{"id":947,"date":"2023-10-20T18:04:19","date_gmt":"2023-10-20T16:04:19","guid":{"rendered":"https:\/\/ifevet.com\/fr\/?p=947"},"modified":"2025-01-14T17:36:35","modified_gmt":"2025-01-14T16:36:35","slug":"syndrome-dischemie-reperfusion-systemique","status":"publish","type":"post","link":"https:\/\/ifevet.com\/fr\/syndrome-dischemie-reperfusion-systemique\/","title":{"rendered":"Syndrome d&#8217;isch\u00e9mie-reperfusion syst\u00e9mique"},"content":{"rendered":"<p><strong>D\u00e9finition:<\/strong> Pr\u00e9sentation clinique semblable \u00e0 celle du sepsis, les patients pr\u00e9sentant une inflammation syst\u00e9mique (SIRS), une activation de la coagulation (CIVD) et une perturbation de l&#8217;endoth\u00e9lium.<\/p>\n<p><strong>Signes cliniques:<\/strong><\/p>\n<ul>\n<li>tachycardie\/bradycardie<\/li>\n<li>tachypn\u00e9e<\/li>\n<li>fi\u00e8vre\/hypothermie<\/li>\n<li>hypoperfusion<\/li>\n<li>d\u00e9faillance de plusieurs organes<\/li>\n<li>h\u00e9morragie, \u0153d\u00e8me, etc.<\/li>\n<\/ul>\n<p><strong>Traitement:<\/strong><\/p>\n<p>Optimisation h\u00e9modynamique : utilisation d&#8217;une th\u00e9rapie pr\u00e9coce ax\u00e9e sur les objectifs. Nos objectifs seront une pression veineuse centrale de 0-10 cm H2O, une PAM de 80-120 mmHg, une ScvO2 &gt; 70% et un lactate &lt; 2,5 mmol\/L.<br \/>\nContr\u00f4le glyc\u00e9mique : l&#8217;hyperglyc\u00e9mie aggrave les l\u00e9sions c\u00e9r\u00e9brales isch\u00e9miques. Il est recommand\u00e9 d&#8217;administrer r\u00e9guli\u00e8rement de l&#8217;insuline pour maintenir la glyc\u00e9mie en dessous de 180 mg\/dL.<br \/>\nDysfonctionnement surr\u00e9nalien : des cas d&#8217;insuffisance corticost\u00e9ro\u00efde li\u00e9e \u00e0 une maladie grave (CIRCI) ont \u00e9t\u00e9 d\u00e9crits chez des personnes ayant subi une PCP. Envisager une faible dose d&#8217;hydrocortisone\/m\u00e9thylprednisolone chez les patients d\u00e9pendant d&#8217;un vasopresseur.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-949 size-full\" src=\"https:\/\/ifevet.com\/fr\/wp-content\/uploads\/sites\/11\/2023\/10\/syndrome-ischemie-reperfusion-syndrome-ischemie-reperfusion-systemique.png\" alt=\"\" width=\"1000\" height=\"667\" srcset=\"https:\/\/ifevet.com\/fr\/wp-content\/uploads\/sites\/11\/2023\/10\/syndrome-ischemie-reperfusion-syndrome-ischemie-reperfusion-systemique.png 1000w, https:\/\/ifevet.com\/fr\/wp-content\/uploads\/sites\/11\/2023\/10\/syndrome-ischemie-reperfusion-syndrome-ischemie-reperfusion-systemique-300x200.png 300w, https:\/\/ifevet.com\/fr\/wp-content\/uploads\/sites\/11\/2023\/10\/syndrome-ischemie-reperfusion-syndrome-ischemie-reperfusion-systemique-768x512.png 768w, https:\/\/ifevet.com\/fr\/wp-content\/uploads\/sites\/11\/2023\/10\/syndrome-ischemie-reperfusion-syndrome-ischemie-reperfusion-systemique-600x400.png 600w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>D\u00e9finition: Pr\u00e9sentation clinique semblable \u00e0 celle du sepsis, les patients pr\u00e9sentant une inflammation syst\u00e9mique (SIRS), une activation de la coagulation (CIVD) et une perturbation de l&#8217;endoth\u00e9lium. Signes cliniques: tachycardie\/bradycardie tachypn\u00e9e fi\u00e8vre\/hypothermie hypoperfusion d\u00e9faillance de plusieurs organes h\u00e9morragie, \u0153d\u00e8me, etc. Traitement: Optimisation h\u00e9modynamique : utilisation d&#8217;une th\u00e9rapie pr\u00e9coce ax\u00e9e sur les objectifs. Nos objectifs seront une [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":949,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32],"tags":[],"class_list":["post-947","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-contenu-clinique"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Syndrome d&#039;isch\u00e9mie-reperfusion syst\u00e9mique - 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\/syndrome-dischemie-reperfusion-systemique\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Syndrome d&#039;isch\u00e9mie-reperfusion syst\u00e9mique - Ifevet International - Francia\" \/>\n<meta property=\"og:description\" content=\"D\u00e9finition: Pr\u00e9sentation clinique semblable \u00e0 celle du sepsis, les patients pr\u00e9sentant une inflammation syst\u00e9mique (SIRS), une activation de la coagulation (CIVD) et une perturbation de l&#8217;endoth\u00e9lium. Signes cliniques: tachycardie\/bradycardie tachypn\u00e9e fi\u00e8vre\/hypothermie hypoperfusion d\u00e9faillance de plusieurs organes h\u00e9morragie, \u0153d\u00e8me, etc. Traitement: Optimisation h\u00e9modynamique : utilisation d&#8217;une th\u00e9rapie pr\u00e9coce ax\u00e9e sur les objectifs. Nos objectifs seront une [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ifevet.com\/fr\/syndrome-dischemie-reperfusion-systemique\/\" \/>\n<meta property=\"og:site_name\" content=\"Ifevet International - Francia\" \/>\n<meta property=\"article:published_time\" content=\"2023-10-20T16:04:19+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-14T16:36:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ifevet.com\/fr\/wp-content\/uploads\/sites\/11\/2023\/10\/syndrome-ischemie-reperfusion-syndrome-ischemie-reperfusion-systemique.png\" \/>\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\/png\" \/>\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=\"1 minuto\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/ifevet.com\\\/fr\\\/syndrome-dischemie-reperfusion-systemique\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ifevet.com\\\/fr\\\/syndrome-dischemie-reperfusion-systemique\\\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\\\/\\\/ifevet.com\\\/fr\\\/#\\\/schema\\\/person\\\/dff617da2ff42828a70bf3d3e8ad0238\"},\"headline\":\"Syndrome d&#8217;isch\u00e9mie-reperfusion syst\u00e9mique\",\"datePublished\":\"2023-10-20T16:04:19+00:00\",\"dateModified\":\"2025-01-14T16:36:35+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/ifevet.com\\\/fr\\\/syndrome-dischemie-reperfusion-systemique\\\/\"},\"wordCount\":179,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/ifevet.com\\\/fr\\\/syndrome-dischemie-reperfusion-systemique\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/ifevet.com\\\/fr\\\/wp-content\\\/uploads\\\/sites\\\/11\\\/2023\\\/10\\\/syndrome-ischemie-reperfusion-syndrome-ischemie-reperfusion-systemique.png\",\"articleSection\":[\"Contenu clinique\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/ifevet.com\\\/fr\\\/syndrome-dischemie-reperfusion-systemique\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ifevet.com\\\/fr\\\/syndrome-dischemie-reperfusion-systemique\\\/\",\"url\":\"https:\\\/\\\/ifevet.com\\\/fr\\\/syndrome-dischemie-reperfusion-systemique\\\/\",\"name\":\"Syndrome d'isch\u00e9mie-reperfusion syst\u00e9mique - 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