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Principe d’examen des veines profondes chez le patient critique

Seconde application, la thrombose veineuse profonde chez le patient critique: Le BLUE-protocol, versant veineux

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L’échographie corps entier chez le patient critique

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Résumé

La thrombose veineuse profonde chez le patient grave n’est pas celle qui est classiquement vue aux urgences ni dans le cadre de l’insuffisance veineuse chronique. La logique de l’approche, qui définit le BLUE-protocol, est totalement opposée. La réanimation nous prive de gold standard au lit du patient, et nous n’avons pu soumettre notre expérience. Toutefois, nous expliquons ici pourquoi nous pensons que c’est précisément l’échographie qui devrait être ce gold standard (et non pas le Doppler ou la phlébographie). Il nous est difficile de comparer nos observations avec d’autres études, mêmes favorables à l’échographie, car elles ont utilisé des sondes vasculaires, le Doppler, une analyse limitée entre aine et genou, et des patients non critiques [1].

Un chapitre long — mais une procédure qui peut être menée en quelques minutes une fois maîtrisée.

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Authors and Affiliations

  1. Service de Réanimation Médicale Hôpital Amboise Paré, Assistance Publique-Hôpitaux de Paris, F-92100, Boulogne (Paris-Ouest), France

    Pr. Daniel A. Lichtenstein

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  1. Pr. Daniel A. Lichtenstein
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Lichtenstein, D.A. (2011). Principe d’examen des veines profondes chez le patient critique. In: L’échographie corps entier chez le patient critique. Springer, Paris. https://doi.org/10.1007/978-2-8178-0227-5_13

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  • DOI: https://doi.org/10.1007/978-2-8178-0227-5_13

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0226-8

  • Online ISBN: 978-2-8178-0227-5

  • eBook Packages: MedicineMedicine (R0)

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