{"id":107,"date":"2025-10-03T22:08:12","date_gmt":"2025-10-03T20:08:12","guid":{"rendered":"https:\/\/infirmieresspi.com\/?p=107"},"modified":"2025-10-04T18:49:58","modified_gmt":"2025-10-04T16:49:58","slug":"desaturation-en-sspi","status":"publish","type":"post","link":"https:\/\/infirmieresspi.com\/?p=107","title":{"rendered":"D\u00e9saturation en SSPI"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"107\" class=\"elementor elementor-107\">\n\t\t\t\t<div class=\"elementor-element elementor-element-36c208c e-flex e-con-boxed e-con e-parent\" data-id=\"36c208c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3ad066a elementor-widget elementor-widget-html\" data-id=\"3ad066a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<section class=\"isspi-doc\">\r\n  <style>.isspi-doc{--ink:#0f172a;--muted:#475569;--border:#e5e7eb;font-family:system-ui,-apple-system,Segoe UI,Roboto,Helvetica,Arial,sans-serif;color:var(--ink)}.isspi-doc h1{margin:.2rem 0 .6rem}.isspi-doc h2{margin:1.1rem 0 .45rem;border-bottom:2px solid var(--border);padding-bottom:.25rem}.isspi-doc ul{margin-left:1.2rem}.isspi-doc ol{margin-left:1.2rem}.isspi-doc .kicker{letter-spacing:.12em;text-transform:uppercase;font-weight:800;color:var(--muted);font-size:.85rem}.isspi-doc .warning{border-left:4px solid #f59e0b;background:#fff7ed;padding:.8rem;border-radius:.5rem}.isspi-doc .danger{border-left:4px solid #ef4444;background:#fef2f2;padding:.8rem;border-radius:.5rem}.isspi-doc small{color:var(--muted)}<\/style>\r\n  <p class=\"kicker\">Fiche SSPI<\/p>\r\n  <h1>D\u00e9saturation en SSPI<\/h1>\r\n\r\n  <h2>Objectif<\/h2>\r\n  <p>Identifier rapidement la cause d\u2019une SpO\u2082 basse et s\u00e9curiser la ventilation selon le protocole local.<\/p>\r\n\r\n  <h2>V\u00e9rifs imm\u00e9diates<\/h2>\r\n  <ul>\r\n    <li><strong>Capteur SpO\u2082<\/strong> : position, perfusion, vernis\/peau froide, mouvement.<\/li>\r\n    <li><strong>Voies a\u00e9riennes<\/strong> : position t\u00eate\/cou, canule si prescrite, lib\u00e9ration simple.<\/li>\r\n    <li><strong>O\u2082<\/strong> : dispositif en place, d\u00e9bit conforme \u00e0 la prescription.<\/li>\r\n  <\/ul>\r\n\r\n  <h2>Conduite pas-\u00e0-pas<\/h2>\r\n  <ol>\r\n    <li><strong>Repositionner<\/strong> (d\u00e9cubitus dorsal, t\u00eate en l\u00e9g\u00e8re extension, lat\u00e9ral si vomissements).<\/li>\r\n    <li><strong>Augmenter l\u2019O\u2082<\/strong> selon la prescription\/protocole.<\/li>\r\n    <li><strong>Ventilation<\/strong> : FR\/effort, tirage; auscultation si r\u00e9alisable; suspicion at\u00e9lectasie\/bronchospasme\/obstruction.<\/li>\r\n    <li><strong>Aspiration oropharyng\u00e9e<\/strong> si form\u00e9e et selon protocole.<\/li>\r\n    <li><strong>Douleur\/s\u00e9dation<\/strong> : s\u00e9dation excessive = risque hypoventilation \u2192 alerter.<\/li>\r\n    <li><strong>Tracer<\/strong> : heure, SpO\u2082, gestes, r\u00e9ponse.<\/li>\r\n  <\/ol>\r\n\r\n  <h2>\u00c0 alerter sans d\u00e9lai<\/h2>\r\n  <div class=\"danger\">SpO\u2082 qui reste basse malgr\u00e9 les mesures, d\u00e9tresse respiratoire, conscience alt\u00e9r\u00e9e, suspicion inhalation, broncho-spasme s\u00e9v\u00e8re.<\/div>\r\n\r\n  <p><small>\u26a0\ufe0f Fiche p\u00e9dagogique. Toujours appliquer prescriptions et protocoles de l\u2019\u00e9tablissement.<\/small><\/p>\r\n<\/section>\r\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Fiche SSPI D\u00e9saturation en SSPI Objectif Identifier rapidement la cause d\u2019une SpO\u2082 basse et s\u00e9curiser la ventilation selon le protocole [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":180,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"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":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","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 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