{"id":5,"date":"2015-09-10T13:54:54","date_gmt":"2015-09-10T12:54:54","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/specialites\/chirurgie-ambulatoire\/?page_id=5"},"modified":"2021-05-25T09:17:09","modified_gmt":"2021-05-25T08:17:09","slug":"activites-et-prises-en-charge","status":"publish","type":"page","link":"https:\/\/www.chu-poitiers.fr\/specialites\/chirurgie-ambulatoire\/","title":{"rendered":"Activit\u00e9s\u00a0et prises en charge"},"content":{"rendered":"<h2>D\u00c9FINITION<\/h2>\n<p><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/unite_chir_ambulatoire2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet alignleft wp-image-7772\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/unite_chir_ambulatoire2.jpg\" alt=\"chirurgie ambulatoire\" width=\"274\" height=\"171\" \/><\/a><\/p>\n<p><span style=\"color: #003366;\"><em>\u00ab\u00a0La chirurgie ambulatoire est une chirurgie sans hospitalisation, comprenant des actes chirurgicaux et d&rsquo;explorations programm\u00e9s, r\u00e9alis\u00e9s dans des conditions techniques n\u00e9cessitant imp\u00e9rativement la s\u00e9curit\u00e9\u00a0d&rsquo;un bloc op\u00e9ratoire, sous anesth\u00e9sie de mode variable, et suivie d&rsquo;une surveillance post-op\u00e9ratoire prolong\u00e9e, permettant, sans risque major\u00e9, la sortie d&rsquo;un patient le jour m\u00eame de son admission.\u00a0\u00bb<\/em><\/span><\/p>\n<h2>LA PRISE EN CHARGE DU PATIENT<\/h2>\n<ul style=\"list-style-type: disc;\">\n<li><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/unite_chir_ambulatoire1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet alignright wp-image-7773\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/unite_chir_ambulatoire1.jpg\" alt=\"chirurgie ambulatoire\" width=\"321\" height=\"241\" \/><\/a>La place de l&rsquo;infirmi\u00e8re dans l&rsquo;accueil, l&rsquo;\u00e9ducation et l&rsquo;information du patient est d\u00e9terminante.<\/li>\n<\/ul>\n<ul style=\"list-style-type: disc;\">\n<li>Les op\u00e9rations et le r\u00e9veil sous surveillance s&rsquo;effectuent respectivement dans les blocs op\u00e9ratoires et dans les espaces communs \u00e0 l&rsquo;h\u00f4pital, situ\u00e9s \u00e0 c\u00f4t\u00e9. Les chirurgiens et les anesth\u00e9sistes ne sont pas d\u00e9di\u00e9s non plus \u00e0 l&rsquo;unit\u00e9.<\/li>\n<\/ul>\n<ul style=\"list-style-type: disc;\">\n<li>Plus qu&rsquo;un espace d&rsquo;accueil, l&rsquo;unit\u00e9 de chirurgie ambulatoire est surtout un concept d&rsquo;organisation, un circuit de prise en charge d&rsquo;une cat\u00e9gorie d&rsquo;interventions : celles ne n\u00e9cessitant pas d&rsquo;hospitalisation sup\u00e9rieure \u00e0 12 heures et qui peuvent \u00eatre programm\u00e9es.<\/li>\n<\/ul>\n<ul style=\"list-style-type: disc;\">\n<li>Cette organisation lib\u00e8re ainsi des lits dans les services pour les personnes n\u00e9cessitant une hospitalisation conventionnelle. L&rsquo;objectif est ainsi d&rsquo;utiliser en priorit\u00e9 le r\u00f4le m\u00e9dical et la technologie de pointe de l&rsquo;h\u00f4pital et de r\u00e9duire au minimum le r\u00f4le d&rsquo;h\u00e9bergement.<\/li>\n<\/ul>\n<h2>UNE DEMI-JOURN\u00c9E\u00a0EN CHIRURGIE AMBULATOIRE<\/h2>\n<ul>\n<li>C&rsquo;est lors de la consultation chirurgicale que la proposition de prise en charge ambulatoire est faite si le patient r\u00e9pond aux crit\u00e8res m\u00e9dicaux mais aussi sociaux (compr\u00e9hension de ce qui est propos\u00e9, disponibilit\u00e9 d&rsquo;une personne pour le raccompagner et rester la nuit suivante \u00e0 son chevet, \u00eatre domicili\u00e9 \u00e0 moins d&rsquo;une heure d&rsquo;un centre de soin).\u00a0La d\u00e9cision de prise en charge en ambulatoire n&rsquo;est valid\u00e9e qu&rsquo;apr\u00e8s la consultation d&rsquo;anesth\u00e9sie, au cours de laquelle la date op\u00e9ratoire est \u00e9galement fix\u00e9e.<\/li>\n<li>48 heures avant l\u2019intervention, une infirmi\u00e8re de l\u2019unit\u00e9 appelle le patient pour confirmer sa prise en charge, lui donner les consignes d\u2019hygi\u00e8ne et les conditions de jeun \u00e9tablies par le m\u00e9decin anesth\u00e9siste.<\/li>\n<li>L\u2019admission dans l\u2019unit\u00e9 se fait de mani\u00e8re \u00e9chelonn\u00e9e entre 7h15 et 14h selon l\u2019heure de l\u2019intervention.<\/li>\n<li>\u00c0 son retour dans l\u2019unit\u00e9, le patient est revu par le chirurgien et l\u2019anesth\u00e9siste qui fixent l\u2019heure de sortie et donnent les consignes post op\u00e9ratoires.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>D\u00c9FINITION \u00ab\u00a0La chirurgie ambulatoire est une chirurgie sans hospitalisation, comprenant des actes chirurgicaux et d&rsquo;explorations programm\u00e9s, r\u00e9alis\u00e9s dans des conditions techniques n\u00e9cessitant imp\u00e9rativement la s\u00e9curit\u00e9\u00a0d&rsquo;un bloc op\u00e9ratoire, sous anesth\u00e9sie de mode variable, et suivie d&rsquo;une surveillance post-op\u00e9ratoire prolong\u00e9e, permettant, sans risque major\u00e9, la sortie d&rsquo;un patient le jour m\u00eame de son admission.\u00a0\u00bb LA PRISE EN [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - 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