{"id":898,"date":"2023-08-03T14:05:44","date_gmt":"2023-08-03T12:05:44","guid":{"rendered":"https:\/\/ifevet.com\/fr\/?p=898"},"modified":"2025-01-14T17:20:55","modified_gmt":"2025-01-14T16:20:55","slug":"prise-en-charge-durgence-des-patients-presentant-un-collapsus-tracheal","status":"publish","type":"post","link":"https:\/\/ifevet.com\/fr\/prise-en-charge-durgence-des-patients-presentant-un-collapsus-tracheal\/","title":{"rendered":"Prise en charge d’urgence des patients pr\u00e9sentant un collapsus trach\u00e9al"},"content":{"rendered":"

Introduction<\/b><\/span><\/p>\n

Le collapsus trach\u00e9al est fr\u00e9quent chez les petites races. Les parties intrathoraciques et extrathoraciques peuvent \u00eatre touch\u00e9es et s’\u00e9tendre \u00e0 la bronche principale.<\/p>\n

L’\u00e9tiologie r\u00e9side dans une d\u00e9ficience de la matrice cartilagineuse, qui entra\u00eene un affaissement de la lumi\u00e8re trach\u00e9ale.<\/p>\n

Diagnostic<\/b><\/span><\/p>\n

I) Signes cliniques : toux, toux s\u00e9v\u00e8re apr\u00e8s exercice-excitation, syncope apr\u00e8s \u00e9pisode de toux, hyperthermie, d\u00e9tresse respiratoire mod\u00e9r\u00e9e \u00e0 s\u00e9v\u00e8re.<\/p>\n

II) Radiographie cervico-thoracique, lat\u00e9rale et dorsoventrale : – Inspiration : sur la radiographie lat\u00e9rale, on observe un r\u00e9tr\u00e9cissement de la portion trach\u00e9ale extrathoracique et un \u00e9largissement de la portion intrathoracique. – Expiration : la radiographie lat\u00e9rale montre une dilatation de la portion cervico-extrathoracique et un r\u00e9tr\u00e9cissement de la portion intrathoracique.<\/p>\n

III) Fluoroscopie<\/p>\n

IV) Bronchoscopie<\/p>\n

Gestion et traitement des urgences<\/b><\/span><\/p>\n

I) Oxyg\u00e9noth\u00e9rapie et s\u00e9dation (butorphanol et\/ou ac\u00e9promazine).<\/p>\n

II) Doses anti-inflammatoires de corticost\u00e9ro\u00efdes : 0,5 mg\/kg IV de m\u00e9thylprednisone.<\/p>\n

III) Terbutaline 0,01 mg\/kg IV, SC<\/p>\n

IV) Refroidissement actif du patient si la temp\u00e9rature > 39,5\u00baC.<\/p>\n

V) Les patients qui doivent \u00eatre intub\u00e9s et qui ne peuvent pas \u00eatre extub\u00e9s en raison d’une aggravation du collapsus \u00e0 chaque tentative sont candidats \u00e0 une intervention chirurgicale d’urgence ou \u00e0 la pose d’une endoproth\u00e8se trach\u00e9ale.<\/p>\n","protected":false},"excerpt":{"rendered":"

Introduction Le collapsus trach\u00e9al est fr\u00e9quent chez les petites races. Les parties intrathoraciques et extrathoraciques peuvent \u00eatre touch\u00e9es et s’\u00e9tendre \u00e0 la bronche principale. L’\u00e9tiologie r\u00e9side dans une d\u00e9ficience de la matrice cartilagineuse, qui entra\u00eene un affaissement de la lumi\u00e8re trach\u00e9ale. Diagnostic I) Signes cliniques : toux, toux s\u00e9v\u00e8re apr\u00e8s exercice-excitation, syncope apr\u00e8s \u00e9pisode de […]<\/p>\n","protected":false},"author":1,"featured_media":900,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32],"tags":[],"class_list":["post-898","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-contenu-clinique"],"yoast_head":"\nPrise en charge d'urgence des patients pr\u00e9sentant un collapsus trach\u00e9al - Ifevet International - Francia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ifevet.com\/fr\/prise-en-charge-durgence-des-patients-presentant-un-collapsus-tracheal\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Prise en charge d'urgence des patients pr\u00e9sentant un collapsus trach\u00e9al - Ifevet International - Francia\" \/>\n<meta property=\"og:description\" content=\"Introduction Le collapsus trach\u00e9al est fr\u00e9quent chez les petites races. Les parties intrathoraciques et extrathoraciques peuvent \u00eatre touch\u00e9es et s’\u00e9tendre \u00e0 la bronche principale. L’\u00e9tiologie r\u00e9side dans une d\u00e9ficience de la matrice cartilagineuse, qui entra\u00eene un affaissement de la lumi\u00e8re trach\u00e9ale. Diagnostic I) Signes cliniques : toux, toux s\u00e9v\u00e8re apr\u00e8s exercice-excitation, syncope apr\u00e8s \u00e9pisode de […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ifevet.com\/fr\/prise-en-charge-durgence-des-patients-presentant-un-collapsus-tracheal\/\" \/>\n<meta property=\"og:site_name\" content=\"Ifevet International - Francia\" \/>\n<meta property=\"article:published_time\" content=\"2023-08-03T12:05:44+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-14T16:20:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ifevet.com\/fr\/wp-content\/uploads\/sites\/11\/2023\/10\/prise-en-charge-durgence-des-patients-presentant-un-collapsus-tracheal.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"667\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/ifevet.com\/fr\/prise-en-charge-durgence-des-patients-presentant-un-collapsus-tracheal\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/ifevet.com\/fr\/prise-en-charge-durgence-des-patients-presentant-un-collapsus-tracheal\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\/\/ifevet.com\/fr\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238\"},\"headline\":\"Prise en charge d’urgence des patients pr\u00e9sentant un collapsus trach\u00e9al\",\"datePublished\":\"2023-08-03T12:05:44+00:00\",\"dateModified\":\"2025-01-14T16:20:55+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/ifevet.com\/fr\/prise-en-charge-durgence-des-patients-presentant-un-collapsus-tracheal\/\"},\"wordCount\":238,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/ifevet.com\/fr\/prise-en-charge-durgence-des-patients-presentant-un-collapsus-tracheal\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/ifevet.com\/fr\/wp-content\/uploads\/sites\/11\/2023\/10\/prise-en-charge-durgence-des-patients-presentant-un-collapsus-tracheal.jpg\",\"articleSection\":[\"Contenu clinique\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/ifevet.com\/fr\/prise-en-charge-durgence-des-patients-presentant-un-collapsus-tracheal\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ifevet.com\/fr\/prise-en-charge-durgence-des-patients-presentant-un-collapsus-tracheal\/\",\"url\":\"https:\/\/ifevet.com\/fr\/prise-en-charge-durgence-des-patients-presentant-un-collapsus-tracheal\/\",\"name\":\"Prise en charge d'urgence des patients pr\u00e9sentant un collapsus trach\u00e9al - 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