Une nouvelle recommandation de bonne pratique a \u00e9t\u00e9 \u00e9labor\u00e9e pour la prise en charge des voies a\u00e9riennes de l\u2019adulte au bloc op\u00e9ratoire. Elle est port\u00e9e par la Soci\u00e9t\u00e9 Fran\u00e7aise d\u2019Anesth\u00e9sie et R\u00e9animation (SFAR), en association avec le Club d\u2019Anesth\u00e9sie-R\u00e9animation en ORL (CARORL), le Coll\u00e8ge d\u2019Anesth\u00e9sie-R\u00e9animation en Obst\u00e9trique (CARO), le groupe Facteurs Humains en Sant\u00e9 (FHS) et la Soci\u00e9t\u00e9 Fran\u00e7aise d\u2019ORL (SFORL). La Haute Autorit\u00e9 de sant\u00e9 (HAS) a accompagn\u00e9 ce travail dans le cadre de la proc\u00e9dure de labellisation des recommandations \u00e9labor\u00e9es par des organismes professionnels.<\/p>\n
Cette mise \u00e0 jour intervient apr\u00e8s les recommandations SFAR de 2017, afin d\u2019int\u00e9grer les \u00e9volutions r\u00e9centes des connaissances, des pratiques et des technologies. Sont notamment prises en compte la vid\u00e9olaryngoscopie, l\u2019oxyg\u00e9nation nasale \u00e0 haut d\u00e9bit, les dispositifs supraglottiques de seconde g\u00e9n\u00e9ration, les abords sous-glottiques d\u2019urgence, ainsi que les apports relatifs aux facteurs humains en sant\u00e9. Les recommandations compl\u00e8tent les r\u00e9f\u00e9rentiels existants, en particulier pour l\u2019identification des situations \u00e0 risque d\u2019intubation difficile, la pr\u00e9oxyg\u00e9nation et l\u2019extubation.<\/p>\n
La strat\u00e9gie propos\u00e9e repose sur une \u00e9valuation b\u00e9n\u00e9fice-risque individualis\u00e9e, tenant compte de la situation clinique de chaque patient, du contexte de soins, des comp\u00e9tences disponibles et des ressources mobilisables dans l\u2019\u00e9tablissement. L\u2019exp\u00e9rience des patients est int\u00e9gr\u00e9e \u00e0 la d\u00e9marche, avec la contribution de l\u2019association Corasso, notamment en mati\u00e8re d\u2019information, de participation des patients et de tra\u00e7abilit\u00e9 du parcours, lorsque l\u2019\u00e9tat clinique le permet.<\/p>\n
Les objectifs affich\u00e9s sont de fournir un cadre d\u2019aide \u00e0 la d\u00e9cision pour la prise en charge des voies a\u00e9riennes de l\u2019adulte au bloc op\u00e9ratoire, de soutenir les professionnels confront\u00e9s \u00e0 des situations courantes ou complexes et d\u2019am\u00e9liorer la qualit\u00e9 et la s\u00e9curit\u00e9 des soins. Les recommandations visent \u00e0 contribuer \u00e0 la r\u00e9duction de la morbi-mortalit\u00e9 li\u00e9e aux difficult\u00e9s de gestion des voies a\u00e9riennes. Le document se limite aux points cl\u00e9s consid\u00e9r\u00e9s comme prioritaires et ne reprend pas les r\u00e8gles g\u00e9n\u00e9rales de bonnes pratiques en anesth\u00e9sie-r\u00e9animation, jug\u00e9es acquises.<\/p>\n
Les destinataires sont l\u2019ensemble des professionnels impliqu\u00e9s dans la gestion des voies a\u00e9riennes de l\u2019adulte au bloc op\u00e9ratoire ou sur un plateau technique interventionnel. Les patients concern\u00e9s sont des adultes b\u00e9n\u00e9ficiant d\u2019une proc\u00e9dure dans ces environnements. Les sp\u00e9cificit\u00e9s de la prise en charge p\u00e9diatrique et des soins critiques ne sont pas couvertes. Les recommandations sont structur\u00e9es en plusieurs champs compl\u00e9mentaires, dont un premier portant sur les voies a\u00e9riennes sans difficult\u00e9 pr\u00e9visible, les autres champs n\u2019\u00e9tant pas d\u00e9taill\u00e9s dans l\u2019extrait disponible. Ces \u00e9l\u00e9ments pr\u00e9sentent un enjeu de s\u00e9curit\u00e9 des soins et d\u2019organisation des pratiques en anesth\u00e9sie-r\u00e9animation, avec un r\u00f4le central des soci\u00e9t\u00e9s savantes et de la HAS dans la production et la diffusion de r\u00e9f\u00e9rentiels nationaux.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" Une nouvelle recommandation de bonne pratique a \u00e9t\u00e9 \u00e9labor\u00e9e pour la prise en charge des voies a\u00e9riennes de l\u2019adulte au bloc op\u00e9ratoire. Elle est port\u00e9e par la Soci\u00e9t\u00e9 Fran\u00e7aise d\u2019Anesth\u00e9sie […]<\/p>\n","protected":false},"author":1,"featured_media":4149,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[7,4],"tags":[66,227],"class_list":["post-18529","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicaments-et-produits-de-sante","category-offre-de-soins-et-hopital","tag-has","tag-ia"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/18529","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=18529"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/18529\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/4149"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18529"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18529"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18529"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}