{"id":2572,"date":"2020-12-17T20:30:16","date_gmt":"2020-12-17T20:30:16","guid":{"rendered":"https:\/\/oxygen.crto.on.ca\/the-scope-of-this-clinical-best-practice-guideline\/"},"modified":"2022-04-12T14:20:17","modified_gmt":"2022-04-12T14:20:17","slug":"the-scope-of-this-clinical-best-practice-guideline","status":"publish","type":"page","link":"https:\/\/oxygen.crto.on.ca\/fr\/the-scope-of-this-clinical-best-practice-guideline\/","title":{"rendered":"The Scope of this Clinical Best Practice Guideline"},"content":{"rendered":"

[et_pb_section fb_built=\u00a0\u00bb1″ inner_shadow=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bbrgba(255,255,255,0.55)\u00a0\u00bb background_color_gradient_end=\u00a0\u00bb#ffffff\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb160deg\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/oxygen.crto.on.ca\/wp-content\/uploads\/sites\/3\/2021\/02\/scope.jpg\u00a0\u00bb custom_margin=\u00a0\u00bb||-6px|||\u00a0\u00bb custom_padding=\u00a0\u00bb50px||50px|\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696BAE\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.6.6″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_padding=\u00a0\u00bb100px||100px||true|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb3.25″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbSTANDARD TITLE\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ module_alignment=\u00a0\u00bbleft\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Port\u00e9e des pr\u00e9sentes lignes directrices sur les pratiques cliniques exemplaires<\/strong><\/h1>\n

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Pratique fond\u00e9e sur les preuves
<\/strong><\/h2>\n

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\u00ab La pratique fond\u00e9e sur les preuves est l\u2019utilisation consciente, explicite et judicieuse des meilleures preuves pour prendre ses d\u00e9cisions sur le soin des patients ou clients. La m\u00e9decine fond\u00e9e sur les preuves sous-entend l\u2019int\u00e9gration du savoir-faire et de l\u2019exp\u00e9rience de la personne aux meilleures preuves cliniques disponibles, provenant d\u2019\u00e9tudes syst\u00e9matiques \u00bb (Sackett et al., 1996).<\/span><\/p>\n

[\/et_pb_blurb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.14.8″ custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

Il existe un grand nombre de renseignements cliniques fond\u00e9 sur des preuves auxquels on peut facilement acc\u00e9der sur Internet, et ces renseignements sont en constante \u00e9volution. Les pr\u00e9sentes lignes directrices ont \u00e9t\u00e9 con\u00e7ues aux fins d\u2019une utilisation en ligne et fournissent des liens \u00e0 des ressources auxquelles les th\u00e9rapeutes respiratoires (et autres personnes) peuvent avoir recours afin de rehausser connaissances et leur perfectionnement professionnel touchant les pratiques exemplaires d\u2019oxyg\u00e9noth\u00e9rapie<\/p>\n

Les pr\u00e9sentes lignes directrices sur les pratiques cliniques exemplaires ne contiennent pas de recommandations pr\u00e9cises pour l\u2019administration d\u2019oxyg\u00e8ne par ventilation m\u00e9canique (invasive ou non invasive).<\/p>\n

Elles ne tenteront pas de d\u00e9crire l\u2019utilisation pr\u00e9cise d\u2019oxyg\u00e8ne ou de prescrire des saturations d\u2019oxyg\u00e8ne pour le traitement de diff\u00e9rentes pr\u00e9sentations physiopathologiques (p. ex., MPOC). Toutefois, si possible, nous fournirons des liens \u00e0 d\u2019autres lignes directrices sur des pratiques cliniques exemplaires (p. ex., les lignes directrices sur le traitement de la MPOC de la Soci\u00e9t\u00e9 canadienne de thoracologie<\/span><\/a><\/span>).<\/p>\n

Les lignes directrices sur les pratiques cliniques exemplaires tirent leur information de documents bas\u00e9s sur des preuves qui \u00e9taient les plus actuels au moment de la publication. Par exemple, Oxygen de la British Thoracic Society<\/a> et les lignes directrices de la Soci\u00e9t\u00e9 canadienne de thoracologie<\/a>. L\u2019OTRO s\u2019est engag\u00e9 \u00e0 maintenir de son mieux des renseignements justes et \u00e0 jour et accueille favorablement toute information sur les pratiques exemplaires en mati\u00e8re d\u2019oxyg\u00e9noth\u00e9rapie.<\/p>\n

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Appareils de conservation – <\/strong>La dur\u00e9e d\u2019une bouteille de liquide d\u00e9pend de la quantit\u00e9 d\u2019oxyg\u00e8ne que l\u2019on utilise. Les appareils de conservation en prolongent la dur\u00e9e. Les appareils d\u2019oxyg\u00e8ne fournissent de l\u2019oxyg\u00e8ne de fa\u00e7on continue pendant l\u2019inspiration et l\u2019expiration. On peut programmer les appareils de conservation pour fournir de l\u2019oxyg\u00e8ne pendant l\u2019inspiration seulement, r\u00e9duisant ainsi le gaspillage pendant l\u2019expiration.<\/p>\n

Contenant cryog\u00e9nique <\/strong>\u2013 Contenant statique ou mobile, isol\u00e9, con\u00e7u pour contenir du gaz liqu\u00e9fi\u00e9 \u00e0 des temp\u00e9ratures extr\u00eamement basses. Les contenants mobiles sont aussi d\u00e9sign\u00e9s par \u00ab\u00a0Dewars<\/strong>\u00a0\u00bb. Tir\u00e9 de : https:\/\/www.canada.ca\/fr\/sante-canada\/services\/medicaments-produits-sante\/conformite-application-loi\/bonnes-pratiques-fabrication\/documents-orientation\/lignes-directrices-0031\/document.html<\/a><\/p>\n

Distillation fractionn\u00e9e <\/strong>\u2013 Processus de s\u00e9paration des parties d\u2019un m\u00e9lange en le chauffant et en condensant ses composantes selon leurs points d\u2019\u00e9bullition diff\u00e9rents. Tir\u00e9 de\u00a0: http:\/\/medical-dictionary.thefreedictionary.com\/fractional+distillation<\/a>.<\/p>\n

Gaz th\u00e9rapeutique <\/strong>\u2013 Un seul gaz ou un m\u00e9lange de plusieurs gaz ne n\u00e9cessitant aucun autre traitement avant d\u2019\u00eatre administr\u00e9(s). Toutefois, ce ou ces gaz ne sont pas dans leur forme finale (p. ex., oxyg\u00e8ne liqu\u00e9fi\u00e9) et sont d\u00e9sign\u00e9s par gaz en vrac. Tir\u00e9 de\u00a0: http:\/\/ccinfoweb2.ccohs.ca\/legislation\/documents\/stds\/csa\/cmgpi12e.htm<\/a><\/p>\n

Num\u00e9ro d\u2019identification de drogue (DIN) <\/strong>\u2013 Num\u00e9ro de huit chiffres g\u00e9n\u00e9r\u00e9 par ordinateur qui est attribu\u00e9 par Sant\u00e9 Canada avant la commercialisation au Canada. Ce num\u00e9ro est unique et sert \u00e0 identifier tous les m\u00e9dicaments vendus dans une forme posologique. Il est inscrit sur l\u2019\u00e9tiquette d\u2019un m\u00e9dicament de prescription ou d\u2019un m\u00e9dicament sans ordonnance qui ont \u00e9t\u00e9 \u00e9valu\u00e9s et approuv\u00e9s\u00a0 pour la vente au Canada. Un DIN \u00e9num\u00e8re les caract\u00e9ristiques du produit : fabricant, nom du produit, ingr\u00e9dient(s) actif(s), la force de l\u2019ingr\u00e9dient m\u00e9dicinal, la forme posologique et la voie d\u2019administration. Tir\u00e9 de : www.hc-sc.gc.ca\/dhp-mps\/prodpharma\/activit\/fs-fi\/dinfs_fd-fra.php<\/a>.<\/p>\n

Syst\u00e8me \u00e0 tubulure \u2013 <\/strong>\u00c9quipement ou appareil con\u00e7u pour remplir un ou plusieurs contenants de gaz \u00e0 la fois.<\/p>\n

(TPA) <\/b><\/span>T<\/strong>emp\u00e9rature et P<\/strong>ression A<\/strong>mbiante = temp\u00e9rature et pression standard = 0o<\/sup>C, atmosph\u00e8re 1<\/p>\n

TPCS <\/b>=\u00a0<\/span>T<\/strong>emp\u00e9rature et p<\/strong>ression c<\/strong>orporelle \u2013 s<\/strong>atur\u00e9 = 37 \u00b0C, atmosph\u00e8re 1 et 44 mg H2O\/L<\/p>\n

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  1. American Thoracic Society (2020) Clinical Practice Guideline: Home Oxygen Therapy for Adults with Chronic Lung Disease.\u00a0 Tir\u00e9 de : https:\/\/www.atsjournals.org\/doi\/pdf\/10.1164\/rccm.202009-3608ST<\/a><\/span><\/li>\n
  2. Becker, D. E., & Casabianca, A. B. (2009). Respiratory monitoring: physiological and technical considerations. Anesthesia Progress, 56(1), 14-20. doi: 10.2344\/0003-3006-56.1.14.<\/em><\/span><\/li>\n
  3. Cairo, J., M. & Pilbeam, S., P., (2017) Mosby\u2019s Respiratory Care Equipment (10th <\/em>ed.). St. Louis, MO: Mosby.<\/em><\/span><\/li>\n
  4. Canadian Standards Association. (2016). Z305.12-06 (R2012) – Safe Storage, Handling, and Use of Portable Oxygen Systems in Residential Buildings and Health Care Facilities. <\/em>Tir\u00e9 de :\u00a0https:\/\/www.csagroup.org\/store\/search-results\/?search=all~~Safe%20Storage,%20Handling,%20and%20Use%20of%20Portable%20Oxygen%20Systems%20in%20Residential%20Buildings%20and%20Health%20Care<\/a><\/span><\/li>\n
  5. Cousins JL, Wark PA, McDonald VM. Acute oxygen therapy: a review of prescribing and delivery practices.\u00a0Int J Chron Obstruct Pulmon Dis<\/em>. 2016;11:1067-1075. Publi\u00e9 le 24 mai 2016, doi : 10.2147\/COPD.S103607<\/span><\/li>\n
  6. Gardenshire, D. (2020). Rau\u2019s Respiratory Care Pharmacology. (10th ed.). St. Louis, MO: Mosby Inc.<\/em><\/li>\n
  7. Kacmarek, R. M., Stoller, J.K. Heuer, A. J. (2013). Egan\u2019s Fundamentals of Respiratory Care. (10th ed.). St. Louis, MO: Mosby<\/em>.<\/li>\n
  8. Mariciniuk, D. D., Goodridge, D., Hemandez, P., Rocker, J., Balter, M., Bailey, P., Brown, C. (2011). Managing dyspnea in patients with advanced chronic obstructive pulmonary disease: A Canadian Thoracic Society clinical practice guideline. <\/em>Canadian Respiratory Journal, 18(2), 69\u201378. <\/em>Tir\u00e9 de :www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3084418\/<\/span><\/a><\/span><\/li>\n
  9. Ministre de la Sant\u00e9 et des Soins de longue dur\u00e9e, Manuel des politiques et proc\u00e9dures du Programme d\u2019appareils et accessoires fonctionnels (mai 2016). Conflit d\u2019int\u00e9r\u00eats<\/em>. Tir\u00e9 de : Manuel des politiques et proc\u00e9dures du Programme d\u2019appareils et accessoires fonctionnels (gov.on.ca)<\/a><\/span><\/li>\n
  10. O’Driscoll, B. R., Howard, L. S., Earis, J., & Mak, V. (2017). British Thoracic Society Guideline for oxygen use in adults in healthcare and emergency settings.\u00a0BMJ open respiratory research<\/em>,\u00a04<\/em>(1), e000170. Tir\u00e9 de : https:\/\/doi.org\/10.1136\/bmjresp-2016-000170<\/a>
    <\/span><\/li>\n
  11. Sackett, D., Rosenberg, W., Gray, J., Haynes, R., & Richardson, W. (1996). Evidence-based medicine: what it is and what it isn’t. British Medical Journal, 312, 71-72. <\/em>Tir\u00e9 de : \u00a0www.bmj.com\/cgi\/content\/full\/312\/7023\/71<\/span><\/a><\/span><\/li>\n<\/ol>\n

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