Évaluation Des Soins et Pneumopathies Nosocomiales en Réanimation (original) (raw)
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§ RFE commune Société française d'anesthésie et de réanimation-Société de réanimation de langue française (SFAR-SRLF) en collaboration avec les Sociétés association des anesthésistes réanimateurs pédiatriques d'expression française et Groupe francophone de réanimation et urgences pédiatriques (ADARPEF et GFRUP). § § Texte validé par le Conseil d'administration de la SFAR (29/06/2017) et de la SRLF (08/06/2017).
Réanimation Urgences, 1999
Nosocomial pneumonia: risk factors Inpatients with multiple-trauma requiring mechanical ventilation Inintensive care unit Objective: To determine which clinical, radiographic orbiological parameters could be useful for the early prediction ofnosocomial pneumonia (NP) in polytrauma adult patients. Design: Prospective observational study. Setting: An 18-bed medical-surgical intensive care unit (ICU) inateaching and regional hospital of 1,100 beds in France. Patients: Two hundred and nineteen consecutive polytrauma adult patients (mean age 41 ± 18 years) who were mechanically ventilated during their leu stay (mean time 17 ± 12 days). Intervention: None. Measurements and mains results: Numerous variables such as demographic characteristics, severity indices, detailed nature of traumas, need for red blood cells transfusion, neurologic status, and oxygenation parameters were COllected during the first two days ofadmission and studied as risk factors for NP occurrence. Univariate analysis disclosed five factors significantly associated with the occurrence ofNP: bone fracture, red blood cells transfusion, score of 10 or less on the Glasgow coma scale, blunt chest trauma and age-adjusted. Injury severity score (DL50)~100. By use of multivariate analysis, two variables remained as risk factors for NP: blunt chest trauma (OR = 1,741; 95% Cl =1,083-2,800) and DL50~100 (OR =2.034; 95% CI = 1,109-3,729).
Itinéraire clinique et pneumonie acquise à domicile
2011
A clinical pathway is a methodological tool for standardizing medical practice, improving the quality and efficiency of care delivery, and enhancing the diffusion of evidence-based medicine. Despite the fact that a majority of trials have shown that the use of clinical pathways improves certain specific outcomes such as length of stay or complications, the overall impact of these pathways in the clinical setting has yet to be documented. In the setting of community-acquired pneumonia, a few observational and one large randomized trial have shown positive effects on various outcomes. We describe in this article the clinical pathway for community-acquired pneumonia developed at our institution.
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Médecine Intensive Réanimation, 2019
§ RFE commune Société française d'anesthésie et de réanimation-Société de réanimation de langue française (SFAR-SRLF) en collaboration avec les Sociétés association des anesthésistes réanimateurs pédiatriques d'expression française et Groupe francophone de réanimation et urgences pédiatriques (ADARPEF et GFRUP). § § Texte validé par le Conseil d'administration de la SFAR (29/06/2017) et de la SRLF (08/06/2017).