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Ventilation mécanique en décubitus ventral au cours du SDRA

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Le syndrome de détresse respiratoire aiguë

Part of the book series: Le point sur ... ((POINT))

Abstrait

Conduire la ventilation mécanique en décubitus ventral (DV) améliore ľoxygénation chez les malades avec SDRA chez 70% ďentre eux, ceci est maintenant largement documenté (1). Les mécanismes de cet effet sont de plus en plus clairs, notamment grâce aux données expérimentales. Ainsi, sur un modèle de déplétion en surfactant, le DV provoque, dans les régions dorsales du poumon une ré-aération, une réduction du shunt et une préservation de la perfusion, facteurs qui, en association avec une ventilation plus uniforme, contribuent à améliorer ľoxygénation (2). Toutefois, ľaune à laquelle une thérapeutique ventilatoire est actuellement jugée au cours du SDRA est moins son effet sur ľoxygénation que sa capacité à protéger le poumon des lésions induites par la ventilation mécanique (LIVM) (3), c’est-à-dire à protéger le plus possible ďunités alvéolaires de la surdistension aérienne.

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Authors and Affiliations

  1. Service de réanimation médicale, Hôpital de la Croix Rousse, 103, Grande rue de la Croix Rousse, 69005, Lyon

    C. Guérin & J. -C. Richard

  2. Université Claude Bernard, Lyon 1

    C. Guérin & J. -C. Richard

  3. Creatis Inserm 630 CNRS 5515, Lyon

    C. Guérin & J. -C. Richard

  4. Service de réanimation médicale et d’assistance respiratoire, Hôpital de la Croix Rousse, 103, Grande rue de la Croix Rousse, 69004, Lyon

    S. Lemasson, F. Bayle, T. Fassier & G. Flandreau

Authors
  1. C. Guérin
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  2. S. Lemasson
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  3. F. Bayle
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  4. T. Fassier
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  5. G. Flandreau
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  6. J. -C. Richard
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© 2008 Springer-Verlag France

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Guérin, C., Lemasson, S., Bayle, F., Fassier, T., Flandreau, G., Richard, J.C. (2008). Ventilation mécanique en décubitus ventral au cours du SDRA. In: Le syndrome de détresse respiratoire aiguë. Le point sur .... Springer, Paris. https://doi.org/10.1007/978-2-287-77986-2_8

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  • DOI: https://doi.org/10.1007/978-2-287-77986-2_8

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-77985-5

  • Online ISBN: 978-2-287-77986-2

  • eBook Packages: MedicineMedicine (R0)

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