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Quelles méthodes d’oxygénation aux urgences ?

Oxygen delivery methods in the emergency department

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Réanimation

Résumé

L’hypoxémie, si elle n’est pas reconnue, entraîne à court ou moyen termes et suivant sa gravité un syndrome de défaillance multiviscérale qui peut être létal. Sa recherche est primordiale et systématique pour tous les patients vus dans le cadre de l’urgence. Suivant sa gravité et son étiologie, la méthode d’oxygénation varie et doit être réévaluée rapidement afin de l’optimiser. Quand les méthodes d’oxygénation non invasives sont dépassées, elles sont relayées par des techniques invasives qui nécessitent une autre orientation que celle des urgences.

Abstract

If not recognized, severe and prolonged hypoxemia may result in fatal multiorgan failure. According to its severity and to the underlying etiologies, the adequate method of oxygenation to use varies and should be rapidly reassessed to remain optimal. If the non-invasive oxygenation methods are insufficient, invasive techniques require transferring the patient from the emergency department to the intensive care unit.

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Authors and Affiliations

  1. service de réanimation polyvalente, Hôpital Antoine Béclère, F-92140, Clamart cedex, France

    D. Prat

  2. Service urgences SAMU SMUR centre hospitalier de la région d’Annecy Pringy, Clamart cedex, France

    J. Louis

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  1. D. Prat
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  2. J. Louis
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Correspondence to D. Prat.

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Prat, D., Louis, J. Quelles méthodes d’oxygénation aux urgences ?. Réanimation 23, 483–489 (2014). https://doi.org/10.1007/s13546-014-0910-4

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  • DOI: https://doi.org/10.1007/s13546-014-0910-4

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