Academic literature on the topic 'Peri-Opératoire'
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Journal articles on the topic "Peri-Opératoire":
Joly, Heloise, Véronique Bourg, Denys Fontaine, Fabien Almairac, Lydiane Mondot, and Christine Lebrun-Frénay. "Suivi peri-opératoire et longitudinal de la mémoire de travail dans les gliomes de bas grade." Revue Neurologique 173 (March 2017): S82. http://dx.doi.org/10.1016/j.neurol.2017.01.115.
Antoun, S. "Nutrition entérale au cours des pancréatites aiguës et de la période péri-opératoire chez l'adulte : indications, modalités d'administrationEnteral nutrition during acute pancreatitis and the peri-operative period in adults." Réanimation 12, no. 5 (July 2003): 378–83. http://dx.doi.org/10.1016/s1624-0693(03)00084-7.
Duranteau, Olivier, Ayoub Hamriti, Brigitte Ickx, and Turgay Tuna. "Influence of compliance to antithrombotic agents on perioperative morbidity and mortality." Journal of Anesthesia, Analgesia and Critical Care 3, no. 1 (October 18, 2023). http://dx.doi.org/10.1186/s44158-023-00123-5.
Dissertations / Theses on the topic "Peri-Opératoire":
Saxena, Sarah. "Preventive and therapeutic physio-pathological aspects of peri-operative neurocognitive disorders." Electronic Thesis or Diss., Université de Lille (2022-....), 2022. http://www.theses.fr/2022ULILS034.
Neurocognitive disorders present a major postoperative complication. After many years of speculation about the etiology of this complication, recent studies indicate that an inflammatory cascade, leading to the activation of microglia, may be the cause. In this work, we investigated the mechanisms responsible for postoperative cognitive disorders along two axes, one within the framework of clinical studies, the other by a pre-clinical approach on murine models.Thus, in the clinical study, the influence of lifestyle habits on the prevalence of perioperative neurocognitive disorders as well as known peripheral inflammatory markers (IL-6; HMGB1) known to be associated with perioperative neurocognitive disorders was studied. This study suggests that preoperative sdentarybehaviour is not a risk factor but that the absence of depressive tendencies/ presence of multilingualism would be protective factors. In addition, it reveals that the level of serum IL-6, unlike that of HMGB1, varies according to the type of surgery and the age of the patient. From this study, a formula was defined to predict postoperative cognitive decline based on perioperative blood IL-6 and HMGB1 levels.Several K+ channels (Kca3.1; Kv1.3; Kvir) have been identified on the cell surface of microglia, essential for its activation in pro-inflammatory phenotype. Attenuating microglial activation by blocking these channels may be one approach to preventing the development of neuroinflammation and cognitive decline.In our preclinical study, we showed that pharmacological and genetic inhibition of the Kv1.3 channel reduces postoperative neuroinflammation and cognitive decline. Similarly, we investigated the study of the role of the KCa3.1 channel. Our results suggest that TRAM34 administration caused cognitive decline and neuroinflammation compared to baseline.The KCa3.1 -/- model causes cognitive decline and is associated with more peripheral inflammation. Tibia fracture causes cognitive decline, microglial proliferation and peripheral inflammation. Isoflurane-based anesthesia causes cognitive decline and microglial proliferation
Mahjoub, Aimen Al. "Cholangiocarcinome peri-hilaire : incidence, prise en charge et survie." Thesis, Normandie, 2018. http://www.theses.fr/2018NORMC425/document.
Cholangiocarcinoma (CC) is a malignant tumor with a poor prognosis. Its treatment is based on surgical resection. It accounts for 3% of all digestive cancers and is the second primary tumor of the liver, in frequency, after hepatocellular carcinoma. The average age is 70 years old with male predominance. At present intra and extrahepatic cholangiocarcinomas are distinguished. Survival rate is less than 5% at 5 years in all stages. 60 to 70% are tumors of the biliary convergence also called Klatskin tumors.The aim of this work was to answer persistent questions about peri-hilar cholangiocarcinoma (PHCC) by applying different statistical methods on different databases and review of the literature.The three main axes of this work are articulated according to the temporality of management, from the diagnosis to the postoperative follow-up, going through the preoperative setting.The first axis is based on a local database (registry of digestive cancer of Calvados). The results show that PHCC accounts for only one third of cholangiocarcinomas in the general population, that its incidence rate is stable with a decrease in incidence, although not significant, in women having PHCC and that female gender is a negative prognostic factor for 5-year survival. The second axis concerned the preoperative management of patients, including preoperative optimization of the remaining liver by biliary drainage. This work is based on two Meta-analyzes. It made it possible to highlight the superiority of the radiological way in the endoscopic way concerning the complications related to the procedure but on the other hand, the absence of significant difference on the morbi-mortality post hepatic resection, the survival at 5 years, the recurrence free survival and the rate of dissemination related to the procedure when the procedures are studied in intent to treat. Our results suggest that a poor choice of pathway for achieving biliary drainage leads to repeated failures that influence tumor recurrence and thus survival. The third axis was concerned with the prognostic factors of immediate morbidity and mortality after hepatic resection from a European database (base of the French association of surgery). The results show that body surface area ≥ 1.82 m², hyperbilirubinemia > 50 μmol / l and right hepatic resection are independent predictors influencing post-operative mortality at 30 days
Bouffard, Vicky. "Évaluation biomécanique de la locomotion à la suite d'une arthroplastie de la hanche." Thèse, 2012. http://hdl.handle.net/1866/8728.
In recent years, the prevalence of people suffering from joint cartilage degeneration, called osteoarthritis (OA), still increases. The joint pain and muscle stiffness related to this pathology have an impact on patients’ quality of life by limiting their functional capacities, mobility and autonomy. In order to relieve these patients, hip arthroplasty is a frequently used surgical procedure. Even if there is an improvement in quality of life and a restoration of functional capacities in these patients, some impairment seem to persist during the post-operative period. The walking velocity is slower when compared to healthy subjects, a hip abductor muscle weakness is observed and trunk compensations lasted during the post-operative period. The aim of this thesis is to evaluate patients undergoing hip arthroplasty during locomotion. More specifically, gait pattern adaptations will be quantified pre and post-operatively to revise rehabilitation programs in order to promote a healthy gait pattern. Three separate studies were conducted to meet this objective. The first study compared the effect of a large femoral head hip prosthesis and a hip resurfacing prosthesis to healthy subjects. During this study, the trunk control was analyzed using the distance between the body center of mass and the hip prosthetic joint center. The results obtained show no major difference between the two types of prosthesis and the healthy control one year post-operatively. During the second study, biomechanics parameter symmetry of the lower limb of gait pattern in patients undergoing hip arthroplasty was characterized following a peri-operative (pre and post-operatively) exercise program. The exercise program was complementary to the medical center standard rehabilitation program. Based on the results of this exploratory study, the peri-operative exercise program seems to improve the symmetry of the muscular power and work of the hip, knee and ankle which promote a healthy gait pattern without compensations. Finally, for the third study, the predictive and the functional approaches, used to locate the hip joint center, were compared to radiographic measurements in patients undergoing hip arthroplasty. The results of this study demonstrated that the functional approach was more appropriate for these patients. This individualized approach is more accurate which leads to quality improvement during biomechanical analysis of gait pattern.