Évaluation des pratiques professionnelles à propos de la ventilation mécanique au bloc opératoire au CHU de Bordeaux : une étude clinique prospective observationnelle de type avant après

Abstract : Objective: the main objective of this study was to observe the effect of an improvement intervention with feedback on mechanical ventilation parameters in the operating room. Methods: five hundred and thirty-five adult patients with polyvalent anesthesia were included in this before-and-after observational study. Between the before and after evaluation, there was a phase of improvement and feedback action. It was addressed to medical and paramedical staff involved in anaesthesia in the operating room through memo cards, information emails and meetings. The primary endpoint was to increase the use of a protective Vt between 6 to 8 mL/kg ideal weight associated with a PEP ≥ 6 cmH2O (Vt/PEP+). Results: the proportion of Vt / PEP + increased from 15.4% to 54% between phases I and II, representing an improvement of 38.6%, with p < 0.001. The use of alveolar recruitment manoeuvres increased between phases I and II in a statistically significant way p < 0.001. Conclusion: this study has led to an improvement in our ventilation practices in the operating room. More than the implementation of a protocol, awareness and discussion around the concept of protective ventilation has been initiated in our structure.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [84 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-02074376
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, March 20, 2019 - 3:52:10 PM
Last modification on : Saturday, April 6, 2019 - 1:20:14 AM
Long-term archiving on : Friday, June 21, 2019 - 9:10:19 PM

File

 Restricted access
To satisfy the distribution rights of the publisher, the document is embargoed until : 2020-10-14

Please log in to resquest access to the document

Identifiers

  • HAL Id : dumas-02074376, version 1

Collections

Citation

Eva Noël. Évaluation des pratiques professionnelles à propos de la ventilation mécanique au bloc opératoire au CHU de Bordeaux : une étude clinique prospective observationnelle de type avant après. Médecine humaine et pathologie. 2018. ⟨dumas-02074376⟩

Share

Metrics

Record views

11