Oxygénothérapie normobare en médecine aiguë : entre mythes et réalité

Article Article scientifique Article Oxygénothérapie normobare en médecine aiguë : entre mythes et réalité fre Normobaric oxygen therapy in acute medical care: myths versus reality 2015-08-12 author Von Düring Stephan 584286 Département d'anesthésiologie, pharmacologie et soins intensifs (APSIC) Stephan von Düring author Bruchez-Bessard Stéphanie 520135 author Suppan Laurent 505697 Département d'anesthésiologie, pharmacologie et soins intensifs (APSIC) author Niquille Marc 527068 1476-1485 10.53738/REVMED.2015.11.482.1476 26449100 1660-9379 https://www.revmed.ch/revue-medicale-suisse/2015/revue-medicale-suisse-482/oxygenotherapie-normobare-en-medecine-aigue-entre-mythes-et-realite Oxygen adiministration for both medical and traumatic emergencies is regarded as an essential component of resuscitation. However, many recent studies suggest that the use of oxygen should be more restrictive. Detrimental effects of normobaric oxygen therapy in patients suffering from hypercapnic respiratory diseases have been demonstrated, especially because of the suppression of the hypoxic drive. Apart from this particular situation, correction of hypoxemia is still a widely accepted treatment target, although there is growing evidence that hyperoxemia could be harmful in acute coronary syndromes and cardio-respiratory arrests. In other pathologies, such as stroke or hemorragic shock, the situation is still unclear, and further studies are needed to clarify the situation. Generally speaking, oxygen therapy should from now on be goal-directed, and early monitoring of both pulse oximetry and arterial blood gases is advised. Acute Coronary Syndrome / therapy Heart Arrest / therapy Humans Hyperoxia / complications Hypoxia / therapy Oxygen Inhalation Therapy Pulmonary Disease, Chronic Obstructive / therapy Shock, Hemorrhagic / therapy Stroke / therapy Dewey 616 Dewey 617 56 Département de médecine 221 63 Département d'anesthésiologie, pharmacologie, soins intensifs et urgences 229 false Revue médicale suisse 11 482 5851af9b-9a4c-4b35-aee7-39b04af759b5 Article (Published version) Public RMS_482_1476.pdf 588124 application/pdf Restricted 2017-02-13 6a1253b5290b11f79f8d25c66a20fbf93adbda49dfa29c34f484ab161e00f113 openAccess Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département d'anesthésiologie, pharmacologie, soins intensifs et urgences

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Oxygénothérapie normobare en médecine aiguë : entre mythes et réalité	Revue médicale suisse			2015	12	92

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Bruchez-Bessard, Stéphanie