{"id":2629,"date":"2020-12-30T19:06:10","date_gmt":"2020-12-30T19:06:10","guid":{"rendered":"https:\/\/oxygen.crto.on.ca\/special-considerations\/"},"modified":"2022-04-12T15:46:21","modified_gmt":"2022-04-12T15:46:21","slug":"special-considerations","status":"publish","type":"page","link":"https:\/\/oxygen.crto.on.ca\/fr\/special-considerations\/","title":{"rendered":"Sujets particuliers"},"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(255,255,255,0.21)\u00a0\u00bb background_color_gradient_end=\u00a0\u00bb#ffffff\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb265deg\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\/special-considerations-2.jpg\u00a0\u00bb background_position=\u00a0\u00bbcenter_right\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#81ac50″ 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

Sujets particuliers<\/strong><\/h1>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.6.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/oxygen.crto.on.ca\/wp-content\/uploads\/sites\/3\/2021\/01\/crto-patterngreen-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb border_color_all=\u00a0\u00bb#81ac50″ border_width_top=\u00a0\u00bb3px\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ module_id=\u00a0\u00bbneonatal\u00a0\u00bb _builder_version=\u00a0\u00bb4.14.8″ hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″][et_pb_column type=\u00a0\u00bb1_3″ _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\u00bbPerformance\u00a0\u00bb module_id=\u00a0\u00bbneonatal\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Soins n\u00e9onataux<\/strong><\/h2>\n

[\/et_pb_text][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb disabled_on=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.6.6″ custom_margin=\u00a0\u00bb||15px|||\u00a0\u00bb custom_css_before=\u00a0\u00bbwidth: 130px; margin: auto;\u00a0\u00bb hide_on_mobile=\u00a0\u00bboff\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _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 _builder_version=\u00a0\u00bb4.14.8″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

Fournir des soins d\u2019oxyg\u00e9noth\u00e9rapie aux patients n\u00e9onataux est une question complexe qui doit \u00eatre trait\u00e9e en fonction de chaque situation clinique. Pour les nouveau-n\u00e9s, on se base g\u00e9n\u00e9ralement sur les normes du Textbook of Neonatal Resuscitation de l\u2019American Academy of Pediatrics, adapt\u00e9es pour le Canada par la Soci\u00e9t\u00e9 canadienne de p\u00e9diatrie<\/p>\n

Ressources:<\/strong>
Soci\u00e9t\u00e9 canadienne de p\u00e9diatrie (2020). <\/strong>Lignes directrices du PRN, 7e \u00e9dition. Tir\u00e9 de : https:\/\/cps.ca\/en\/nrp-prn\/faqs#Oxygen%20Administration<\/a> <\/p>\n

[\/et_pb_text][et_pb_image src=\u00a0\u00bbhttps:\/\/oxygen.crto.on.ca\/wp-content\/uploads\/sites\/3\/2021\/01\/neonatal.jpg\u00a0\u00bb title_text=\u00a0\u00bbneonatal\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ module_id=\u00a0\u00bbhbot\u00a0\u00bb _builder_version=\u00a0\u00bb4.14.8″ hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″][et_pb_column type=\u00a0\u00bb1_3″ _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\u00bbPerformance\u00a0\u00bb module_id=\u00a0\u00bbhbot\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ text_line_height=\u00a0\u00bb1.5em\u00a0\u00bb header_font_size=\u00a0\u00bb45px\u00a0\u00bb header_line_height=\u00a0\u00bb1.4em\u00a0\u00bb header_2_line_height=\u00a0\u00bb1.3em\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Oxyg\u00e9noth\u00e9rapie hyperbare
\n<\/strong><\/h2>\n

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Principes de base du fonctionnement des chambres hyperbares<\/strong><\/p>\n

La pression accrue \u00e0 l\u2019int\u00e9rieur de la chambre, associ\u00e9e \u00e0 l\u2019apport d\u2019oxyg\u00e8ne 100 % (FiO2<\/sub> = 1.0), entra\u00eene la diffusion d\u2019oxyg\u00e8ne dans le plasma sanguin \u00e0 une concentration jusqu\u2019\u00e0 10 fois la concentration normale. Les patients sont supervis\u00e9s en tout temps pendant l\u2019oxyg\u00e9noth\u00e9rapie hyperbare (OHB), souvent par des th\u00e9rapeutes respiratoires.<\/p>\n

[\/et_pb_text][et_pb_image src=\u00a0\u00bbhttps:\/\/oxygen.crto.on.ca\/wp-content\/uploads\/sites\/3\/2021\/06\/hyperbaric_fr.png\u00a0\u00bb title_text=\u00a0\u00bbhyperbaric_fr\u00a0\u00bb _builder_version=\u00a0\u00bb4.9.5″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.6.6″ background_image=\u00a0\u00bbhttps:\/\/oxygen.crto.on.ca\/wp-content\/uploads\/sites\/3\/2020\/12\/Did-you-know.jpg\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb1″ module_class=\u00a0\u00bb et_pb_row_fullwidth\u00a0\u00bb _builder_version=\u00a0\u00bb4.6.6″ background_color=\u00a0\u00bbrgba(255,255,255,0.3)\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bbrgba(255,255,255,0.9)\u00a0\u00bb background_color_gradient_end=\u00a0\u00bbrgba(255,255,255,0.21)\u00a0\u00bb background_color_gradient_type=\u00a0\u00bbradial\u00a0\u00bb background_color_gradient_start_position=\u00a0\u00bb41%\u00a0\u00bb background_color_gradient_end_position=\u00a0\u00bb82%\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb width_tablet=\u00a0\u00bb100%\u00a0\u00bb width_phone=\u00a0\u00bb\u00a0\u00bb width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb max_width_tablet=\u00a0\u00bb100%\u00a0\u00bb max_width_phone=\u00a0\u00bb\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_padding=\u00a0\u00bb75px||75px||true|false\u00a0\u00bb custom_css_main_element=\u00a0\u00bbpadding-top:130px;||padding-bottom:130px;\u00a0\u00bb make_fullwidth=\u00a0\u00bbon\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_blurb title=\u00a0\u00bbLe saviez-vous?\u00a0\u00bb content_max_width=\u00a0\u00bb60%\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh2″ text_orientation=\u00a0\u00bbcenter\u00a0\u00bb icon_font_size=\u00a0\u00bb55px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

L\u2019 Undersea and Hyperbaric Medical Society (UHMS)<\/a> est un organisme international \u00e0 but non lucratif, consid\u00e9r\u00e9 comme une source principale d\u2019information scientifique au monde, dans le domaine de la m\u00e9decine de plong\u00e9e et hyperbare.<\/p>\n

Sant\u00e9 Canada <\/a> se reporte aux lignes
directrices de la UHMS, et la CSA \u00e9tablit les normes de th\u00e9rapie hyperbare au Canada<\/p>\n

[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.6.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/oxygen.crto.on.ca\/wp-content\/uploads\/sites\/3\/2021\/01\/crto-patterngreen-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb border_color_all=\u00a0\u00bb#81ac50″ border_width_top=\u00a0\u00bb3px\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ module_id=\u00a0\u00bbphysiologic\u00a0\u00bb _builder_version=\u00a0\u00bb4.14.8″ hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″][et_pb_column type=\u00a0\u00bb1_3″ _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\u00bbPerformance\u00a0\u00bb module_id=\u00a0\u00bbphysiologic\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ text_line_height=\u00a0\u00bb1.5em\u00a0\u00bb header_font_size=\u00a0\u00bb45px\u00a0\u00bb header_line_height=\u00a0\u00bb1.4em\u00a0\u00bb header_2_line_height=\u00a0\u00bb1.3em\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Effets physiologiques de l\u2019oxyg\u00e9noth\u00e9rapie hyperbare
<\/strong><\/h2>\n

[\/et_pb_text][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb disabled_on=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.6.6″ custom_margin=\u00a0\u00bb||15px|||\u00a0\u00bb custom_css_before=\u00a0\u00bbwidth: 130px; margin: auto;\u00a0\u00bb hide_on_mobile=\u00a0\u00bboff\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _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\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Bien que nous ne connaissions pas tous les m\u00e9canismes associ\u00e9s \u00e0 l\u2019OHB en ce qui a trait \u00e0 la gu\u00e9rison et au renversement des sympt\u00f4mes, nous savons qu\u2019elle a les effets suivants :[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]augmentation consid\u00e9rable de la concentration d\u2019oxyg\u00e8ne dans tous les tissus, m\u00eame ceux dont le d\u00e9bit sanguin est r\u00e9duit ou bloqu\u00e9;[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]stimulation de la croissance de nouveaux vaisseaux sanguins \u00e0 des endroits o\u00f9 la circulation est r\u00e9duite, am\u00e9lioration de la circulation aux endroits pr\u00e9sentant
\nun blocage art\u00e9riel;[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]dilatation des art\u00e8res apr\u00e8s l\u2019OHB, entra\u00eenant un accroissement du diam\u00e8tre des vaisseaux sanguins, am\u00e9lioration du d\u00e9bit sanguin vers les organes compromis;[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]stimulation de l\u2019augmentation adaptive du superoxyde dismutase (SOD), un des principaux antioxydants produits par l\u2019organisme et absorbants de radicaux libres;[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]facilitation du traitement de l\u2019infection en rehaussant l\u2019action des globules blancs et en augmentant l\u2019action des antibiotiques.[\/et_pb_blurb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Indications<\/strong><\/h4>\n

Depuis 2019,<\/span><\/span><\/span> les indications suivantes sont des usages approuv\u00e9s de l\u2019oxyg\u00e9noth\u00e9rapie hyperbare, selon l\u2019Undersea & Hyperbaric Medical Society (UHMS)<\/a> :<\/p>\n

[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Embolie gazeuse<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Empoisonnement par le monoxyde de carbone :<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Empoisonnement par le monoxyde de carbone associ\u00e9 \u00e0 un empoisonnement par le cyanure[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_padding=\u00a0\u00bb25px||||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Myosite et myon\u00e9crose clostridiale (gangr\u00e8ne gazeuse)<\/p>\n

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L\u00e9sion par \u00e9crasement, syndrome de loge et autres isch\u00e9mies traumatiques aigu\u00ebs<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Mal de d\u00e9compression<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Insuffisances art\u00e9rielles :<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Occlusion art\u00e9rielle r\u00e9tinienne centrale[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.14.8″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

Gu\u00e9rison de certains probl\u00e8mes \u2013 ulc\u00e8res caus\u00e9s par le diab\u00e8te<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_padding=\u00a0\u00bb25px||||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

An\u00e9mie grave<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Abc\u00e8s intracr\u00e2nien<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Infections n\u00e9crosantes des tissus mous<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Ost\u00e9omy\u00e9lite (r\u00e9fractaire)<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

L\u00e9sion d\u2019irradiation retard\u00e9e (n\u00e9crose des tissus mous et des os)<\/p>\n

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Greffes et lambeaux compromis<\/p>\n

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Br\u00fblure d\u2019origine thermique aig\u00fce<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.14.8″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

Surdit\u00e9 de perception idiopathique brusque*
(*approuv\u00e9 le 8 octobre 2011 par le conseil d\u2019administration de l\u2019UHMS)<\/sub><\/em><\/p>\n

[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ module_id=\u00a0\u00bbcomplications\u00a0\u00bb _builder_version=\u00a0\u00bb4.14.8″ hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″][et_pb_column type=\u00a0\u00bb1_3″ _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\u00bbPerformance\u00a0\u00bb module_id=\u00a0\u00bbcomplications\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ text_line_height=\u00a0\u00bb1.5em\u00a0\u00bb header_font_size=\u00a0\u00bb45px\u00a0\u00bb header_line_height=\u00a0\u00bb1.4em\u00a0\u00bb header_2_line_height=\u00a0\u00bb1.3em\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Complications possibles de l\u2019oxyg\u00e9noth\u00e9rapie hyperbare
<\/strong><\/h2>\n

[\/et_pb_text][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb disabled_on=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.6.6″ custom_margin=\u00a0\u00bb||15px|||\u00a0\u00bb custom_css_before=\u00a0\u00bbwidth: 130px; margin: auto;\u00a0\u00bb hide_on_mobile=\u00a0\u00bboff\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _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_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Barotraumatisme :<\/strong><\/h4>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Traumatisme de l\u2019\u0153il ou des sinus<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Rupture de la membrane du tympan[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Distension alv\u00e9olaire excessive et pneumothorax[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Embolisme gazeux[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb25px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Toxicit\u00e9 de l\u2019oxyg\u00e8ne :<\/strong><\/h4>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]R\u00e9action toxique du syst\u00e8me nerveux central ou SNC (parmi les premiers signes d\u2019une toxicit\u00e9 imminente au niveau du SNC, mentionnons les contractions, la transpiration, la p\u00e2leur et l\u2019agitation ces signes sont habituellement suivis par des crises ou des convulsions)[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]R\u00e9action toxique pulmonaire[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb25px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Autres :<\/strong><\/h4>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Feu[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]D\u00e9compression soudaine[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Changements visuels r\u00e9versibles[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Claustrophobie[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ custom_margin=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|75px|true|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Diminution du d\u00e9bit cardiaque (Cairo & Pilbeam, 2004)[\/et_pb_blurb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ custom_padding=\u00a0\u00bb35px||||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

S\u00e9curit\u00e9 des chambres hyperbares (Sant\u00e9 Canada<\/a>)<\/strong><\/h4>\n

Les chambres hyperbares sont des appareils m\u00e9dicaux de classe 3 qui doivent \u00eatre autoris\u00e9s par Sant\u00e9 Canada avant leur importation et leur vente au Canada. Le R\u00e8glement sur les instruments m\u00e9dicaux exige que tous les appareils m\u00e9dicaux import\u00e9s et vendus au Canada soient s\u00fbrs et efficaces, et qu\u2019ils soient d\u2019excellente fabrication. Les appareils doivent donc \u00eatre examin\u00e9s avant leur mise sur le march\u00e9 et il faut assurer une supervision post-march\u00e9 relativement \u00e0 toute situation adverse.<\/p>\n

Sant\u00e9 Canada a examin\u00e9 les donn\u00e9es scientifiques li\u00e9es aux chambres hyperbares. Selon ces donn\u00e9es, les chambres hyperbares peuvent actuellement traiter troubles reconnus par l\u2019Undersea and Hyperbaric Medical Society. Par cons\u00e9quent, Sant\u00e9 Canada a octroy\u00e9 aux chambres hyperbares des permis comme m\u00e9thode de traitement de ces treize troubles seulement. Aucun permis n\u2019a \u00e9t\u00e9 octroy\u00e9 relativement \u00e0 l\u2019utilisation des chambres hyperbares pour traiter d\u2019autres troubles.<\/p>\n

Undersea and Hyperbaric Medical Society<\/strong>
http:\/\/membership.uhms.org\/?page=Indications<\/a><\/p>\n

Undersea and Hyperbaric Medical Society, chapitre canadien<\/strong>
www.cc-uhms.ca\/wp\/<\/a><\/p>\n

M\u00e9decine hyperbare de l\u2019Universit\u00e9 de Toronto<\/strong>
(ressource de formation adress\u00e9e aux professionnels de la sant\u00e9)
www.hyperbaric.utoronto.ca\/hyperbaricmedicine\/index.asp<\/a><\/p>\n

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L\u2019oxyg\u00e9noth\u00e9rapie \u00e0 haute altitude
<\/strong><\/h2>\n

[\/et_pb_text][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb disabled_on=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.6.6″ custom_margin=\u00a0\u00bb||15px|||\u00a0\u00bb custom_css_before=\u00a0\u00bbwidth: 130px; margin: auto;\u00a0\u00bb hide_on_mobile=\u00a0\u00bboff\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _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\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.14.8″ custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

Effets de l\u2019altitude sur la disponibilit\u00e9 de l\u2019oxyg\u00e8ne<\/strong><\/h4>\n

Lorsque l\u2019altitude augmente, la pression barom\u00e9trique diminue. La pression barom\u00e9trique est la pression exerc\u00e9e par les gaz \u00e0 un lieu donn\u00e9 de l\u2019atmosph\u00e8re, et constitue la somme des pressions partielles des gaz \u00e0 composantes. La composition de l\u2019atmosph\u00e8re ne change pas avec l\u2019altitude, mais la pression barom\u00e9trique, oui. \u00c0 mesure que l\u2019altitude diminue, il y a une diminution de la pression partielle exerc\u00e9e par chaque gaz \u00e0 composantes. Ainsi, \u00e0 mesure que l\u2019altitude augmente, la pression partielle de l\u2019oxyg\u00e8ne dans les alv\u00e9oles diminue. Une pression partielle r\u00e9duite d\u2019oxyg\u00e8ne entra\u00eene une hypoxie relative.<\/p>\n

Les documents suivants aident quant \u00e0 la planification des voyages aupr\u00e8s de transporteurs a\u00e9riens commerciaux :<\/p>\n

Transport Canada \u2013 \u201cPassagers ayant besoin d\u2019oxyg\u00e8ne th\u00e9rapeutique\u201d<\/strong>
https:\/\/tc.canada.ca\/en\/aviation\/reference-centre\/advisory-circulars\/advisory-circularac-no-700-002#s4-1<\/a><\/p>\n

Il est \u00e9galement utile de consulter le site Web du transporteur a\u00e9rien que le patient pr\u00e9voit utiliser afin d\u2019obtenir de l\u2019aide quant \u00e0 la planification et les dispositions relatives au voyage si on a besoin d\u2019oxyg\u00e8ne.<\/p>\n

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Oxyg\u00e8ne hyperbare et 5e acte autoris\u00e9<\/strong><\/h2>\n

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Les th\u00e9rapeutes respiratoires administrent l\u2019oxyg\u00e8ne hyperbare depuis quelque temps, en vertu du 4e<\/sup><\/span> acte autoris\u00e9 (\u00ab\u00a0administration d\u2019une substance par injection or inhalation<\/em>\u00a0\u00bb). Comme nous l\u2019avons mentionn\u00e9 pr\u00e9c\u00e9demment, la Loi sur les h\u00f4pitaux publics <\/em>exige tout de m\u00eame que les th\u00e9rapeutes respiratoires obtiennent une ordonnance d\u2019un autorisateur valide pour administrer de l\u2019oxyg\u00e8ne dans ce milieu. Aucun changement n\u2019a \u00e9t\u00e9 apport\u00e9 aux pratiques actuelles li\u00e9es \u00e0 l\u2019oxyg\u00e8ne hyperbare dans les h\u00f4pitaux de l\u2019Ontario.<\/p>\n

Le 5e<\/sup><\/span> acte autoris\u00e9, en combinaison avec le r\u00e8glement sur les substances prescrites, permet maintenant aux th\u00e9rapeutes respiratoires d\u2019administrer de l\u2019oxyg\u00e8ne th\u00e9rapeutique. Par cons\u00e9quent, dans un cadre hyperbare \u00e0 l\u2019ext\u00e9rieur d\u2019un h\u00f4pital<\/u>, les th\u00e9rapeutes respiratoires peuvent administrer l\u2019oxyg\u00e8ne sans l\u2019exigence suppl\u00e9mentaire d\u2019obtenir une ordonnance d\u2019un m\u00e9decin ou autre autorisateur. Toutefois<\/u>, l\u2019administration d\u2019oxyg\u00e9noth\u00e9rapie hyperbare doit \u00eatre conforme au diagnostic, au d\u00e9pistage pr\u00e9-traitement et au profil de traitement prescrit <\/strong>(profondeur, pression, dur\u00e9e, etc.) \u00e9tablis par le m\u00e9decin traitant. Par cons\u00e9quent, un th\u00e9rapeute respiratoire ne peut pas initier un traitement d\u2019oxyg\u00e9noth\u00e9rapie hyperbare, mais peut mettre ce traitement en place en collaboration avec le m\u00e9decin traitant.<\/p>\n

L\u2019oxyg\u00e9noth\u00e9rapie hyperbare est consid\u00e9r\u00e9e comme faisant partie de la port\u00e9e de la th\u00e9rapie respiratoire. Toutefois, elle exige des comp\u00e9tences d\u00e9passant celles que poss\u00e8de un th\u00e9rapeute respiratoire dipl\u00f4m\u00e9 (entr\u00e9e dans la profession). Dans un cadre hospitalier et communautaire, l\u2019obtention de titres de comp\u00e9tences \u00e0 titre de technicien hyperbare agr\u00e9\u00e9 de l\u2019Undersea and Hyperbaric Medical Society (UHMS) est la norme du secteur, le param\u00e8tre servant \u00e0 jauger tout th\u00e9rapeute respiratoire qui administre l\u2019oxyg\u00e9noth\u00e9rapie hyperbare.<\/p>\n

Comme il est mentionn\u00e9 \u00e0 la page 37, l\u2019OTRO a approuv\u00e9 la liste de 14 indications pour l\u2019oxyg\u00e9noth\u00e9rapie hyperbare \u00e9tablies par l\u2019UHMS. Sant\u00e9 Canada<\/a><\/span> appuie l\u2019application d\u2019oxyg\u00e9noth\u00e9rapie hyperbare en fonction des lignes directrices de l\u2019UHMS et met en garde contre les utilisations \u00ab\u00a0irr\u00e9guli\u00e8res\u00a0\u00bb qui n\u2019ont pas d\u00e9montr\u00e9 leur efficacit\u00e9. L\u2019OTRO n\u2019approuve pas les utilisations irr\u00e9guli\u00e8res de th\u00e9rapie hyperbare et le recours par un th\u00e9rapeute respiratoire \u00e0 une telle activit\u00e9 pourrait \u00eatre consid\u00e9r\u00e9 comme un manquement professionnel.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.6.6″ background_image=\u00a0\u00bbhttps:\/\/oxygen.crto.on.ca\/wp-content\/uploads\/sites\/3\/2020\/12\/Did-you-know.jpg\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb1″ module_class=\u00a0\u00bb et_pb_row_fullwidth\u00a0\u00bb _builder_version=\u00a0\u00bb4.6.6″ background_color=\u00a0\u00bbrgba(255,255,255,0.3)\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bbrgba(255,255,255,0.9)\u00a0\u00bb background_color_gradient_end=\u00a0\u00bbrgba(255,255,255,0.21)\u00a0\u00bb background_color_gradient_type=\u00a0\u00bbradial\u00a0\u00bb background_color_gradient_start_position=\u00a0\u00bb41%\u00a0\u00bb background_color_gradient_end_position=\u00a0\u00bb82%\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb width_tablet=\u00a0\u00bb100%\u00a0\u00bb width_phone=\u00a0\u00bb\u00a0\u00bb width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb max_width_tablet=\u00a0\u00bb100%\u00a0\u00bb max_width_phone=\u00a0\u00bb\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_padding=\u00a0\u00bb75px||75px||true|false\u00a0\u00bb custom_css_main_element=\u00a0\u00bbpadding-top:130px;||padding-bottom:130px;\u00a0\u00bb make_fullwidth=\u00a0\u00bbon\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_blurb title=\u00a0\u00bbLe saviez-vous?\u00a0\u00bb content_max_width=\u00a0\u00bb60%\u00a0\u00bb _builder_version=\u00a0\u00bb4.13.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh2″ text_orientation=\u00a0\u00bbcenter\u00a0\u00bb icon_font_size=\u00a0\u00bb55px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Dans la cabine d\u2019un avion commercial normal, la pression exerc\u00e9e est l\u2019\u00e9quivalent de la pression barom\u00e9trique \u00e0 5 000 \u2013 8 000 pieds au-dessus du niveau de la mer. Par cons\u00e9quent, les patients qui n\u00e9cessitent un suppl\u00e9ment d\u2019oxyg\u00e8ne au sol pourraient n\u00e9cessiter un accroissement de leur suppl\u00e9ment \u00e0 altitude plus \u00e9lev\u00e9e.<\/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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  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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