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<p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size:
10.0pt;font-family:Arial;color:navy">MERCI tres bonne soirée !<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size:
10.0pt;font-family:Arial;color:navy">Amar amaouche
<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size:
10.0pt;font-family:Arial;color:navy">Saint pierre<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size:
10.0pt;font-family:Arial;color:navy"><o:p> </o:p></span></font></p>
<div>
<p><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;font-family:
Arial;color:navy">_______________________________</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">Dr Amar AMAOUCHE</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">AURAR PNS 1</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">15 rue des Roches</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">97410 SAINT PIERRE</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">Tél. 0262 54 99 40</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">Fax 0262 54 99 38</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">Portable : 0692 23 84 91</span></font><font color="navy"><span style="color:navy">
</span></font><o:p></o:p></p>
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<div>
<div class="MsoNormal" align="center" style="text-align:center"><font size="3" face="Times New Roman"><span style="font-size:12.0pt">
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</span></font></div>
<p class="MsoNormal"><b><font size="2" face="Tahoma"><span style="font-size:10.0pt;
font-family:Tahoma;font-weight:bold">De :</span></font></b><font size="2" face="Tahoma"><span style="font-size:10.0pt;font-family:Tahoma"> Renaliste [mailto:renaliste-bounces@nephrodial.org]
<b><span style="font-weight:bold">De la part de</span></b> CASTRALE Cindy<br>
<b><span style="font-weight:bold">Envoyé :</span></b> mardi <st1:date Year="2016" Day="16" Month="8" ls="trans" w:st="on">
16 août 2016</st1:date> 00:41<br>
<b><span style="font-weight:bold">À :</span></b> 'Liste des néphrologues francophones'<br>
<b><span style="font-weight:bold">Objet :</span></b> Re: [Renaliste] debranchement en cours d'hemodialyse</span></font><o:p></o:p></p>
</div>
<p class="MsoNormal"><font size="3" face="Times New Roman"><span style="font-size:
12.0pt"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">Bonjour,<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">Je vais apporter une réponse qui n’est pas très scientifique non plus mais qui est la pratique qu’il m’arrive d’avoir :<o:p></o:p></span></font></p>
<p class="msolistparagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><![if !supportLists]><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:
Calibri;color:#1F497D"><span style="mso-list:Ignore">-<font size="1" face="Times New Roman"><span style="font:7.0pt "Times New Roman"">
</span></font></span></span></font><![endif]><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">Dans l’idéal le bassin,<o:p></o:p></span></font></p>
<p class="msolistparagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><![if !supportLists]><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:
Calibri;color:#1F497D"><span style="mso-list:Ignore">-<font size="1" face="Times New Roman"><span style="font:7.0pt "Times New Roman"">
</span></font></span></span></font><![endif]><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">Si refus du patient (surtout s’il est en grande salle et non en box), nous acceptons exceptionnellement
les débranchements, nous avons un diabétique qui a des diarrhées fréquentes et est débranché et un patient (maintenant décédé) qui avait une tumeur neuroendocrine digestive. De préférence, ces patients ont des cathlons pour limiter les traumatismes de fistule,
et sont accompagnés. Il s’agit de patients de centre lourd.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">Cependant, il faut que cette attitude soit relativement exceptionnelle, sinon les infirmières vont passer leur temps à débrancher
les patients et le temps de dialyse sera restreint ou les séances allongées donc une désorganisation de salle.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">A voir au cas par cas<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">Cindy Castrale<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">Caen<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Times New Roman"><span style="font-size:
12.0pt"><o:p> </o:p></span></font></p>
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<p class="MsoNormal"><b><font size="2" face="Tahoma"><span style="font-size:10.0pt;
font-family:Tahoma;font-weight:bold">De :</span></font></b><font size="2" face="Tahoma"><span style="font-size:10.0pt;font-family:Tahoma"> Renaliste [mailto:renaliste-bounces@nephrodial.org]
<b><span style="font-weight:bold">De la part de</span></b> Amar AMAOUCHE<br>
<b><span style="font-weight:bold">Envoyé :</span></b> jeudi <st1:date Year="2016" Day="11" Month="8" ls="trans" w:st="on">
11 août 2016</st1:date> 15:15<br>
<b><span style="font-weight:bold">À :</span></b> 'Liste des néphrologues francophones'<br>
<b><span style="font-weight:bold">Objet :</span></b> [Renaliste] debranchement en cours d'hemodialyse<o:p></o:p></span></font></p>
</div>
</div>
<p class="MsoNormal"><font size="3" face="Times New Roman"><span style="font-size:
12.0pt"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" face="Arial"><span style="font-size:10.0pt;
font-family:Arial">Bonjour,<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" face="Arial"><span style="font-size:10.0pt;
font-family:Arial">Ma question n’a rien de scientifique mais nous pose toutefois un sérieux probleme .<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" face="Arial"><span style="font-size:10.0pt;
font-family:Arial">Certains patients nous demandent de les debrancher en cours de seance d’hemodialyse pour aller à la selle.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" face="Arial"><span style="font-size:10.0pt;
font-family:Arial">Conscients des risques encourus : malaise vagual, saignement de FAV (aiguilles )…voire deces !!nous refusons de répondre à leur demande mais certains ne sont
pas contents du tout et nous accusent de vouloir restreindre leur liberté et de ne pas respecter leur intimité quand nous leur proposons soit le bassin soit la chaiseen salle .<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" face="Arial"><span style="font-size:10.0pt;
font-family:Arial">Puis je vous demander quelle est votre attitude face à ce probleme ? est t’elle differente selon qu’on se trouve en UAD UDM ou en centre ?y’a til des recommandations
à ce sujet , HAS… ?<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" face="Arial"><span style="font-size:10.0pt;
font-family:Arial">Merci d’avance pour vos réponses.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" face="Arial"><span style="font-size:10.0pt;
font-family:Arial">Amar Amaouche<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" face="Arial"><span style="font-size:10.0pt;
font-family:Arial">Saint Pierre
<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Times New Roman"><span style="font-size:
12.0pt"><o:p> </o:p></span></font></p>
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