{"id":152106,"date":"2017-07-18T10:14:19","date_gmt":"2017-07-18T17:14:19","guid":{"rendered":"https:\/\/clarius.com\/blog\/lechographie-exigez-le\/"},"modified":"2017-07-18T10:14:19","modified_gmt":"2017-07-18T17:14:19","slug":"lechographie-exigez-le","status":"publish","type":"post","link":"https:\/\/clarius.com\/fr\/blog\/lechographie-exigez-le\/","title":{"rendered":"L’\u00e9chographie : Exigez-le."},"content":{"rendered":"

Extrait d’un article paru en premier sur Kidney News Online<\/a>, r\u00e9dig\u00e9 par Nathaniel Reisinger MD<\/a><\/em><\/p>\n

Improvis\u00e9 \u00e0 la h\u00e2te par un jeune m\u00e9decin pour \u00e9viter l’embarras de l’auscultation directe de la poitrine d’une patiente particuli\u00e8rement plantureuse, le st\u00e9thoscope a r\u00e9cemment f\u00eat\u00e9 son 200e anniversaire. Apr\u00e8s une r\u00e9sistance initiale, il est devenu une norme de soins et une ic\u00f4ne omnipr\u00e9sente du m\u00e9decin. <\/p>\n

La technologie s’est am\u00e9lior\u00e9e depuis l’\u00e9poque napol\u00e9onienne et des appareils plus sophistiqu\u00e9s sont d\u00e9sormais disponibles pour compl\u00e9ter l’examen physique. \u00c0 l’origine, les ultrasons \u00e9taient utilis\u00e9s comme sonar pour chasser les sous-marins pendant la Premi\u00e8re Guerre mondiale, mais ils ont rapidement \u00e9t\u00e9 adopt\u00e9s dans le domaine m\u00e9dical. Les premi\u00e8res machines occupaient des salles enti\u00e8res, mais aujourd’hui, les appareils d’imagerie puissants sont portatifs et peuvent \u00eatre coupl\u00e9s sans fil \u00e0 des smartphones, ce qui permet d’utiliser les ultrasons lors des visites au chevet des patients. <\/p>\n

Depuis plus de 20 ans, les obst\u00e9triciens, les cardiologues et les m\u00e9decins urgentistes utilisent l’\u00e9chographie au point d’intervention (POCUS) pour r\u00e9pondre \u00e0 des questions pr\u00e9cises et acc\u00e9l\u00e9rer la prise de d\u00e9cisions cliniques. Au cours de cette p\u00e9riode, POCUS a \u00e9t\u00e9 de plus en plus int\u00e9gr\u00e9 dans les programmes des \u00e9coles de m\u00e9decine \u00e0 travers le pays. Certaines \u00e9coles fournissent m\u00eame des appareils de point-of-care \u00e0 tous leurs \u00e9tudiants en m\u00e9decine ; toute une g\u00e9n\u00e9ration de jeunes m\u00e9decins se forme au concept de l’\u00e9chographie-st\u00e9thoscope. <\/p>\n

Les n\u00e9phrologues ne sont pas en reste. Nombre d’entre eux utilisent d\u00e9j\u00e0 les ultrasons pour la pose de cath\u00e9ters de dialyse et les biopsies r\u00e9nales percutan\u00e9es. Les n\u00e9phrologues interventionnels utilisent l’\u00e9chographie pour examiner les st\u00e9noses des fistules et les intensivistes r\u00e9naux ont franchi une \u00e9tape suppl\u00e9mentaire en apportant une s\u00e9rie de tests \u00e9chographiques simples au chevet du patient pour diagnostiquer un choc indiff\u00e9renci\u00e9. <\/p>\n

Les boursiers en n\u00e9phrologie demandent d\u00e9j\u00e0 une formation formelle en \u00e9chographie. C’\u00e9tait vrai en 2008 et cela a \u00e9t\u00e9 confirm\u00e9 dans une enqu\u00eate r\u00e9cente men\u00e9e aupr\u00e8s des boursiers en 2016. Alors que seuls 12 % des boursiers ont d\u00e9clar\u00e9 avoir re\u00e7u une formation formelle en \u00e9chographie, 44 % d’entre eux souhaitaient recevoir des instructions suppl\u00e9mentaires sur l’interpr\u00e9tation des ultrasons. <\/p>\n

Pour lire le reste de l’article, veuillez cliquer ici.<\/a><\/p>\n

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

Extrait d’un article paru en premier sur Kidney News Online, r\u00e9dig\u00e9 par Nathaniel Reisinger MD Improvis\u00e9 \u00e0 la h\u00e2te par un jeune m\u00e9decin pour \u00e9viter l’embarras de l’auscultation directe de la poitrine d’une patiente particuli\u00e8rement plantureuse, le st\u00e9thoscope a r\u00e9cemment f\u00eat\u00e9 son 200e anniversaire. Apr\u00e8s une r\u00e9sistance initiale, il est devenu une norme de soins…<\/p>\n","protected":false},"author":3,"featured_media":30532,"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":[990],"tags":[975,944],"specialities":[],"class_list":["post-152106","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-perspectives","tag-echographie","tag-echographie-mobile"],"acf":[],"yoast_head":"\nL'\u00e9chographie. 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