{"id":25184,"date":"2025-03-18T10:55:55","date_gmt":"2025-03-18T10:55:55","guid":{"rendered":"https:\/\/takayama-site.com\/echographie\/?p=25184"},"modified":"2025-03-18T10:55:55","modified_gmt":"2025-03-18T10:55:55","slug":"lechographie-au-lit-du-patient-reduit-les-delais-de-ponction-et-des-complications-des-fistules-arterioveineuses","status":"publish","type":"post","link":"https:\/\/takayama-site.com\/echographie\/lechographie-au-lit-du-patient-reduit-les-delais-de-ponction-et-des-complications-des-fistules-arterioveineuses\/","title":{"rendered":"L&rsquo;\u00e9chographie au lit du patient r\u00e9duit les d\u00e9lais de ponction et des complications des fistules art\u00e9rioveineuses"},"content":{"rendered":"<p id=\"ember52\" class=\"ember-view reader-text-block__paragraph\">L&rsquo;\u00e9chographie au point d&rsquo;intervention (EPI) se d\u00e9veloppe rapidement dans la prise en charge des patients en insuffisance r\u00e9nale terminale. Aujourd&rsquo;hui, la d\u00e9cision de ponctionner une fistule art\u00e9rioveineuse repose sur le d\u00e9lai post-chirurgical et l&rsquo;examen clinique.<\/p>\n<p class=\"ember-view reader-text-block__paragraph\">Cette \u00e9tude analyse l&rsquo;impact de l&rsquo;EPI sur :<\/p>\n<ul style=\"list-style-type: disc;\">\n<li id=\"ember53\" class=\"ember-view reader-text-block__paragraph\">La r\u00e9duction du temps jusqu&rsquo;\u00e0 la ponction de la fistule<\/li>\n<li class=\"ember-view reader-text-block__paragraph\">La diminution de la dur\u00e9e d&rsquo;utilisation d&rsquo;un cath\u00e9ter veineux central<\/li>\n<li class=\"ember-view reader-text-block__paragraph\">La baisse des complications et infections associ\u00e9es<\/li>\n<\/ul>\n<p id=\"ember54\" class=\"ember-view reader-text-block__paragraph\"><strong>M\u00e9thodologie :<\/strong><\/p>\n<p class=\"ember-view reader-text-block__paragraph\">Groupe EPI : Patients recrut\u00e9s prospectivement (janvier 2015 &#8211; janvier 2018)<\/p>\n<p>Groupe sans EPI : Donn\u00e9es r\u00e9trospectives (novembre 2011 &#8211; mai 2014)<\/p>\n<p id=\"ember56\" class=\"ember-view reader-text-block__paragraph\">Crit\u00e8res pour d\u00e9buter la ponction :<\/p>\n<ul style=\"list-style-type: disc;\">\n<li class=\"ember-view reader-text-block__paragraph\">Diam\u00e8tre &gt; 6 mm (sans r\u00e9tr\u00e9cissement &gt; 20 %)<\/li>\n<li class=\"ember-view reader-text-block__paragraph\">Profondeur &lt; 6 mm<\/li>\n<li class=\"ember-view reader-text-block__paragraph\">Longueur &gt; 6 cm<\/li>\n<\/ul>\n<p id=\"ember57\" class=\"ember-view reader-text-block__paragraph\">Les param\u00e8tres \u00e9valu\u00e9s : d\u00e9mographie, d\u00e9lai de canulation, retrait du cath\u00e9ter veineux central, infections, complications et interventions.<\/p>\n<p id=\"ember58\" class=\"ember-view reader-text-block__paragraph\"><strong>R\u00e9sultats :<\/strong><\/p>\n<p class=\"ember-view reader-text-block__paragraph\">Les patients ayant b\u00e9n\u00e9fici\u00e9 de l&rsquo;EPI (n = 37) ont \u00e9t\u00e9 compar\u00e9s au groupe sans EPI (n = 29) :<\/p>\n<ul style=\"list-style-type: disc;\">\n<li id=\"ember59\" class=\"ember-view reader-text-block__paragraph\">Ponction plus pr\u00e9coce : 35,5 jours vs 63,3 jours (p &lt; 0,05)<\/li>\n<li class=\"ember-view reader-text-block__paragraph\">Dur\u00e9e du cath\u00e9ter veineux central r\u00e9duite : 68,2 jours vs 98,3 jours (p &lt; 0,05)<\/li>\n<li class=\"ember-view reader-text-block__paragraph\">Moins d&rsquo;infections : 12 vs 19<\/li>\n<li class=\"ember-view reader-text-block__paragraph\">Aucune diff\u00e9rence significative sur les complications<\/li>\n<\/ul>\n<p id=\"ember60\" class=\"ember-view reader-text-block__paragraph\"><strong>Conclusion :<\/strong><\/p>\n<p class=\"ember-view reader-text-block__paragraph\">L&rsquo;\u00e9chographie au point d&rsquo;intervention permet :<\/p>\n<ul>\n<li>Une ponction plus rapide et s\u00e9curis\u00e9e<\/li>\n<li>Une r\u00e9duction du temps d&rsquo;exposition aux cath\u00e9ters veineux centraux<\/li>\n<li>Une diminution du risque d&rsquo;infections<\/li>\n<\/ul>\n<p id=\"ember63\" class=\"ember-view reader-text-block__paragraph\">Int\u00e9grer l&rsquo;\u00e9chographie au point d&rsquo;intervention peut am\u00e9liorer la s\u00e9curit\u00e9 et l&rsquo;efficacit\u00e9 des proc\u00e9dures de ponction.<\/p>\n<p>Article r\u00e9dig\u00e9 par le Dr Hachicha, le 15\/03\/25<\/p>\n<p><a href=\"https:\/\/doi.org\/10.24908\/pocus.v7iKidney.15348\">Article DOI<\/a><\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-25186\" src=\"https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1.png\" alt=\"\" width=\"1280\" height=\"719\" srcset=\"https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1.png 1280w, https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1-300x169.png 300w, https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1-1024x575.png 1024w, https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1-768x431.png 768w, https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1-650x365.png 650w\" sizes=\"(max-width: 1280px) 100vw, 1280px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>L&rsquo;\u00e9chographie au point d&rsquo;intervention (EPI) se d\u00e9veloppe rapidement dans la prise en charge des patients en insuffisance r\u00e9nale terminale. Aujourd&rsquo;hui, la d\u00e9cision [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":25186,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[117],"tags":[],"class_list":["post-25184","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"rttpg_featured_image_url":{"full":["https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1.png",1280,719,false],"landscape":["https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1.png",1280,719,false],"portraits":["https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1.png",1280,719,false],"thumbnail":["https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1-150x150.png",150,150,true],"medium":["https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1-300x169.png",300,169,true],"large":["https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1-1024x575.png",1000,562,true],"1536x1536":["https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1.png",1280,719,false],"2048x2048":["https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1.png",1280,719,false],"uicore-medium":["https:\/\/takayama-site.com\/echographie\/wp-content\/uploads\/2025\/03\/echographie-1-650x365.png",650,365,true]},"rttpg_author":{"display_name":"takayama","author_link":"https:\/\/takayama-site.com\/echographie\/author\/takayama\/"},"rttpg_comment":0,"rttpg_category":"<a href=\"https:\/\/takayama-site.com\/echographie\/category\/news\/\" rel=\"category tag\">News<\/a>","rttpg_excerpt":"L&rsquo;\u00e9chographie au point d&rsquo;intervention (EPI) se d\u00e9veloppe rapidement dans la prise en charge des patients en insuffisance r\u00e9nale terminale. Aujourd&rsquo;hui, la d\u00e9cision [&hellip;]","_links":{"self":[{"href":"https:\/\/takayama-site.com\/echographie\/wp-json\/wp\/v2\/posts\/25184","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/takayama-site.com\/echographie\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/takayama-site.com\/echographie\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/takayama-site.com\/echographie\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/takayama-site.com\/echographie\/wp-json\/wp\/v2\/comments?post=25184"}],"version-history":[{"count":1,"href":"https:\/\/takayama-site.com\/echographie\/wp-json\/wp\/v2\/posts\/25184\/revisions"}],"predecessor-version":[{"id":25187,"href":"https:\/\/takayama-site.com\/echographie\/wp-json\/wp\/v2\/posts\/25184\/revisions\/25187"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/takayama-site.com\/echographie\/wp-json\/wp\/v2\/media\/25186"}],"wp:attachment":[{"href":"https:\/\/takayama-site.com\/echographie\/wp-json\/wp\/v2\/media?parent=25184"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/takayama-site.com\/echographie\/wp-json\/wp\/v2\/categories?post=25184"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/takayama-site.com\/echographie\/wp-json\/wp\/v2\/tags?post=25184"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}