{"id":18818,"date":"2020-02-04T17:13:28","date_gmt":"2020-02-04T16:13:51","guid":{"rendered":"https:\/\/devhml.givememore.net\/specialites\/anesthesie-et-reanimation\/lanesthesie\/"},"modified":"2022-04-07T16:20:05","modified_gmt":"2022-04-07T14:20:05","slug":"lanesthesie","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/anesthesie\/lanesthesie\/","title":{"rendered":"L&rsquo;anesth\u00e9sie"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\" id=\"l-anesthesie\">L\u2019anesth\u00e9sie<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019anesth\u00e9sie peut \u00eatre g\u00e9n\u00e9rale, locor\u00e9gionale ou combin\u00e9e. Pour assurer une meilleure prise en charge de la douleur, une anesth\u00e9sie g\u00e9n\u00e9rale peut par exemple \u00eatre associ\u00e9e \u00e0 une p\u00e9ridurale ou \u00e0 une rachianesth\u00e9sie. L\u2019anesth\u00e9sie est pratiqu\u00e9e dans le bloc op\u00e9ratoire, mais aussi dans le service de radiologie, avec le cath\u00e9t\u00e9risme interventionnel, et le service d\u2019endoscopie bronchique.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019\u00e9quipe d\u2019anesth\u00e9sie est particuli\u00e8rement impliqu\u00e9e dans la lutte contre la douleur avec le Comit\u00e9 de Lutte contre la Douleur (CLUD), dans la s\u00e9curit\u00e9 transfusionnelle avec le comit\u00e9 d\u2019h\u00e9movigilance et dans la lutte contre les infections nosocomiales avec le Comit\u00e9 de Lutte contre les Infections Nosocomiales (CLIN).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nous organisons des rencontres multidisciplinaires r\u00e9guli\u00e8res pour \u00e9valuer et confronter nos pratiques et des protocoles de recherche sont en cours sur ces sujets.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"la-consultation\">La consultation<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La consultation d\u2019anesth\u00e9sie est une \u00e9tape fondamentale et obligatoire de la prise en charge anesth\u00e9sique. Elle permet de proposer au patient la technique d\u2019anesth\u00e9sie la plus adapt\u00e9e. Lors de cette consultation une information compl\u00e8te lui est d\u00e9livr\u00e9e sur le d\u00e9roulement de l\u2019anesth\u00e9sie, le suivi post-op\u00e9ratoire et le traitement de la douleur.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"pendant-l-anesthesie\">Pendant l\u2019anesth\u00e9sie<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Pendant l\u2019anesth\u00e9sie, pour assurer la s\u00e9curit\u00e9 maximum du patient, le m\u00e9decin anesth\u00e9siste est assist\u00e9 d\u2019une infirmi\u00e8re anesth\u00e9siste dipl\u00f4m\u00e9e d\u2019Etat. Le patient b\u00e9n\u00e9ficie des techniques de monitorage les plus modernes comme les mesures de la pression de l\u2019art\u00e8re pulmonaire et du d\u00e9bit cardiaque en continu, l\u2019\u00e9chographie transoesophagienne, le NIRS (Near Infrared Spectroscopy, une technique qui mesure l\u2019oxyg\u00e9nation des tissus) etc\u2026<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"apres-l-operation\">Apr\u00e8s l\u2019op\u00e9ration<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La surveillance post op\u00e9ratoire est assur\u00e9e \u00e0 l\u2019UPOP (unit\u00e9 postop\u00e9ratoire) pour les patients qui ne vont pas en r\u00e9animation. Cette unit\u00e9 de 12 lits ouverte 24 h sur 24, 7 jours sur 7, permet, en plus de son r\u00f4le de Salle de Surveillance Post Interventionnelle, de recevoir les urgences internes ou externes.<br>La continuit\u00e9 des soins est assur\u00e9e par un m\u00e9decin anesth\u00e9siste de garde sur place et deux m\u00e9decins anesth\u00e9sistes d\u2019astreintes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>L\u2019anesth\u00e9sie L\u2019anesth\u00e9sie peut \u00eatre g\u00e9n\u00e9rale, locor\u00e9gionale ou combin\u00e9e. Pour assurer une meilleure prise en charge de la douleur, une anesth\u00e9sie g\u00e9n\u00e9rale peut par exemple \u00eatre associ\u00e9e \u00e0 une p\u00e9ridurale ou \u00e0 une rachianesth\u00e9sie. L\u2019anesth\u00e9sie est pratiqu\u00e9e dans le bloc op\u00e9ratoire, mais aussi dans le service de radiologie, avec le cath\u00e9t\u00e9risme interventionnel, et le service d\u2019endoscopie [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":18523,"menu_order":2,"template":"","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"etablissements":[],"services":[],"class_list":["post-18818","service","type-service","status-publish","hentry"],"acf":[],"featured_img":false,"coauthors":[],"author_meta":{"author_link":"https:\/\/devhml.givememore.net\/author\/spertuiselhpsj-fr\/","display_name":"Sandra"},"relative_dates":{"created":"Publi\u00e9 6 ans il y a","modified":"Mis \u00e0 jour 4 ans il y a"},"absolute_dates":{"created":"Publi\u00e9 le 4 f\u00e9vrier 2020","modified":"Mise \u00e0 jour le 7 avril 2022"},"absolute_dates_time":{"created":"Publi\u00e9 le 4 f\u00e9vrier 2020 17 h 13 min","modified":"Mise \u00e0 jour le 7 avril 2022 16 h 20 min"},"featured_img_caption":"","tax_additional":{"etablissements":{"linked":[],"unlinked":[],"slug":"etablissements","name":"\u00c9tablissements"},"services":{"linked":[],"unlinked":[],"slug":"services","name":"Services"}},"series_order":"","_links":{"self":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18818","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service"}],"about":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/types\/service"}],"version-history":[{"count":0,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18818\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18523"}],"wp:attachment":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/media?parent=18818"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=18818"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=18818"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}