{"id":183,"date":"2025-10-04T18:53:31","date_gmt":"2025-10-04T16:53:31","guid":{"rendered":"https:\/\/infirmieresspi.com\/?p=183"},"modified":"2025-10-10T16:30:09","modified_gmt":"2025-10-10T14:30:09","slug":"retard-de-reveil-en-sspi","status":"publish","type":"post","link":"https:\/\/infirmieresspi.com\/?p=183","title":{"rendered":"Retard de r\u00e9veil en SSPI"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"183\" class=\"elementor elementor-183\">\n\t\t\t\t<div class=\"elementor-element elementor-element-00ef3d7 e-flex e-con-boxed e-con e-parent\" data-id=\"00ef3d7\" 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-2153628 elementor-widget elementor-widget-html\" data-id=\"2153628\" 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>Retard de r\u00e9veil en SSPI<\/h1>\r\n\r\n  <h2>Objectif<\/h2>\r\n  <p>Identifier rapidement les causes fr\u00e9quentes d\u2019un r\u00e9veil retard\u00e9 et s\u00e9curiser la prise en charge selon le protocole local.<\/p>\r\n\r\n  <h2>V\u00e9rifs imm\u00e9diates<\/h2>\r\n  <ul>\r\n    <li>Voies a\u00e9riennes, FR\/SpO\u2082, positionnement; O\u2082 selon prescription.<\/li>\r\n    <li>Glyc\u00e9mie capillaire si disponible; T\u00b0, TA\/FC.<\/li>\r\n    <li>Tra\u00e7abilit\u00e9 des agents re\u00e7us (anesth\u00e9siques, opio\u00efdes, benzodiaz\u00e9pines).<\/li>\r\n  <\/ul>\r\n\r\n  <h2>Causes fr\u00e9quentes (pistes)<\/h2>\r\n  <ul>\r\n    <li>Surdosage\/sensibilit\u00e9 aux s\u00e9datifs\/antalgiques; r\u00e9sidus anesth\u00e9siques.<\/li>\r\n    <li>Hypothermie, hypoglyc\u00e9mie, hypoxie\/hypercapnie.<\/li>\r\n    <li>AVC\/hypoperfusion (rare) \u2014 \u00e0 \u00e9voquer si signes focaux.<\/li>\r\n  <\/ul>\r\n\r\n  <h2>Conduite pas-\u00e0-pas<\/h2>\r\n  <ol>\r\n    <li>Assurer la ventilation\/oxyg\u00e9nation; repositionner; aspirations si besoin.<\/li>\r\n    <li>Corriger facteurs simples : T\u00b0 (r\u00e9chauffement), glyc\u00e9mie, douleur.<\/li>\r\n    <li>Informer l\u2019anesth\u00e9siste; pr\u00e9parer selon protocole l\u2019\u00e9ventuelle r\u00e9version m\u00e9dicamenteuse si indiqu\u00e9e.<\/li>\r\n    <li>Surveiller et tracer param\u00e8tres, \u00e9chelle de conscience, \u00e9volution.<\/li>\r\n  <\/ol>\r\n\r\n  <h2>\u00c0 alerter sans d\u00e9lai<\/h2>\r\n  <div class=\"danger\">D\u00e9tresse respiratoire, SpO\u2082 basse persistante, signes neurologiques focaux, hypotension s\u00e9v\u00e8re.<\/div>\r\n\r\n  <p><small>\u26a0\ufe0f P\u00e9dagogique. 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 Retard de r\u00e9veil en SSPI Objectif Identifier rapidement les causes fr\u00e9quentes d\u2019un r\u00e9veil retard\u00e9 et s\u00e9curiser la prise [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":184,"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":"disabled","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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