{"id":6,"date":"2022-04-03T17:26:49","date_gmt":"2022-04-03T17:26:49","guid":{"rendered":"https:\/\/pratiquement.com\/?page_id=6"},"modified":"2025-07-11T17:55:50","modified_gmt":"2025-07-11T17:55:50","slug":"anesthesie-reanimation","status":"publish","type":"page","link":"https:\/\/pratiquement.com\/?page_id=6","title":{"rendered":"Anesth\u00e9sie R\u00e9animation"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6\" class=\"elementor elementor-6\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6d6a4d43 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6d6a4d43\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3decb66f\" data-id=\"3decb66f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bf209ed elementor-widget elementor-widget-text-editor\" data-id=\"bf209ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n<p>Plein d&rsquo;informations utiles dans diff\u00e9rents domaines<\/p>\n\n\n\n<p>Informatique pratique<\/p>\n\n\n\n<p>Cours pour les petits et les grands (de la maternelle \u00e0  la fac)<\/p>\n\n\n\n<p><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d81dff6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d81dff6\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-96677ca\" data-id=\"96677ca\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-764cfd5 elementor-widget elementor-widget-heading\" data-id=\"764cfd5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Anesth\u00e9sie<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e1b606d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e1b606d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-05a506e\" data-id=\"05a506e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1c9ea85 elementor-widget elementor-widget-heading\" data-id=\"1c9ea85\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Pr\u00e9op<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d0c22b3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d0c22b3\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f9583f4\" data-id=\"f9583f4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dba42de elementor-widget elementor-widget-text-editor\" data-id=\"dba42de\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-family: georgia, palatino, serif;\">Consultation \/\u00a0<\/span><span style=\"font-family: georgia, palatino, serif;\">Examens pr\u00e9op\u00e9ratoire \/ ECBU pr\u00e9op<\/span><\/p>\n<p><span style=\"font-family: georgia, palatino, serif;\">\u00c9valuation cardiovasculaire en chirurgie non cardiaque \/ ECG<\/span><\/p>\n<p><span style=\"font-family: georgia, palatino, serif;\">Intubation difficile ? <\/span><span style=\"font-family: georgia, palatino, serif;\">Ventilation au masque difficile ?\u00a0<\/span><span style=\"font-family: georgia, palatino, serif;\">Risque allergique \/ Risque d&rsquo;inhalation (<\/span><span style=\"font-family: georgia, palatino, serif;\">Je\u00fbne pr\u00e9op\u00e9ratoire)<\/span><\/p>\n<p><span style=\"font-family: georgia, palatino, serif;\">Pr\u00e9m\u00e9dication \/\u00a0<\/span><span style=\"font-family: georgia, palatino, serif;\">Adaptation des traitements (Corticoth\u00e9rapie \/ anti\u00e9pileptique \/ AVK \/ b\u00e9ta bloquants)<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-98b96d3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"98b96d3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a96f631\" data-id=\"a96f631\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1f3bc2c elementor-widget elementor-widget-toggle\" data-id=\"1f3bc2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3271\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-3271\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Terrains<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3271\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-3271\"><p>Coronariens<\/p>\n<p>Pacemaker (cardioverteur\/d\u00e9fibrillateur) et anesth\u00e9sie\u00a0<\/p>\n<p>CMO &#8230;<\/p>\n<p>Valvulopathies<\/p>\n<p>Anesth\u00e9sie pour craniotomie, pour chirurgie transph\u00e9no\u00efdale.<\/p>\n<p>Anesth\u00e9sie du parapl\u00e9gique<\/p>\n<p>Anesth\u00e9sie et sismoth\u00e9rapie<\/p>\n<p>Maladie de Parkinson, myasth\u00e9nie, porphyries, Qt long, Sd de Brugada<\/p>\n<p>Sd de WPW<\/p>\n<p>Anesth\u00e9sie et maladies rares, et estomac plein, et diab\u00e8te, cirrhotique, VIH+, Ob\u00e8se, SAOS<\/p>\n<p>EFR, Anesth\u00e9sie pour chirurgie pulmonaire, HTAP<\/p>\n<p>Transplantation r\u00e9nale, h\u00e9patique<\/p>\n<p>Tumeur carcino\u00efde, Ph\u00e9ochromocytomes, autres tumeurs surr\u00e9naliennes<\/p>\n<p>\u0152d\u00e8me angioneurotique h\u00e9r\u00e9ditaire<\/p>\n<p>\u00a0Mastocytoses syst\u00e9miques<\/p>\n<p>Chimioth\u00e9rapie et anesth\u00e9sie<\/p>\n<p>Anesth\u00e9sie et d\u00e9pendance aux opiac\u00e9s, et pathologie psychiatrique et sujet \u00e2g\u00e9<\/p>\n<p>R\u00e9habilitation pr\u00e9coce postop\u00e9ratoire<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3272\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-3272\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Transfusion et h\u00e9mostase<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3272\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-3272\"><p>Strat\u00e9gie (d&rsquo;\u00e9pargne) transfusionnelle et an\u00e9mie p\u00e9ri-op\u00e9ratoire \/\u00a0Acide tranexamique<\/p>\n<p>Antiplaquettaire \/\u00a0Pr\u00e9vention du risque thrombotique veineux en chirurgie \/ Utilisation des AVK \/ Utilisation des ADO\u00a0<\/p>\n<p>Antagonisation des AVK, des h\u00e9parines et des ADO<\/p>\n<p>TIH, h\u00e9mophilie, Maladie de Willebrand<\/p>\n<p>TT, TCA, TQ<\/p>\n<p>Troubles biologiques rencontr\u00e9s dans les Sd h\u00e9morragiques les plus fr\u00e9quents\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ad42e36 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ad42e36\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7f3b2a3\" data-id=\"7f3b2a3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a9df62f elementor-widget elementor-widget-heading\" data-id=\"a9df62f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Chez l'enfant<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-19ece56 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"19ece56\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0435704\" data-id=\"0435704\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8b8c879 elementor-widget elementor-widget-toggle\" data-id=\"8b8c879\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1461\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1461\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">chirurgie ambulatoire<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1461\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1461\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1462\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1462\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">chirurgie r\u00e9gl\u00e9e<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1462\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1462\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8cc4034 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8cc4034\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4e806ed\" data-id=\"4e806ed\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-43bf0cb elementor-widget elementor-widget-heading\" data-id=\"43bf0cb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Chez l'adulte<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-009bdb5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"009bdb5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-af74b24\" data-id=\"af74b24\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f6cc40b elementor-widget elementor-widget-heading\" data-id=\"f6cc40b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">\u00c9valuation du risque cardiaque en chirurgie non cardiaque <\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0cfb44c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0cfb44c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-27d3fab\" data-id=\"27d3fab\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-40ca39c elementor-widget elementor-widget-text-editor\" data-id=\"40ca39c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>M\u00eames les chirurgie non cardiaque peuvent \u00eatre une cause de morbidit\u00e9 et de mortalit\u00e9.<\/p>\n<p>D&rsquo;o\u00f9 la n\u00e9cessit\u00e9 d&rsquo;une stratification du risque cardiovasculaire, selon des facteurs li\u00e9s au patient (cardiopathies actives, facteurs de risque clinique, capacit\u00e9 fonctionnelle) et \u00e0 la chirurgie pr\u00e9vue.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-150190c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"150190c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9cbcfd6\" data-id=\"9cbcfd6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-be43da6 elementor-widget elementor-widget-heading\" data-id=\"be43da6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Risque cardiaque li\u00e9 au terrain (score de Lee)<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3b3beeb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3b3beeb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b8b7ee4\" data-id=\"b8b7ee4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0d1cbd1 elementor-widget elementor-widget-text-editor\" data-id=\"0d1cbd1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Une \u00e9valuation cardiologique pr\u00e9op\u00e9ratoire est requise pour les patients \u00e0 haut risque de complications<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e14265d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e14265d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6da9012\" data-id=\"6da9012\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-29a78b4 elementor-widget elementor-widget-image\" data-id=\"29a78b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/score-de-Lee.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"score de Lee\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NDUsInVybCI6Imh0dHBzOlwvXC9wcmF0aXF1ZW1lbnQuY29tXC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIyXC8wNFwvc2NvcmUtZGUtTGVlLmpwZyJ9\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"300\" height=\"258\" src=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/score-de-Lee.jpg\" class=\"attachment-large size-large wp-image-45\" alt=\"\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Calcul du score de Lee<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-9ff607e\" data-id=\"9ff607e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8d4f29f elementor-widget elementor-widget-video\" data-id=\"8d4f29f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/TzFe-TOi6vw&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4958c14 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4958c14\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a8b408a\" data-id=\"a8b408a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fc75888 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"fc75888\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.revmed.ch\/revue-medicale-suisse\/2010\/revue-medicale-suisse-251\/evaluation-cardiologique-preoperatoire-avant-chirurgie-non-cardiaque-stratification-du-risque-cardiovasculaire\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">\u00c9valuation du risque cardiaque en chirurgie non cardiaque (Rev. Med. Suisse )<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.elsevier.com\/fr-fr\/connect\/medecine\/algorithme-simplifie-sfar-sfc-devaluation-et-de-stratification-du-risque\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Algorithme simplifi\u00e9 SFAR-SFC d\u2019\u00e9valuation et de stratification du risque<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0d55c02 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0d55c02\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c1702c8\" data-id=\"c1702c8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-22addd5 elementor-widget elementor-widget-heading\" data-id=\"22addd5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Risque cardiaque li\u00e9 \u00e0 la chirurgie<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2557149 elementor-widget elementor-widget-toggle\" data-id=\"2557149\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3911\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-3911\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Faible (< 1%)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3911\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-3911\"><p>&lt; 1% d\u2019\u00e9v\u00e9nements cardiovasculaires<br \/>\u2013 Endoscopie, ambulatoire<br \/>\u2013 Chirurgie superficielle, mammaire, ophtalmo, dentaire<br \/>&#8211; Endocrinienne : thyro\u00efde<br \/>&#8211; Reconstructrice<br \/>&#8211; Carotidienne asymptomatique (EnCa ou StCa)<br \/>&#8211; Gyn\u00e9cologique mineure<br \/>&#8211; Orthop\u00e9dique mineure (m\u00e9niscectomie)<br \/>&#8211; Urologique mineure (r\u00e9section transur\u00e9trale de la prostate)\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3912\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-3912\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Interm\u00e9diaire (1 \u00e0 5%)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3912\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-3912\"><p>&#8211; Intrap\u00e9riton\u00e9ale : spl\u00e9nectomie, hernie hiatale, chol\u00e9cystectomie<br \/>&#8211; Carotidien symptomatique\u00a0<br \/>&#8211; Angioplastie art\u00e9rielle p\u00e9riph\u00e9rique<br \/>&#8211; An\u00e9vrisme voie endovasculaire<br \/>&#8211; Chirurgie cervico-faciale, Neurochirurgie ou<br \/>orthop\u00e9dique : majeure (chirurgie de la hanche et la<br \/>colonne vert\u00e9brale)<br \/>&#8211; Urologiques ou gyn\u00e9cologiques\u00a0<br \/>&#8211; transplantation r\u00e9nale<br \/>&#8211; Chirurgie thoracique majeure<\/p>\n<p>\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3913\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-3913\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">\u00c9lev\u00e9 > 5%<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3913\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-3913\"><p>&#8211; Chirurgie aortique et vasculaire majeure<br \/>&#8211; Revascularisation de membre inf\u00e9rieure ou amputation ou thrombo embolectomie<br \/>&#8211; Chirurgie Duod\u00e9nopancr\u00e9atique<br \/>&#8211; R\u00e9section h\u00e9patique, chirurgie canal biliaire<br \/>&#8211; Oesophagectomie<br \/>&#8211; R\u00e9paration de perforation de l&rsquo;intestin<br \/>&#8211; R\u00e9section surr\u00e9nalienne<br \/>&#8211; Cystectomie totale<br \/>&#8211; Pneumonectomie, Greffe pulmonaire ou une<br \/>greffe du foie<\/p>\n<p>\u00a0<\/p>\n<p>? Fleisher LA, Circulation 2007\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-97f9703 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"97f9703\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1071a46\" data-id=\"1071a46\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e3ae96c elementor-widget elementor-widget-text-editor\" data-id=\"e3ae96c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/reanesth.chu-bordeaux.fr\/Formation-continue\/Cours-europ%C3%A9ens-du-grand-Sud-Ouest\/Cours-Europ%C3%A9ens-du-Grand-Sud-Ouest-2017\/Textes\/Evaluation-du-risque-cardiaque-en-chirurgie-non-cardiaque-A-Dewitte.pdf\/\">\u00e9valuation du risque cardiaque en chir non cardiaques<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f39c4ad elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f39c4ad\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3b17fbc\" data-id=\"3b17fbc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0f13798 elementor-widget elementor-widget-heading\" data-id=\"0f13798\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Risque h\u00e9morragique \/ thrombotique<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-adc3f63 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"adc3f63\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2af114a\" data-id=\"2af114a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a7f538e elementor-widget elementor-widget-heading\" data-id=\"a7f538e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Classification des risques h\u00e9morragiques<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-291d937 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"291d937\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e2e5634\" data-id=\"e2e5634\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1f265b1 elementor-widget elementor-widget-toggle\" data-id=\"1f265b1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3261\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-3261\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Actes peu h\u00e9morragiques ...<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3261\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-3261\"><p>= actes responsables de saignements peu fr\u00e9quents, de faible intensit\u00e9 ou ais\u00e9ment contr\u00f4l\u00e9s, pouvant \u00eatre r\u00e9alis\u00e9s chez des <strong>patients anticoagul\u00e9s \u00e0 taux th\u00e9rapeutiques<\/strong>.<\/p>\n<p>Chirurgie cutan\u00e9e, de la cataracte, certains actes de rhumatologie \u00e0 faible risque h\u00e9morragique, certains actes de chirurgie bucco-\u2010dentaire, certains actes <strong>d\u2019endoscopie digestive<\/strong> (liste non limitative).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3262\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-3262\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Actes invasifs \u00e0 risque h\u00e9morragique faible<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3262\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-3262\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3263\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-3263\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Proc\u00e9dures \u00e0 risque h\u00e9morragique \u00e9lev\u00e9s<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3263\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-3263\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3264\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-3264\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Proc\u00e9dures \u00e0 tr\u00e8s haut risque h\u00e9morragique<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3264\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-3264\"><p>Neurochirurgie intracr\u00e2nienne ou les PL \/Rachi anesth\u00e9sies<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3265\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-3265\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Phase pr\u00e9coce d'une EP \/ TVP<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3265\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-3265\"><p>Rivaroxaban 15mg x2 pendant 3 semaines <br \/>(Apixaban 10mg x2 pendant 10j)<\/p>\n<p>==&gt; \u00e9viter de programmer une chirurgie<\/p>\n<p>Pas de relais pas de dosages (si d\u00e9lais d\u2019arr\u00eat respect\u00e9s)<\/p>\n<p>Reprise \u00e0 dose pr\u00e9ventive apr\u00e8s 6h (HBPM\u00a0?)<\/p>\n<p>Anticoagulation \u00e0 dose \u00ab curative \u00bb d\u00e8s que l\u2019h\u00e9mostase le permet (entre 24 et 72 heures). <br \/>Pas de chevauchement des mol\u00e9cules, attendre 12h apr\u00e8s l\u2019HBPM<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-34d15ed elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"34d15ed\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-120f58e\" data-id=\"120f58e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-65f3908 elementor-widget elementor-widget-heading\" data-id=\"65f3908\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Classification de la n\u00e9cessit\u00e9 de l'anticoagulation selon le patient<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-802c4a1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"802c4a1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f627a32\" data-id=\"f627a32\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-38ee240 elementor-widget elementor-widget-image\" data-id=\"38ee240\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/risque-thrombotique.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"risque thrombotique\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjUsInVybCI6Imh0dHBzOlwvXC9wcmF0aXF1ZW1lbnQuY29tXC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIyXC8wNFwvcmlzcXVlLXRocm9tYm90aXF1ZS5qcGcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"600\" height=\"382\" src=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/risque-thrombotique.jpg\" class=\"attachment-large size-large wp-image-65\" alt=\"\" srcset=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/risque-thrombotique.jpg 600w, https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/risque-thrombotique-300x191.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e9e731c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e9e731c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f1e1658\" data-id=\"f1e1658\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fbbdb3c elementor-widget elementor-widget-heading\" data-id=\"fbbdb3c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Classification des risques thrombotiques selon le patient<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9d61b62 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9d61b62\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7b9f1cd\" data-id=\"7b9f1cd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0d58f9d elementor-widget elementor-widget-text-editor\" data-id=\"0d58f9d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\n<li><span style=\"font-size: 12pt;\">Les ATCD d\u2019\u00e9v\u00e8nement thrombo-embolique veineux <\/span><\/li>\n<li><span style=\"font-size: 12pt;\">La thrombophilie familiale majeure <\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Le cancer <\/span><\/li>\n<li><span style=\"font-size: 12pt;\">La chimioth\u00e9rapie <\/span><\/li>\n<li><span style=\"font-size: 12pt;\">L\u2019insuffisance cardiaque ou respiratoire <\/span><\/li>\n<li><span style=\"font-size: 12pt;\">L\u2019hormonoth\u00e9rapie ,La contraception orale <\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Les AVC avec d\u00e9ficit neurologique <\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Le postpartum <\/span><\/li>\n<li><span style=\"font-size: 12pt;\">L\u2019\u00e2ge et l\u2019ob\u00e9sit\u00e9\u00a0<\/span><\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-43d175b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"43d175b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6edcc13\" data-id=\"6edcc13\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e78e639 elementor-widget elementor-widget-heading\" data-id=\"e78e639\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Classification des risques thrombotiques par chirurgie<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-59b26ad elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"59b26ad\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-46d4dca\" data-id=\"46d4dca\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ec452bc elementor-widget elementor-widget-text-editor\" data-id=\"ec452bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-size: 12pt;\">\u2022 chirurgie orthop\u00e9dique et traumatologique: <\/span><br \/><span style=\"font-size: 12pt;\">\u2022 La chirurgie digestive <\/span><br \/><span style=\"font-size: 12pt;\">\u2022 chirurgie urologique <\/span><br \/><span style=\"font-size: 12pt;\">\u2022 chirurgie gyn\u00e9cologique <\/span><br \/><span style=\"font-size: 12pt;\">\u2022 Apr\u00e8s c\u00e9sarienne ,post partum<\/span><br \/><span style=\"font-size: 12pt;\">\u2022 Thoracique et cardiovasculaire<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fab61b1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fab61b1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-96ec3ec\" data-id=\"96ec3ec\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b0f1331 elementor-widget elementor-widget-image\" data-id=\"b0f1331\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/risque-thrombotique-selon-la-chirurgie.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"risque thrombotique selon la chirurgie\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6OTQsInVybCI6Imh0dHBzOlwvXC9wcmF0aXF1ZW1lbnQuY29tXC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIyXC8wNFwvcmlzcXVlLXRocm9tYm90aXF1ZS1zZWxvbi1sYS1jaGlydXJnaWUuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"600\" height=\"274\" src=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/risque-thrombotique-selon-la-chirurgie.jpg\" class=\"attachment-large size-large wp-image-94\" alt=\"\" srcset=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/risque-thrombotique-selon-la-chirurgie.jpg 600w, https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/risque-thrombotique-selon-la-chirurgie-300x137.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7ab7037 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7ab7037\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b6d3009\" data-id=\"b6d3009\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2a13e53 elementor-widget elementor-widget-text-editor\" data-id=\"2a13e53\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-size: 12pt;\">Quelques chiffres pour certaines chirurgies<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2563e31 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2563e31\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-150f2bf\" data-id=\"150f2bf\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4d0e479 elementor-widget elementor-widget-image\" data-id=\"4d0e479\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/TVP-orthopedie.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"TVP orthop\u00e9die\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6OTgsInVybCI6Imh0dHBzOlwvXC9wcmF0aXF1ZW1lbnQuY29tXC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIyXC8wNFwvVFZQLW9ydGhvcGVkaWUuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"442\" src=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/TVP-orthopedie.jpg\" class=\"attachment-large size-large wp-image-98\" alt=\"\" srcset=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/TVP-orthopedie.jpg 600w, https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/TVP-orthopedie-300x221.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-e5ecaba\" data-id=\"e5ecaba\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8626c02 elementor-widget elementor-widget-image\" data-id=\"8626c02\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/TVP-en-urologie.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"TVP en urologie\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6OTYsInVybCI6Imh0dHBzOlwvXC9wcmF0aXF1ZW1lbnQuY29tXC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIyXC8wNFwvVFZQLWVuLXVyb2xvZ2llLmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"274\" src=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/TVP-en-urologie.jpg\" class=\"attachment-large size-large wp-image-96\" alt=\"\" srcset=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/TVP-en-urologie.jpg 600w, https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/TVP-en-urologie-300x137.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-3a5e0d9\" data-id=\"3a5e0d9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0b91437 elementor-widget elementor-widget-image\" data-id=\"0b91437\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/TVP-en-GO.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"TVP en GO\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6OTcsInVybCI6Imh0dHBzOlwvXC9wcmF0aXF1ZW1lbnQuY29tXC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIyXC8wNFwvVFZQLWVuLUdPLmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"662\" height=\"300\" src=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/TVP-en-GO.jpg\" class=\"attachment-large size-large wp-image-97\" alt=\"\" srcset=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/TVP-en-GO.jpg 662w, https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/TVP-en-GO-300x136.jpg 300w\" sizes=\"(max-width: 662px) 100vw, 662px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4b353f6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4b353f6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6d9931d\" data-id=\"6d9931d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-194c4c8 elementor-widget elementor-widget-text-editor\" data-id=\"194c4c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>FA et anticoagulation selon P. TABOULET<br \/>(site E-cardiogram.com)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-32eb076 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"32eb076\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-954ed01\" data-id=\"954ed01\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d00c584 elementor-widget elementor-widget-image\" data-id=\"d00c584\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/CHADVASC-et-FA.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"CHADVASC et FA\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTA0LCJ1cmwiOiJodHRwczpcL1wvcHJhdGlxdWVtZW50LmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyMlwvMDRcL0NIQURWQVNDLWV0LUZBLmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"453\" src=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/CHADVASC-et-FA.jpg\" class=\"attachment-large size-large wp-image-104\" alt=\"\" srcset=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/CHADVASC-et-FA.jpg 600w, https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/CHADVASC-et-FA-300x227.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f9c6a8b\" data-id=\"f9c6a8b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f68b941 elementor-widget elementor-widget-image\" data-id=\"f68b941\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/HAS-BLED-et-FA.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"HAS BLED et FA\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTA1LCJ1cmwiOiJodHRwczpcL1wvcHJhdGlxdWVtZW50LmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyMlwvMDRcL0hBUy1CTEVELWV0LUZBLmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"417\" src=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/HAS-BLED-et-FA.jpg\" class=\"attachment-large size-large wp-image-105\" alt=\"\" srcset=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/HAS-BLED-et-FA.jpg 600w, https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/HAS-BLED-et-FA-300x209.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4fed0aa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4fed0aa\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3b5913b\" data-id=\"3b5913b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c852b91 elementor-widget elementor-widget-toggle\" data-id=\"c852b91\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2101\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2101\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">CHA2DS2-VASc (Risque Thrombo Embolique)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2101\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2101\"><p>Les anticoagulants peuvent \u00eatre utiles pour r\u00e9duire le risque thromboembolique (TE) associ\u00e9 \u00e0 une fibrillation ou un flutter atrial\u00a0<a href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftn1\" name=\"_ftnref1\">[1]<\/a>\u00a0.<\/p>\n<ul>\n<li>Le risque estim\u00e9 selon le score CHA2DS2-VASc varie de 0 \u00e0 9 points et pr\u00e9dit une incidence annuelle d\u2019AVC variable entre &lt; 1 % et &gt; 20 % (respectivement 0,8 ; 2,0 ; 3,7 ; 5,9 ; 9,3 ; 15,3 ; 19,7 ; 21,5 ; 22,4 ; 23,6 %) [2]. Soit x2 jusque 4 puis x3 de 5 \u00e0 9 (environ)<\/li>\n<li>Il augmente pour une FA de dur\u00e9e &gt; 48 heures et apr\u00e8s cardioversion (entre le 3e et le 30e jour).<\/li>\n<\/ul>\n<p>Tous les patients qui pr\u00e9sentent une FA doivent avoir une estimation du risque thromboembolique (TE), quel que soit le rythme cardiaque au moment de l\u2019examen (ex. conversion ou cardioversion). L\u2019estimation du risque TE est essentielle \u00e0 la prise en charge th\u00e9rapeutique. Elle repose sur le score CHA2DS2-VASc (1). Pour simplifier, le risque TE la premi\u00e8re ann\u00e9e de d\u00e9couverte d\u2019une FA est x 2 de 1 \u00e0 4 puis x 3 au del\u00e0.<\/p>\n<ul>\n<li>Les facteurs de haut risque d\u2019accident thromboembolique sont : un \u00e2ge sup\u00e9rieur \u00e0 75 ans, un ant\u00e9c\u00e9dent d\u2019accident vasculaire c\u00e9r\u00e9bral (AVC), accident isch\u00e9mique transitoire (AIT) ou embolie syst\u00e9mique\u00a0<a href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftn1\" name=\"_ftnref1\">[1]<\/a>, un r\u00e9tr\u00e9cissement mitral ou la pr\u00e9sence d\u2019une proth\u00e8se valvulaire cardiaque m\u00e9canique\u00a0<a href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftn3\" name=\"_ftnref3\">[3]<\/a>.<\/li>\n<li>Un traitement anticoagulant au long court par anticoagulant oral est recommand\u00e9 en pr\u00e9sence d\u2019un facteur de risque thrombo-embolique (grade 1A), \u00e0 l\u2019exception du sexe f\u00e9minin.<\/li>\n<\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2102\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2102\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Score HAS-BLED (risque h\u00e9morragique)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2102\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2102\"><p><span style=\"font-size: 12pt;\">Tous les patients pr\u00e9sentant une FA doivent avoir une \u00e9valuation formelle du risque h\u00e9morragique (ex. score HAS-BLED\u00a0<a href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftn1\" name=\"_ftnref1\">[1]<\/a><a href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftn4\" name=\"_ftnref4\">[4]<\/a>).<\/span><\/p>\n<ul>\n<li><span style=\"font-size: 12pt;\">Chez les patients ayant un score HAS-BLED \u2265 3, prudence et examens r\u00e9guliers sont appropri\u00e9es, ainsi que les efforts \u00e0 corriger les facteurs de risque potentiellement r\u00e9versibles de saignement. Le HAS-BLED score ne doit pas \u00eatre utilis\u00e9 pour exclure les patients de la th\u00e9rapie OAC, mais permettre aux cliniciens de faire une \u00e9valuation \u00e9clair\u00e9e du risque h\u00e9morragique.<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Le risque h\u00e9morragique doit \u00eatre mis en balance avec le b\u00e9n\u00e9fice attendu par un traitement AVK bien suivi (r\u00e9duction d\u2019environ 60% de l\u2019incidence annuelle d\u2019embolie syst\u00e9mique), le b\u00e9n\u00e9fice \u00e9tant d\u2019autant plus fort que le risque primaire est \u00e9lev\u00e9. Si le score HAS-BLED est sup\u00e9rieur au score CHADS2, le risque h\u00e9morragique est sup\u00e9rieur au b\u00e9n\u00e9fice potentiel d\u2019une ACG orale (3). Un niveau \u00e9lev\u00e9 de score HAS-BLED, soit \u00e0 partir de 3 (taux d\u2019accident \u00e9lev\u00e9).<\/span><\/li>\n<\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2103\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2103\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Score ABCD2 (risque de r\u00e9cidive d'un AIT)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2103\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2103\"><p><span style=\"font-size: 16px;\">La d\u00e9finition d&rsquo;AIT d\u00e9signait un d\u00e9ficit neurologique &lt; 24 h, apr\u00e8s 2002 la limite est pass\u00e9e \u00e0 moins d&rsquo;une heure puis on est pass\u00e9 \u00e0 une d\u00e9finition tissulaire car l&rsquo;\u00e9volution des techniques d&rsquo;imagerie ont montr\u00e9 qu&rsquo;environs 30% des patients atteints d&rsquo;AIT <\/span>\u2264 24 heures pr\u00e9sentaient un accident isch\u00e9mique constitu\u00e9 (AIC) sur l\u2019imagerie c\u00e9r\u00e9brale.<br \/><br \/>Actuellement l&rsquo;AHA d\u00e9finit l&rsquo;AIT comme tout d\u00e9ficit neurologique transitoire en rapport avec une isch\u00e9mie c\u00e9r\u00e9brale ou r\u00e9tinienne sans n\u00e9crose tissulaire [1].<br \/><br \/>On avance aussi le terme de syndrome neurovasculaire aigu pour d\u00e9finir la situation clinique correspondant \u00e0 un d\u00e9ficit neurologique focal d\u2019installation brutale d\u2019origine vasculaire pr\u00e9sum\u00e9e.<\/p>\n<p><strong>Le score ABCD\u2026<\/strong><br \/>a \u00e9t\u00e9 d\u00e9velopp\u00e9 pour estimer le risque d \u2019AVC dans la semaine qui suit l\u2019AIT [3].<br \/>Il est cot\u00e9 sur 6 points \u00e0 partir de quatre param\u00e8tres cliniques dont chacun est apparu pr\u00e9dictif d\u2019AVC :<br \/>\u25cf A pour <strong>\u00e2ge<\/strong> (1 point si \u00e2ge \u2265 60 ans),<br \/>\u25cf B pour <strong>blood pressure<\/strong> (1 point si ant\u00e9c\u00e9dents d\u2019HTA d\u00e9finis par le recours \u00e0 un traitement antihypertenseur ou si PAS &gt; 140 mmHg ou PAD \u2265 90 mmHg),<br \/>\u25cf C pour <strong>clinical<\/strong> features (2 points si d\u00e9ficit moteur unilat\u00e9ral, 1 point si dysarthrie ou aphasie sans d\u00e9ficit moteur, 0 point pour tout autre type de sympt\u00f4me),<br \/>\u25cf et D pour <strong>duration<\/strong> of symptoms (2 points si dur\u00e9e des sympt\u00f4mes \u2265 60 minutes, 1 point si dur\u00e9e comprise entre 10 et 59 minutes, 0 point si dur\u00e9e &lt; 10 minutes).<\/p>\n<p>en rajoutant le diab\u00e8te (n\u00e9cessit\u00e9 d&rsquo;un traitement antidiab\u00e9tique), on obtient le score ABCD2 utilis\u00e9 aujourd\u2019hui qui est cot\u00e9 sur 7 points. <br \/>Ce score pr\u00e9dit le risque d\u2019AVC dans les 48 heures qui suivent un AIT.\u00a0<\/p>\n<p><span style=\"color: #000000;\"><strong>Le risque d\u2019AVC \u00e0 48 heures est de :<\/strong><\/span><br \/>\u25cf 0 % pour un score 0 ou 1,<br \/>\u25cf de 1,3 % pour un score 2 ou 3,<br \/>\u25cf de 4,1 % pour un score 4 ou 5,<br \/>\u25cf et de 8,1 % pour un score 6 ou 7,<br \/>permettant de classer les patients en groupes \u00e0 risque <span style=\"color: #4c9900;\"><strong>faible<\/strong> <\/span>(scores 0 \u00e0 3), <span style=\"color: #ff7f00;\"><strong>interm\u00e9diaire<\/strong> <\/span>(scores 4 et 5) ou <span style=\"color: #cc0000;\"><strong>\u00e9lev\u00e9<\/strong> <\/span>(scores 6 et 7).<\/p>\n<p>L&rsquo;AHA pr\u00e9conise d\u2019hospitaliser tout AIT vu dans les 72 heures si ABCD2 \u2265 3 [1] ; <br \/>Pour le National Institute for Clinical Excellence (NICE) il faut hospitaliser si ABCD2 \u2265 4, <br \/><span style=\"font-size: 10pt;\">les autres patients devant b\u00e9n\u00e9ficier du bilan \u00e9tiologique de l\u2019AIT dans la semaine [5].<\/span><\/p>\n<p>\u00a0<\/p>\n<p><span style=\"text-decoration: underline; font-size: 10pt; font-family: tahoma, arial, helvetica, sans-serif;\"><strong>R\u00e9f\u00e9rences\u00a0<\/strong><\/span><br \/><span style=\"font-size: 10pt; font-family: tahoma, arial, helvetica, sans-serif;\">1. EASTON JD, SAVER JL, ALBERS GW et al. Definition and evaluation of <\/span><span style=\"font-size: 10pt; font-family: tahoma, arial, helvetica, sans-serif;\">transient ischemic attack : a scientific statement for healthcare professionals. Stroke, 2009 ; 40 : 2 276-93.<\/span><br \/><span style=\"font-size: 10pt; font-family: tahoma, arial, helvetica, sans-serif;\">2. GILES MF, ROTHWELL PM. Transient ischaemic attack : clinical relevance, risk prediction and urgency of secondary prevention. Curr <\/span><span style=\"font-size: 10pt; font-family: tahoma, arial, helvetica, sans-serif;\">Opin Neurol, 2009 ; 22 : 46-53.<\/span><br \/><span style=\"font-size: 10pt; font-family: tahoma, arial, helvetica, sans-serif;\">3. ROTHWELL PM, GILES MF, FLOSSMANN E et al. A simple score (ABCD) to identify individuals at high early risk of stroke after transient ischaemic attack. Lancet, 2005 ; 366 : 29-36.<\/span><br \/><span style=\"font-size: 10pt; font-family: tahoma, arial, helvetica, sans-serif;\">4. JOHNSTON SC, ROTHWELL PM, NGUYEN-HUYNH MN et al. Validation and refinement of scores to predict very early stroke risk after transient ischaemic attack. Lancet, 2007 ; 369 : 283-92.<\/span><br \/><span style=\"font-size: 10pt; font-family: tahoma, arial, helvetica, sans-serif;\">5. AMARENCO P, LABREUCHE J, LAVALLEE PC et al. Does ABCD2 score below 4 allow more time to evaluate patients with a transient ischemic attack ? Stroke, 2009 ; 40 : 3 091-5.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2104\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2104\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">R\u00e9f\u00e9rences <\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2104\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2104\"><p><span style=\"font-size: 12pt; color: #999999;\">R\u00e9f\u00e9rences<\/span><\/p>\n<p><span style=\"font-size: 12pt; color: #999999;\"><a style=\"color: #999999;\" href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftn1\" name=\"_ftnref1\"><span style=\"font-size: 10pt;\">[1]<\/span><\/a><span style=\"font-size: 10pt;\">\u00a0Hindricks G, Potpara T, Dagres N, et al;\u00a0<a style=\"color: #999999;\" href=\"https:\/\/doi.org\/10.1093\/eurheartj\/ehaa612\">ESC Scientific Document Group. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS)<\/a>. Eur Heart J. 2020 Aug 29:ehaa612. (free access) Lire aussi Camm AJ, Lip GY, 2012 focused update of the ESC Guidelines for the management of atrial fibrillation: An update of the 2010 ESC Guidelines for the management of atrial fibrillation. Eur Heart J. 2012;33:2719-47 (free access)<\/span><\/span><\/p>\n<p><span style=\"font-size: 10pt; color: #999999;\"><a style=\"color: #999999;\" href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftn2\" name=\"_ftnref2\">[2]<\/a>\u00a0Taboulet P, Duchenne J, Lefort H, et al.\u00a0\u00a0<a style=\"color: #999999;\" href=\"http:\/\/www.sfmu.org\/upload\/consensus\/rpc_fa2015.pdf\">Prise en charge de la fibrillation atriale en m\u00e9decine d\u2019urgence. Recommandations de la SFMU en partenariat avec la SFC.<\/a>\u00a0Ann. Fr. Med. Urgence (2015)<\/span><\/p>\n<p><span style=\"font-size: 10pt; color: #999999;\"><a style=\"color: #999999;\" href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftnref3\" name=\"_ftn3\">[3]<\/a>\u00a0Singer DE, et al. American College of Chest Physicians. Antithrombotic therapy in atrial fibrillation: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008;133(6 Suppl):546S-592S.<\/span><\/p>\n<p><span style=\"font-size: 10pt; color: #999999;\"><a style=\"color: #999999;\" href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftn4\" name=\"_ftnref4\">[4]<\/a>\u00a0Pisters R et al. A novel user friendly score (HAS-BLED) to assess one-year risk of major bleeding in atrial fibrillation patients: The Euro Heart Survey. Chest. 2010;138(5):1093-100<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cb0384d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cb0384d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-eab2cae\" data-id=\"eab2cae\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5e383ed elementor-widget elementor-widget-text-editor\" data-id=\"5e383ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2><strong><span style=\"font-size: 14pt;\">Indications des anticoagulants<\/span><\/strong><\/h2>\n<p><span style=\"font-size: 12pt;\">La d\u00e9cision d\u2019anticoaguler un patient d\u00e9pend de plusieurs facteurs\u00a0<a href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftn2\" name=\"_ftnref2\">[2]<\/a>\u00a0:<\/span><\/p>\n<ul>\n<li><span style=\"font-size: 12pt;\">La FA est-elle r\u00e9cente \u2264 48 h ?<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Une cardioversion doit-elle \u00eatre r\u00e9alis\u00e9e ?<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Existe-t-il un facteur d\u00e9clenchant pr\u00e9cis ?<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Le patient a-t-il des facteurs de risque embolique CHA2DS2-VASc ou un r\u00e9tr\u00e9cissement mitrale ?<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Le patient a-t-il des facteurs de risque h\u00e9morragique (en particulier digestif, c\u00e9r\u00e9bral, urologique) ?<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Quelles sont les pr\u00e9f\u00e9rences du patient ?<\/span><\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-82ab46f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"82ab46f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b999b0d\" data-id=\"b999b0d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6c25b4a elementor-widget elementor-widget-toggle\" data-id=\"6c25b4a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1131\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1131\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">1 \u2013 FA r\u00e9cente : pas de facteur de risque embolique\u00a0<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1131\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1131\"><ul>\n<li>si crise r\u00e9duite \u2264 48 h : rien (solution pr\u00e9f\u00e9rable) ou AOD quatre semaines, recommand\u00e9 en m\u00e9decine d\u2019urgence\u00a0<a href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftn2\" name=\"_ftnref2\">[2]<\/a><\/li>\n<li>si crise non r\u00e9duite &gt; 48 h et pas de cardioversion programm\u00e9e : rien\u00a0<a href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftn2\" name=\"_ftnref2\">[2]<\/a><\/li>\n<li>si crise non r\u00e9duite &gt; 48 h et cardioversion programm\u00e9e : AOD ou AVK \u00e0 dose efficace* avec INR (2,5) au moins trois semaines (ou une ETO qui \u00e9limine la pr\u00e9sence d\u2019une thrombose de l\u2019auriculaire gauche) avant cardioversion et quatre semaines au del\u00e0. Une HBPM est acceptable.<\/li>\n<\/ul>\n<div class=\"cadre\">\n<p>L\u2019aspirine n\u2019a plus de place dans la pr\u00e9vention du risque TE induit par la FA<\/p>\n<p>(\u00a0\u00bb\u00a0<em>antiplatelet therapy cannot be recommended for stroke prevention in AF patients<\/em>\u00ab\u00a0)\u00a0\u00a0<a href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftn1\" name=\"_ftnref1\">[1]<\/a><\/p>\n<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1132\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1132\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">2 \u2013\u00a0FA r\u00e9cente : facteur de risque embolique +<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1132\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1132\"><ul>\n<li><span style=\"font-size: 12pt;\">si crise r\u00e9duite \u2264 48 h et absence de facteur d\u00e9clenchant : un traitement par ACO est recommand\u00e9 (niveau IIA)\u00a0<a href=\"https:\/\/www.e-cardiogram.com\/fibrillation-atriale-7b-anticoagulant\/#_ftn2\" name=\"_ftnref2\">[2]<\/a>. Chez une femme &lt; 65 ans, sans autre facteur de risque, aucun traitement n\u2019est recommand\u00e9.<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">si crise r\u00e9duite \u2264 48 h + facteur d\u00e9clenchant identifi\u00e9 et corrig\u00e9 : un traitement par ACO est discutable (discussion avec le patient et interdisciplinarit\u00e9; un d\u00e9lai de r\u00e9flexion est souvent n\u00e9cessaire : dans l\u2019intervalle de r\u00e9flexion, on peut donner une HBPM ou rien)<\/span><\/li>\n<\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1133\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1133\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">3 \u2013 FA r\u00e9cente : facteur de risque embolique ++<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1133\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1133\"><ul>\n<li>pas de cardioversion sans ETO. Si la cardioversion est spontan\u00e9e la conduite \u00e0 tenir est la m\u00eame que ci-dessous :\n<ul>\n<li>h\u00e9parinoth\u00e9rapie efficace (HNF ou HBPM) jusqu\u2019au relais ACO<\/li>\n<li>ACO efficace (AOD ou AVK INR 2,5) jusqu\u2019\u00e0 une \u00e9ventuelle cardioversion programm\u00e9e (cf. ci-dessus) sauf contrindication (voir score HAS-BLED).<\/li>\n<\/ul>\n<\/li>\n<\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1134\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1134\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">4 \u2013 FA r\u00e9cente mal tol\u00e9r\u00e9e  <\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1134\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1134\"><p>si crise mal tol\u00e9r\u00e9e et cardioversion pr\u00e9coce avant 48 h (\u00e9lectrique ou pharmacologique) : une h\u00e9parinoth\u00e9rapie efficace est recommand\u00e9e, si possible au pr\u00e9alable (recommandation IC), suivie par une anticoagulation efficace au moins quatre semaines ou davantage si facteurs de risque.<\/p>\n<ul>\n<li>\u00a0<\/li>\n<\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1135\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1135\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">5 \u2013 FA et accident isch\u00e9mique transitoire<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1135\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1135\"><ul>\n<li>si AIT x = urgence anticoagulation<\/li>\n<li>Pas d\u2019h\u00e9parinoth\u00e9rapie pr\u00e9alable sauf \u00e9ventuellement si AIT r\u00e9p\u00e9t\u00e9s et rapproch\u00e9s.<\/li>\n<\/ul>\n<p>Pas d\u2019aspirine ou autre antiagr\u00e9gant, m\u00eame en cas de r\u00e9cidive d\u2019AVC sous AVK efficace.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1136\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-1136\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">6 \u2013 FA et AVC<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1136\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-1136\"><ul>\n<li>un traitement antiplaquettaire par aspirine (\u00e0 la posologie de 325 mg\/j) est recommand\u00e9 apr\u00e8s un AVC isch\u00e9mique en attendant la d\u00e9cision d\u2019anticoaguler efficacement. Des doses \u2265 50 mg sont acceptables.<\/li>\n<li>Une prophylaxie de la maladie thrombo-embolique veineuse par une injection sous-cutan\u00e9e d\u2019anticoagulant est recommand\u00e9e. IPP \u00e0 envisager.<\/li>\n<li>Une ACO ne doit \u00eatre envisag\u00e9e qu\u2019apr\u00e8s un d\u00e9lai d\u00e9pendant de la s\u00e9v\u00e9rit\u00e9 de l\u2019AVC et une absence d\u2019h\u00e9morragie c\u00e9r\u00e9brale \u00e0 ce stade<\/li>\n<li>\u00a0<\/li>\n<\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1137\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-1137\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">7 \u2013 FA et coronarien stable sous antiplaquettaire<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1137\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-1137\"><p>En l\u2019absence d\u2019\u00e9v\u00e8nement isch\u00e9mique ou angioplastie\/stent dans l\u2019ann\u00e9e pr\u00e9c\u00e9dente\u00a0<strong>:<\/strong><\/p>\n<ul>\n<li>AOD (ou AVK) en monoth\u00e9rapie et STOP antiplaquettaires<\/li>\n<\/ul>\n<p>En pr\u00e9sence d\u2019\u00e9v\u00e8nement isch\u00e9mique ou stent dans l\u2019ann\u00e9e pr\u00e9c\u00e9dente :<\/p>\n<ul>\n<li><em>Antithrombotic strategies following coronary artery stenting in patients with AF at moderate to high thrombo-embolic risk<\/em><\/li>\n<\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-23ed8e6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"23ed8e6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f6949ac\" data-id=\"f6949ac\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0e7b3fb elementor-widget elementor-widget-heading\" data-id=\"0e7b3fb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Gestion des traitements anticoagulants (AVK, AOD, Anti plaquettaires)<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8d65815 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8d65815\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e313c1d\" data-id=\"e313c1d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-43f9b29 elementor-widget elementor-widget-video\" data-id=\"43f9b29\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/_yUhL1_FJW8&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-904e10f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"904e10f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1221f15\" data-id=\"1221f15\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-66e533c elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"66e533c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.phnvb.ch\/upload\/docs\/application\/pdf\/2020-11\/20201112_anticoagulation_peroperatoire.pdf\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Gestion p\u00e9riop\u00e9ratoire des traitements anticoagulants<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-892f556 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"892f556\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1e371b9\" data-id=\"1e371b9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-29a6233 elementor-widget elementor-widget-image\" data-id=\"29a6233\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"397\" src=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/CAT-AOD.jpg\" class=\"attachment-large size-large wp-image-40\" alt=\"\" srcset=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/CAT-AOD.jpg 600w, https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/CAT-AOD-300x199.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-de52fb7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"de52fb7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-92cd130\" data-id=\"92cd130\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8f575d8 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"8f575d8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/reanesth.chu-bordeaux.fr\/Formation-continue\/Cours-europ%C3%A9ens-du-grand-Sud-Ouest\/Cours-Europ%C3%A9ens-du-Grand-Sud-Ouest-2017\/Textes\/Gestion-p%C3%A9riop%C3%A9ratoire-des-anticoagulants-oraux-directs-Propositions-du-GIHP-S-Roullet.pdf\/#:~:text=En%20pr%C3%A9op%C3%A9ratoire%2C%20le%20patient%20ne,reprise%20du%20traitement%20est%20retard%C3%A9e.\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Gestion p\u00e9riop\u00e9ratoire des AOD<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c7b1de6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c7b1de6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dc14e53\" data-id=\"dc14e53\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ad3fbb9 elementor-widget elementor-widget-toggle\" data-id=\"ad3fbb9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1811\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1811\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Actes peu h\u00e9morragiques ...<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1811\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1811\"><p>Pas d&rsquo;arr\u00eat des traitements<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1812\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1812\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Actes invasifs \u00e0 risque h\u00e9morragique faible<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1812\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1812\"><p><strong>En pr\u00e9op<\/strong>\u00a0: pas de prise la veille et le matin de l\u2019intervention (si 1 seule prise \u00e8 pas de prise le jours de l\u2019intervention uniquement), pas de relais pas de dosage.<\/p>\n<p><strong>Reprise<\/strong> \u00e0 l\u2019heure habituelle (\u00e0 6h de la fin de l\u2019intervention)<\/p>\n<p>\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1813\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1813\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Proc\u00e9dures \u00e0 risque h\u00e9morragique \u00e9lev\u00e9s<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1813\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1813\"><p>J-3 ( si cl cr\u00e9at &gt; ou = 30) \u00e0 J-5 (entre 30 et 50)<br \/>J-4 si Cl. Cr\u00e9at &gt; 50<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1814\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1814\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Proc\u00e9dures \u00e0 tr\u00e8s haut risque h\u00e9morragique<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1814\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1814\"><p>Neurochirurgie intracr\u00e2nienne ou les PL \/Rachi anesth\u00e9sies<\/p>\n<p>D\u00e9lais d\u2019arr\u00eat plus long (derni\u00e8re prise \u00e0 J-5) pour les xabans et le dabigatran (en l\u2019absence d\u2019insuff. R\u00e9nale) sans relais avec une h\u00e9parine (\u00b1 mesure [AOD] si accumulation suspect\u00e9e (insuff. R\u00e9nale, &gt; 80 ans)<\/p>\n<p>Pas de PL ou de p\u00e9ri\/rachi anesth\u00e9sie ou de bloc profond si [AOD] &gt; 0 d\u00e9lais d\u2019arr\u00eat insuffisant<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1815\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1815\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Phase pr\u00e9coce d'une EP \/ TVP<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1815\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1815\"><p>Rivaroxaban 15mg x2 pendant 3 semaines <br \/>(Apixaban 10mg x2 pendant 10j)<\/p>\n<p>==&gt; \u00e9viter de programmer une chirurgie<\/p>\n<p>Pas de relais pas de dosages (si d\u00e9lais d\u2019arr\u00eat respect\u00e9s)<\/p>\n<p>Reprise \u00e0 dose pr\u00e9ventive apr\u00e8s 6h (HBPM\u00a0?)<\/p>\n<p>Anticoagulation \u00e0 dose \u00ab curative \u00bb d\u00e8s que l\u2019h\u00e9mostase le permet (entre 24 et 72 heures). <br \/>Pas de chevauchement des mol\u00e9cules, attendre 12h apr\u00e8s l\u2019HBPM<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1816\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-1816\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">En cas de chirurgie en URGENCE<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1816\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-1816\"><p><a href=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/atc-et-urgence.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-78 size-full\" src=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/atc-et-urgence.jpg\" alt=\"\" width=\"600\" height=\"565\" srcset=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/atc-et-urgence.jpg 600w, https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/atc-et-urgence-300x283.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1817\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-1817\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">CAT en cas d'h\u00e9morragie MAJEURE <\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1817\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-1817\"><p><a href=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/PEC-saignements-sous-anti-thrombotiques.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-83 size-full\" src=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/PEC-saignements-sous-anti-thrombotiques.jpg\" alt=\"\" width=\"600\" height=\"589\" srcset=\"https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/PEC-saignements-sous-anti-thrombotiques.jpg 600w, https:\/\/pratiquement.com\/wp-content\/uploads\/2022\/04\/PEC-saignements-sous-anti-thrombotiques-300x295.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2fae25d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2fae25d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4e8afd5\" data-id=\"4e8afd5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b3cc63a elementor-widget elementor-widget-heading\" data-id=\"b3cc63a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Risque infectieux <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c4b2cf8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c4b2cf8\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a838299\" data-id=\"a838299\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-748174d elementor-widget elementor-widget-heading\" data-id=\"748174d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Antibioprophylaxie<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ec920a6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ec920a6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3584114\" data-id=\"3584114\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b7045ed elementor-widget elementor-widget-heading\" data-id=\"b7045ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Adaptation des trt<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-56558f1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"56558f1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7828d0e\" data-id=\"7828d0e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-300d428 elementor-widget elementor-widget-heading\" data-id=\"300d428\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Per op<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a0b56e6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a0b56e6\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5dfec22\" data-id=\"5dfec22\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-85813ab elementor-widget elementor-widget-heading\" data-id=\"85813ab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Post \nop<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7676ffe elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7676ffe\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1a3569c\" data-id=\"1a3569c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-92574bf elementor-widget elementor-widget-heading\" data-id=\"92574bf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">R\u00e9animation\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1ade164 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1ade164\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0b8010c\" data-id=\"0b8010c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8c2a7ec elementor-widget elementor-widget-heading\" data-id=\"8c2a7ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Cardiologique<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-17e4675 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"17e4675\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4263e2c\" data-id=\"4263e2c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d5b6510 elementor-widget elementor-widget-heading\" data-id=\"d5b6510\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Respiratoire<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-ee6c15a\" data-id=\"ee6c15a\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-34e8dcd elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"34e8dcd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/etudiant-hospitalier.com\/equipements\/ventilation-mecanique\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Ventilation m\u00e9canique<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c39fb3b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c39fb3b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3243bb2\" data-id=\"3243bb2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4786db1 elementor-widget elementor-widget-text-editor\" data-id=\"4786db1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Pression motrice = Pplat &#8211; PEEPtot (= \u0394P) &lt; 14 cmH2O<\/p>\n<p>6 ml\/kg de poids pr\u00e9dit<\/p>\n<p>au repos les muscles respiratoires consomment moins de 5% de l&rsquo;oxyg\u00e8ne<\/p>\n<p>Compliance = Vt \/ \u0394P en moyenne = 50ml\/cmH2O chez l&rsquo;adulte<\/p>\n<p>PEP \u00e9lev\u00e9 &gt; 14 cmH2O (augmenter PEP jusqu&rsquo;\u00e0 Pplateau &lt;29<\/p>\n<p>On calcul le Pa\/Fi en PEP 5 et Vt = 6 ml\/kg PP<\/p>\n<p>Man\u0153uvre de recrutement (= dangereux \u00e0 utiliser avec prudence)<\/p>\n<p>L\u00e9gionellose =&gt; l\u00e9vofloxacine (FQ)<\/p>\n<p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-bf39164\" data-id=\"bf39164\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2ef2670 elementor-widget elementor-widget-image\" data-id=\"2ef2670\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/i0.wp.com\/etudiant-hospitalier.com\/wp-content\/uploads\/2020\/09\/6mlparkg.jpg?ssl=1\" title=\"\" alt=\"Vt 6 ml\/kg selon le poids pr\u00e9dit\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d6213d0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d6213d0\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-adcd682\" data-id=\"adcd682\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c7f162f elementor-widget elementor-widget-heading\" data-id=\"c7f162f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">(Calculateur poids id\u00e9al selon la taille)<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7eae700 elementor-widget elementor-widget-text-editor\" data-id=\"7eae700\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"forminator-ui forminator-custom-form forminator-custom-form-145 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-145\" data-uid=\"69f5ff510fdfa\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-145\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-145 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"145\"\n\t\t\t\t data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69f5ff510fdfa\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_69f5ff510fdfa\" id=\"forminator-field-number-1_69f5ff510fdfa-label\" class=\"forminator-label\">Taille (cm) <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-1\" value=\"152,4\" placeholder=\"\" id=\"forminator-field-number-1_69f5ff510fdfa\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"1\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;1&#039;\" type=\"number\" step=\"any\" min=\"152.4\" max=\"254\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"calculation-1-field_69f5ff510fdfa\" id=\"calculation-1-field_69f5ff510fdfa-label\" class=\"forminator-label\">Poids id\u00e9al pour un homme<\/label><div class=\"forminator-input forminator-input-with-prefix\"><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69f5ff510fdfa\" class=\"forminator-calculation\" data-formula=\"50+0.9*({number-1}-152.4)\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">kg<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-2\" class=\"forminator-field-calculation forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"calculation-2-field_69f5ff510fdfa\" id=\"calculation-2-field_69f5ff510fdfa-label\" class=\"forminator-label\">Poids id\u00e9al pour une femme<\/label><div class=\"forminator-input forminator-input-with-prefix\"><input type=\"text\" name=\"calculation-2\" value=\"\" id=\"calculation-2-field_69f5ff510fdfa\" class=\"forminator-calculation\" data-formula=\"45.5+0.91*({number-1}-152.4)\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><span class=\"forminator-suffix\">kg<\/span><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Envoyer le message<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"0bc9f2086e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F6\" \/><input type=\"hidden\" name=\"form_id\" value=\"145\"><input type=\"hidden\" name=\"page_id\" value=\"6\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/pratiquement.com\/?page_id=6\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5421ab7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5421ab7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b2d0225\" data-id=\"b2d0225\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5e4a097 elementor-widget elementor-widget-heading\" data-id=\"5e4a097\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">(Calculateur BMI)<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56ad457 elementor-widget elementor-widget-text-editor\" data-id=\"56ad457\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"forminator-ui forminator-custom-form forminator-custom-form-133 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-133\" data-uid=\"69f5ff5113505\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-133\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-133 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"133\"\n\t\t\t\t data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69f5ff5113505\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_69f5ff5113505\" id=\"forminator-field-number-1_69f5ff5113505-label\" class=\"forminator-label\">Poids (kg) <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-1\" value=\"\" placeholder=\"\" id=\"forminator-field-number-1_69f5ff5113505\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"20\" max=\"250\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_69f5ff5113505\" id=\"forminator-field-number-2_69f5ff5113505-label\" class=\"forminator-label\">Taille (cm) <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-2\" value=\"\" placeholder=\"\" id=\"forminator-field-number-2_69f5ff5113505\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"100\" max=\"260\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"calculation-1-field_69f5ff5113505\" id=\"calculation-1-field_69f5ff5113505-label\" class=\"forminator-label\">Indice de Masse Corporelle<\/label><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69f5ff5113505\" class=\"forminator-calculation forminator-input\" data-formula=\"{number-1}*10000\/{number-2}\/{number-2}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"1\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"1\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;1&#039;\" readonly=\"readonly\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69f5ff5113505\" id=\"forminator-field-textarea-1_69f5ff5113505-label\" class=\"forminator-label\">Maigreur<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_69f5ff5113505\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:10px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_69f5ff5113505\" id=\"forminator-field-textarea-2_69f5ff5113505-label\" class=\"forminator-label\">Corpulence NORMALE<\/label><textarea name=\"textarea-2\" placeholder=\"\" id=\"forminator-field-textarea-2_69f5ff5113505\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:10px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_69f5ff5113505\" id=\"forminator-field-textarea-3_69f5ff5113505-label\" class=\"forminator-label\">SURPOIDS<\/label><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_69f5ff5113505\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:10px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_69f5ff5113505\" id=\"forminator-field-textarea-4_69f5ff5113505-label\" class=\"forminator-label\">Ob\u00e9sit\u00e9 Mod\u00e9r\u00e9e<\/label><textarea name=\"textarea-4\" placeholder=\"\" id=\"forminator-field-textarea-4_69f5ff5113505\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:20px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-5\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-5_69f5ff5113505\" id=\"forminator-field-textarea-5_69f5ff5113505-label\" class=\"forminator-label\">Ob\u00e9sit\u00e9 S\u00e9v\u00e8re<\/label><textarea name=\"textarea-5\" placeholder=\"\" id=\"forminator-field-textarea-5_69f5ff5113505\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:10px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-6\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-6_69f5ff5113505\" id=\"forminator-field-textarea-6_69f5ff5113505-label\" class=\"forminator-label\">Ob\u00e9sit\u00e9 Morbide<\/label><textarea name=\"textarea-6\" placeholder=\"\" id=\"forminator-field-textarea-6_69f5ff5113505\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:10px;\" ><\/textarea><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Envoyer le message<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"15397b49b0\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F6\" \/><input type=\"hidden\" name=\"form_id\" value=\"133\"><input type=\"hidden\" name=\"page_id\" value=\"6\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/pratiquement.com\/?page_id=6\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e678632 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e678632\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b46e4c4\" data-id=\"b46e4c4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a7c6d8e elementor-widget elementor-widget-image\" data-id=\"a7c6d8e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/i0.wp.com\/etudiant-hospitalier.com\/wp-content\/uploads\/2022\/01\/escalade-trt-sdra.jpg?ssl=1\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1cce455 elementor-widget elementor-widget-text-editor\" data-id=\"1cce455\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Algorithme de prise en charge des SDRA selon la gravit\u00e9 en utilisant le Pa\/Fi<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa29a23 elementor-widget elementor-widget-heading\" data-id=\"aa29a23\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Calculateur Pa\/Fi<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-47d66cf elementor-widget elementor-widget-text-editor\" data-id=\"47d66cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"forminator-ui forminator-custom-form forminator-custom-form-126 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-126\" data-uid=\"69f5ff511598d\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-126\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-126 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"126\"\n\t\t\t\t data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69f5ff511598d\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_69f5ff511598d\" id=\"forminator-field-number-1_69f5ff511598d-label\" class=\"forminator-label\">PaO2 <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-1\" value=\"\" placeholder=\"\" id=\"forminator-field-number-1_69f5ff511598d\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"2\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" min=\"30\" max=\"200\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_69f5ff511598d\" id=\"forminator-field-number-2_69f5ff511598d-label\" class=\"forminator-label\">FiO2 <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-2\" value=\"0.21\" placeholder=\"\" id=\"forminator-field-number-2_69f5ff511598d\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"2\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" min=\"0.21\" max=\"1.00\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"calculation-1-field_69f5ff511598d\" id=\"calculation-1-field_69f5ff511598d-label\" class=\"forminator-label\">Rapport Pa\/Fi<\/label><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69f5ff511598d\" class=\"forminator-calculation forminator-input\" data-formula=\"{number-1}\/{number-2}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69f5ff511598d\" id=\"forminator-field-textarea-1_69f5ff511598d-label\" class=\"forminator-label\">SDRA s\u00e9v\u00e8re<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_69f5ff511598d\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" >Ventilation protectrice (6 ml\/kg PP) PEP \u00e9lev\u00e9e &gt; 14 cm H2O CURARISATION (d\u00e8s que le Pa\/Fi &lt; 150) D\u00e9cubitus ventral HFO (abandonn\u00e9 le 22 janvier 2013) ECMO<\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_69f5ff511598d\" id=\"forminator-field-textarea-2_69f5ff511598d-label\" class=\"forminator-label\">SDRA mod\u00e9r\u00e9<\/label><textarea name=\"textarea-2\" placeholder=\"\" id=\"forminator-field-textarea-2_69f5ff511598d\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" >Ventilation protectrice (6 ml\/kg PP) PEP moyenne \/ PEP \u00e9lev\u00e9e &gt; 14 cm H2O (SDRA MOD\u00c9RE S\u00c9V\u00c8RE) CURARISATION (Pa\/Fi &lt; 150)<\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_69f5ff511598d\" id=\"forminator-field-textarea-3_69f5ff511598d-label\" class=\"forminator-label\">SDRA l\u00e9ger<\/label><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_69f5ff511598d\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" >VNI possible (ne doit pas retarder une intubation) Ventilation protectrice (6 ml\/kg PP) PEP basse \/ mod\u00e9r\u00e9e + 5 \u00e0 10 (Pa\/Fi = 300 \u00e0 150)<\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_69f5ff511598d\" id=\"forminator-field-textarea-4_69f5ff511598d-label\" class=\"forminator-label\">Pas de SDRA<\/label><textarea name=\"textarea-4\" placeholder=\"\" id=\"forminator-field-textarea-4_69f5ff511598d\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Envoyer le message<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"3ac99b95a8\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F6\" \/><input type=\"hidden\" name=\"form_id\" value=\"126\"><input type=\"hidden\" name=\"page_id\" value=\"6\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/pratiquement.com\/?page_id=6\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-0cd9ddf\" data-id=\"0cd9ddf\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f767d75 elementor-widget elementor-widget-heading\" data-id=\"f767d75\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">SDRA l\u00e9ger<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d9866bc elementor-widget elementor-widget-text-editor\" data-id=\"d9866bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>VNI possible <br \/><span style=\"font-size: 8pt; font-family: 'book antiqua', palatino, serif; color: #999999;\">(ne doit pas retarder une intubation)<\/span><br \/>Ventilation protectrice (6 ml\/kg PP)<br \/>PEP basse \/ mod\u00e9r\u00e9e (5 \u00e0 10)<br \/><span style=\"color: #999999; font-size: 8pt;\">(Pa\/Fi = 300 \u00e0 150)<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-93ad5cb elementor-widget elementor-widget-heading\" data-id=\"93ad5cb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">SDRA mod\u00e9r\u00e9<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8987564 elementor-widget elementor-widget-text-editor\" data-id=\"8987564\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Ventilation protectrice (6 ml\/kg PP)<br \/>PEP moyenne \/ PEP \u00e9lev\u00e9e &gt; 14 cm H2O <br \/><span style=\"font-size: 8pt; color: #999999;\">(SDRA MOD\u00c9RE S\u00c9V\u00c8RE)<\/span><br \/>CURARISATION (Pa\/Fi &lt; 150)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b0ca409 elementor-widget elementor-widget-heading\" data-id=\"b0ca409\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">SDRA s\u00e9v\u00e8re<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-892bcc1 elementor-widget elementor-widget-text-editor\" data-id=\"892bcc1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Ventilation protectrice (6 ml\/kg PP)<br \/>PEP \u00e9lev\u00e9e &gt; 14 cm H2O<br \/>CURARISATION <br \/><span style=\"font-size: 8pt;\">(d\u00e8s que le Pa\/Fi &lt; 150)<\/span><br \/>D\u00e9cubitus ventral<br \/><span style=\"font-size: 8pt; color: #999999;\">HFO (abandonn\u00e9 le 22 janvier 2013)<\/span><br \/>ECMO<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7263347 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"7263347\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/etudiant-hospitalier.com\/equipements\/ecmo\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Plus d'infos sur l'ECMO<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d3c05e3 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"d3c05e3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/etudiant-hospitalier.com\/equipements\/ventilation-mecanique\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Ventilation m\u00e9canique<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5f71267 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5f71267\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d326707\" data-id=\"d326707\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dafdbea elementor-widget elementor-widget-heading\" data-id=\"dafdbea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Hydro Electrolytique<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-de20ed9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"de20ed9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0136464\" data-id=\"0136464\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b4624cd elementor-widget elementor-widget-heading\" data-id=\"b4624cd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">R\u00e9nale<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4967d67 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4967d67\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-688c228\" data-id=\"688c228\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d55cf21 elementor-widget elementor-widget-heading\" data-id=\"d55cf21\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u00c9valuation de la fonction r\u00e9nale<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-409a580 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"409a580\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0cdf2da\" data-id=\"0cdf2da\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ea558b4 elementor-widget elementor-widget-heading\" data-id=\"ea558b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Infectieuse<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b2419b3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b2419b3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8f61dcc\" data-id=\"8f61dcc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b3ad771 elementor-widget elementor-widget-text-editor\" data-id=\"b3ad771\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Vous pouvez nous contacter \u00e0 l&rsquo;adresse <a href=\"mailto:contact@pratiquement.com\">contact@pratiquement.com<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Plein d&rsquo;informations utiles dans diff\u00e9rents domaines Informatique pratique Cours pour les petits et les grands (de la maternelle \u00e0 la fac) Anesth\u00e9sie Pr\u00e9op Consultation \/\u00a0Examens pr\u00e9op\u00e9ratoire \/ ECBU pr\u00e9op \u00c9valuation cardiovasculaire en chirurgie non cardiaque \/ ECG Intubation difficile ? Ventilation au masque difficile ?\u00a0Risque allergique \/ Risque d&rsquo;inhalation (Je\u00fbne pr\u00e9op\u00e9ratoire) Pr\u00e9m\u00e9dication \/\u00a0Adaptation des traitements &#8230; <a title=\"Anesth\u00e9sie R\u00e9animation\" class=\"read-more\" href=\"https:\/\/pratiquement.com\/?page_id=6\" aria-label=\"En savoir plus sur Anesth\u00e9sie R\u00e9animation\">Lire la suite<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/pratiquement.com\/index.php?rest_route=\/wp\/v2\/pages\/6","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pratiquement.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pratiquement.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pratiquement.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pratiquement.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6"}],"version-history":[{"count":113,"href":"https:\/\/pratiquement.com\/index.php?rest_route=\/wp\/v2\/pages\/6\/revisions"}],"predecessor-version":[{"id":310,"href":"https:\/\/pratiquement.com\/index.php?rest_route=\/wp\/v2\/pages\/6\/revisions\/310"}],"wp:attachment":[{"href":"https:\/\/pratiquement.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}