Comparaison de l’effet du guidage échographique sur les ponctions de liquide céphalo-rachidien entre les localisations cisternales et lombaires chez le chien : une étude ex vivo
[fr] RÉSUMÉ : Le placement échoguidé de l’aiguille spinale pour les ponctions cisternale et lombaire
chez le chien a été décrit. L’objectif de ce travail était de comparer l’effet du guidage échographique
pour la ponction de liquide céphalo-rachidien entre les ponctions cisternale et lombaire.
Quatre-vingt-trois opérateurs ont participé à l’étude. Ils étaient divisés en quatre groupes selon
leur expérience. Après une formation théorique courte, chaque opérateur a réalisé une ponction
cisternale et lombaire en aveugle et sous contrôle échographique sur des cadavres tirés au
sort. L’échoguidage lombaire était direct alors que celui cisternal était indirect. Après chaque
procédure, les opérateurs ont rempli un questionnaire sur leur expérience, leur performance
et leur confiance en soi.
L’échoguidage augmentait significativement le taux de réussite global de la ponction (comparée
à la méthode en aveugle) mais plus clairement avec la localisation lombaire. Le guidage
échographique cisternal améliorait significativement le nombre de tentatives, le temps et la
confiance en soi chez les opérateurs inexpérimentés et expérimentés. La première cause
d’échec citée était différente selon la localisation de la ponction et était liée à la nature de
l’échoguidage.
Cette étude démontre que les opérateurs inexpérimentés sont capables de réaliser des
ponctions échoguidées après une formation théorique courte, justifiant l’utilité du guidage
échographique à des fins pédagogiques.
Disciplines :
Veterinary medicine & animal health
Author, co-author :
Etienne, Anne-Laure ; Université de Liège > Dép. clinique des animaux de compagnie et des équidés (DCA) > Imagerie médicale
Peeters, Dominique ; Université de Liège > Dép. clinique des animaux de compagnie et des équidés (DCA) > Médecine interne des animaux de compagnie
Busoni, Valeria ; Université de Liège > Dép. clinique des animaux de compagnie et des équidés (DCA) > Imagerie médicale
Language :
French
Title :
Comparaison de l’effet du guidage échographique sur les ponctions de liquide céphalo-rachidien entre les localisations cisternales et lombaires chez le chien : une étude ex vivo
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