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Prise en charge respiratoire du traumatisé avant l'arrivée en réanimation et modalités de l'intubation en séquence rapide
Laplace C.
INTRODUCTION

Le polytraumatisé est un blessé grave qui présente plusieurs lésions dont au moins une met en jeu le pronostic vital à court terme. La prise en charge respiratoire de ces patients revêt un caractère crucial en assurant un contrôle des voies aériennes et une oxygénation correcte. En effet, les causes d’altération de la fonction respiratoire sont nombreuses : obstruction des voies aériennes dans les traumatismes maxillo-faciaux ou lors des troubles de conscience, atteinte de la commande ventilatoire lors de traumatismes crâniens ou médullaires, atteinte de la mécanique ventilatoire lors de lésions de la paroi thoracique, enfin atteinte directe pulmonaire dans les contusions ou lors d’une inhalation bronchique. L’intubation trachéale est d’indication large dans ces circonstances


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