{"id":1776,"date":"2004-10-01T01:00:00","date_gmt":"2004-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/sedation-endoscopique-sous-kalinox\/"},"modified":"2018-10-20T18:39:34","modified_gmt":"2018-10-20T16:39:34","slug":"sedation-endoscopique-sous-kalinox","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/sedation-endoscopique-sous-kalinox\/","title":{"rendered":"SEDATION ENDOSCOPIQUE SOUS KALINOX"},"content":{"rendered":"

2004<\/strong><\/p>\n

S. GUILLAUME ; J. COUTET ; JL. MARIOTTE ; A. SOUPISON ; P. BERNARD Services d’anesth\u00e9siologie, de gastroent\u00e9rologie et pharma\u00e7ie de L’HOPITAL DE CHALON SUR SAONE<\/em><\/p>\n

Endoscopie <\/strong>– \u00a00000-00-00 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

Le kalinox est un gaz asso\u00e7iant oxyg\u00e8ne et protoxide d’azote connu de longue date pour ses propri\u00e9t\u00e9s antalgiques. Son utilisation est tr\u00e8s r\u00e9pandue dans les services de p\u00e9diatrie et de canc\u00e9rologie. Il s’agit d’une s\u00e9dation et non d’une anesth\u00e9sie pouvant \u00eatre administr\u00e9 par une infirmi\u00e8re d’endoscopie apr\u00e8s une formation de moins d’une heure par les anesth\u00e9sistes du centre.
\nDepuis 3 mois nous l’utilisons avec des r\u00e9sultats remarquables dans la majorit\u00e9 de nos examens. Nous avons entrepris une \u00e9tude prospective et comparative avec les ann\u00e9es pr\u00e9c\u00e9dentes. <\/p>\n

Etude prospective portant sur 4 mois ( 1 \/05 \/04 \u2013 31\/08\/04 )<\/p>\n

Population \u00e9tudi\u00e9e : 112 patients sur les 140 patients examin\u00e9s pendant cette p\u00e9riode
\n age moyen de 64 ans , \u00e9galit\u00e9 des sexes ( 48% h , 52% f )<\/p>\n

Pathologies explor\u00e9es : D\u00e9pistage ,douleurs abdominales , troubles du transit , rectorragies , an\u00e9mie
\nProtoxyde d\u2019azote et O2 50% : Gaz ininflammable absorb\u00e9 en 3 Mn et \u00e9limin\u00e9 en 5 Mn apr\u00e8s arr\u00eat de l\u2019administration , agissant comme antalgique de surface en l\u2019absence de morphiniques et de benzodiaz\u00e9pines . Dans ces conditions , il ne s\u2019agit d\u2019une anesth\u00e9sie g\u00e9n\u00e9rale
\nAdministration par IDE ( formation par anesth\u00e9siste : 1 heure )
\nPr\u00e9cautions :
\nne pas d\u00e9passer 30 Mn d\u2019inhalation ( temps moyen d\u2019administration lors de l\u2019\u00e9tude : 14 Mn )
\nContre-indications :
\nembolies gazeuses , pneumothorax , hypertension intracr\u00e2nienne , carence en vitamine B 12 , syndromes occlusifs
\nR\u00e9sultats : douleur nulle 70% des patients
\ndouleur de faible \u00e0 mod\u00e9r\u00e9e 29% des patients
\ndouleur forte 1% des patients
\ntaux de satisfaction 89% des patients
\n94% souhaiterait refaire l\u2019examen dans les m\u00eames conditions
\nEffets secondaires : 13% des patients .Naus\u00e9es , paresth\u00e9sies, sensations de malaise r\u00e9versibles en moins de 5 Mn<\/p>\n

Conclusions :
\n analg\u00e9sie efficace sans s\u00e9dation profonde . Complications exceptionnelles dans le respect des contre-indications . Pratique ambulatoire<\/p>\n","protected":false},"excerpt":{"rendered":"

2004 S. GUILLAUME ; J. COUTET ; JL. MARIOTTE ; A. SOUPISON ; P. BERNARD Services d’anesth\u00e9siologie, de gastroent\u00e9rologie et pharma\u00e7ie de L’HOPITAL DE CHALON SUR SAONE Endoscopie – \u00a00000-00-00 –\u00a0CO – ________________________________ Le kalinox est un gaz asso\u00e7iant oxyg\u00e8ne et protoxide d’azote connu de longue date pour ses propri\u00e9t\u00e9s antalgiques. Son utilisation est tr\u00e8s […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[6],"tags":[15],"class_list":["post-1776","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-15"],"yoast_head":"\nSEDATION ENDOSCOPIQUE SOUS KALINOX - Abstracts des congr\u00e8s de l'ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/sedation-endoscopique-sous-kalinox\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"SEDATION ENDOSCOPIQUE SOUS KALINOX - 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