08:11:23","modified_gmt":"2018-01-26T16:11:23","slug":"bye-bye-batons-daiguille-aveugle","status":"publish","type":"post","link":"https:\/\/clarius.com\/fr\/blog\/bye-bye-batons-daiguille-aveugle\/","title":{"rendered":"Bye-Bye B\u00e2tons d’aiguille aveugle"},"content":{"rendered":"

L’insertion d’un cath\u00e9ter intraveineux p\u00e9riph\u00e9rique (PIV) est l’une des proc\u00e9dures les plus couramment pratiqu\u00e9es dans les \u00e9tablissements de soins aigus. En fait, pr\u00e8s de 200 millions de cath\u00e9ters PIV sont pos\u00e9s chaque ann\u00e9e dans les h\u00f4pitaux des \u00c9tats-Unis. <\/span> <\/span><\/p>\n

Mais si elle est courante, elle n’est pas si r\u00e9ussie que cela. Elle est associ\u00e9e \u00e0 une s\u00e9rie de complications et \u00e0 un taux d’\u00e9chec global inacceptable pouvant aller jusqu’\u00e0 50 %<\/a>. Cela repr\u00e9sente environ 100 millions de piq\u00fbres d’aiguille infructueuses. <\/span> <\/p>\n

Ces chances sont peut-\u00eatre excellentes au baseball. Mais ce n’est pas le cas dans un h\u00f4pital. <\/span><\/p>\n

Cependant, lorsque l’\u00e9chographie est utilis\u00e9e pour guider la proc\u00e9dure, la pr\u00e9cision atteint environ 80 \u00e0 95 %. Le guidage par ultrasons permet aux praticiens de localiser le vaisseau sanguin du premier coup, sans avoir recours \u00e0 des cath\u00e9ters plus invasifs comme les lignes centrales. Cela peut faire une grande diff\u00e9rence, en particulier pour les patients n\u00e9cessitant plusieurs traitements. <\/span><\/p>\n

L’utilisation de la technologie des ultrasons pour guider cette proc\u00e9dure est particuli\u00e8rement b\u00e9n\u00e9fique pour les patients p\u00e9diatriques et leurs parents, qui sont souvent les t\u00e9moins de multiples injections manqu\u00e9es. <\/span><\/p>\n

Pourquoi l’\u00e9chographie n’est-elle pas utilis\u00e9e pour <\/span>toutes<\/span><\/i> PIV ? <\/span> <\/p>\n

En effet, bien que l’\u00e9quipement d’\u00e9chographie puisse \u00eatre utile pour l’acc\u00e8s vasculaire p\u00e9riph\u00e9rique, il n’est pas toujours disponible. <\/span><\/p>\n

Joseph’s Healthcare System, qui a lanc\u00e9 un programme d’acc\u00e8s vasculaire en 2016. <\/span>Ce programme st\u00e9rile guid\u00e9 par ultrasons, le premier du genre, a permis d’am\u00e9liorer la pr\u00e9cision et la facilit\u00e9 des piq\u00fbres d’aiguille, ce qui a consid\u00e9rablement am\u00e9lior\u00e9 l’exp\u00e9rience des patients et des prestataires de soins dans les proc\u00e9dures allant des prises de sang et des perfusions p\u00e9riph\u00e9riques aux cath\u00e9ters art\u00e9riels et aux PICC. L’h\u00f4pital a \u00e9t\u00e9 le premier du pays \u00e0 disposer d’une \u00e9quipe d’acc\u00e8s vasculaire charg\u00e9e de poser des intraveineuses p\u00e9riph\u00e9riques st\u00e9riles guid\u00e9es par ultrasons, et les r\u00e9sultats ont \u00e9t\u00e9 remarquables. <\/p>\n

Avec pour objectif la \u00ab\u00a0pr\u00e9servation des vaisseaux\u00a0\u00bb, le taux de r\u00e9ussite de la premi\u00e8re tentative a atteint plus de 98 %. Le programme a \u00e9galement permis d’\u00e9viter la pose de 1 304 PICC\/conduites centrales au cours de la premi\u00e8re ann\u00e9e. <\/span><\/p>\n

L’\u00e9chographie devenant de plus en plus portable, il est probable que d’autres h\u00f4pitaux et \u00e9tablissements de soins suivront cette voie. L’acc\u00e8s accru \u00e0 l’\u00e9chographie signifie que les professionnels de la sant\u00e9 n’auront plus \u00e0 attendre un appareil d’\u00e9chographie, ni \u00e0 effectuer la proc\u00e9dure \u00e0 l’aveugle. <\/span><\/p>\n

Quoi qu’il en soit, les r\u00e9sultats ne peuvent \u00eatre ignor\u00e9s. Pr\u00e9cision accrue, traitement plus rapide des patients, am\u00e9lioration des soins et du confort des patients, et surtout : pas de piq\u00fbres multiples ! <\/span><\/p>\n

\"\"<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

L’insertion d’un cath\u00e9ter intraveineux p\u00e9riph\u00e9rique (PIV) est l’une des proc\u00e9dures les plus couramment pratiqu\u00e9es dans les \u00e9tablissements de soins aigus. En fait, pr\u00e8s de 200 millions de cath\u00e9ters PIV sont pos\u00e9s chaque ann\u00e9e dans les h\u00f4pitaux des \u00c9tats-Unis. Mais si elle est courante, elle n’est pas si r\u00e9ussie que cela. Elle est associ\u00e9e \u00e0 une…<\/p>\n","protected":false},"author":3,"featured_media":30702,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","inline_featured_image":false,"footnotes":""},"categories":[929,990],"tags":[],"specialities":[],"class_list":["post-151964","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-education","category-perspectives"],"acf":[],"yoast_head":"\nBye Bye B\u00e2tons d'aiguille aveugle<\/title>\n<meta name=\"description\" content=\"Le guidage par ultrasons permet aux praticiens de localiser le vaisseau sanguin du premier coup, sans avoir recours \u00e0 des cath\u00e9ters plus invasifs comme les cath\u00e9ters centraux.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/clarius.com\/fr\/blog\/bye-bye-batons-daiguille-aveugle\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bye-Bye B\u00e2tons d'aiguille aveugle\" \/>\n<meta property=\"og:description\" content=\"Wireless handheld ultrasound with clear, high-quality images on your phone or tablet. 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