{"id":186,"date":"2026-01-13T20:02:50","date_gmt":"2026-01-13T20:02:50","guid":{"rendered":"https:\/\/psadmaroc.com\/?page_id=186"},"modified":"2026-02-11T20:19:25","modified_gmt":"2026-02-11T19:19:25","slug":"vni-vi","status":"publish","type":"page","link":"https:\/\/psadmaroc.com\/en\/vni-vi\/","title":{"rendered":"Ventilation non invasive (VNI)\/VI"},"content":{"rendered":"<h3 class=\"wp-block-heading has-foreground-color has-text-color has-link-color has-medium-font-size wp-elements-1\"><strong>Ventilation Invasive et Non Invasive<\/strong><\/h3>\n\n\n\n<p class=\"has-foreground-color has-text-color has-link-color has-medium-font-size wp-elements-2 wp-block-paragraph\">La <strong>ventilation<\/strong> permet de suppl\u00e9er, totalement ou partiellement, \u00e0 la respiration spontan\u00e9e gr\u00e2ce \u00e0 un appareil appel\u00e9 <strong>respirateur<\/strong> ou <strong>ventilateur<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-3\">La <strong>ventilation invasive<\/strong> se fait par <strong>trach\u00e9otomie<\/strong>.<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-4\">La <strong>ventilation non invasive (VNI)<\/strong> se fait via un <strong>masque nasal, facial ou embout buccal<\/strong>.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading has-foreground-color has-text-color has-link-color has-medium-font-size wp-elements-5\"><strong>Objectifs et indications<\/strong><\/h3>\n\n\n\n<p class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-6 wp-block-paragraph\">La ventilation non invasive, lorsqu\u2019elle est correctement suivie, permet de :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-foreground-color has-text-color has-link-color has-medium-font-size wp-elements-7\">R\u00e9duire l\u2019essoufflement ;<\/li>\n\n\n\n<li class=\"has-foreground-color has-text-color has-link-color has-medium-font-size wp-elements-8\">Diminuer la fatigue et am\u00e9liorer la tol\u00e9rance \u00e0 l\u2019effort ;<\/li>\n\n\n\n<li class=\"has-foreground-color has-text-color has-link-color has-medium-font-size wp-elements-9\">Maintenir une activit\u00e9 physique et favoriser l\u2019autonomie ;<\/li>\n\n\n\n<li class=\"has-foreground-color has-text-color has-link-color has-medium-font-size wp-elements-10\">Am\u00e9liorer la qualit\u00e9 du sommeil et la vigilance diurne ;<\/li>\n\n\n\n<li class=\"has-foreground-color has-text-color has-link-color has-medium-font-size wp-elements-11\">Prolonger l\u2019esp\u00e9rance de vie.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-12 wp-block-paragraph\"><strong>Situations d\u2019utilisation de la VNI :<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-13\"><strong>Urgence<\/strong> : lors d\u2019une d\u00e9compensation respiratoire aigu\u00eb pour \u00e9viter l\u2019intubation (insuffisance respiratoire chronique, \u0153d\u00e8me cardiog\u00e9nique, insuffisance respiratoire aigu\u00eb chez l\u2019immunod\u00e9prim\u00e9, etc.) ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-14\"><strong>Post-d\u00e9compensation<\/strong> : pour la r\u00e9adaptation ou le suivi apr\u00e8s une phase aigu\u00eb ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-15\"><strong>Ventilation \u00e9lective<\/strong> : dans l\u2019insuffisance respiratoire chronique, hypercapnique (maladies restrictives, BPCO, troubles neuromusculaires, ob\u00e9sit\u00e9), ou apn\u00e9es du sommeil non trait\u00e9es par PPC.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-16 wp-block-paragraph\"><strong>Indication principale :<\/strong> hypoventilation alv\u00e9olaire chronique, souvent accompagn\u00e9e d\u2019<strong>hypercapnie<\/strong> (taux de CO\u2082 sanguin \u00e9lev\u00e9).<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-17\"><strong>Prescription et diagnostic<\/strong><\/h3>\n\n\n\n<p class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-18 wp-block-paragraph\">Le pneumologue valide l\u2019indication de ventilation m\u00e9canique par :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-19\"><strong>Gazom\u00e9trie art\u00e9rielle<\/strong> pour mesurer la pression art\u00e9rielle en CO\u2082 (PaCO\u2082) ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-20\"><strong>Capnographie nocturne transcutan\u00e9e<\/strong> pour mesurer la pression transcutan\u00e9e en CO\u2082 (PtcCO\u2082).<\/li>\n<\/ul>\n\n\n\n<p class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-21 wp-block-paragraph\">Le traitement est initi\u00e9 par <strong>PSAD MAROC<\/strong>, sur prescription m\u00e9dicale, en milieu hospitalier, avec du personnel sp\u00e9cialement form\u00e9.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-22\"><strong>Mat\u00e9riel de ventilation non invasive<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-23\"><strong>Respirateurs<\/strong><\/h4>\n\n\n\n<p class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-24 wp-block-paragraph\">Le type de respirateur d\u00e9pend de la dur\u00e9e d\u2019utilisation :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-25\"><strong>Niveau 1<\/strong> : sans batterie, 8 h\/24 h (usage pendant le sommeil) ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-26\"><strong>Niveau 2<\/strong> : batterie interne, 8 \u00e0 16 h\/24 h ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-27\"><strong>Niveau 3 (\u00ab supports de vie \u00bb)<\/strong> : batterie interne, 16 h et plus\/24 h.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-28 wp-block-paragraph\">Tous les respirateurs fonctionnent sur secteur, certains avec batterie pour mobilit\u00e9 limit\u00e9e.<\/p>\n\n\n\n<h4 class=\"wp-block-heading has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-29\"><strong>Interfaces<\/strong><\/h4>\n\n\n\n<p class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-30 wp-block-paragraph\">Permettent de relier le respirateur au patient :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-31\"><strong>Masque facial<\/strong> : couvre le nez et la bouche ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-32\"><strong>Masque nasal<\/strong> : couvre le nez uniquement ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-33\"><strong>Masque narinaire<\/strong> : embout nasal pour \u00e9chec des deux premi\u00e8res options ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-34\"><strong>Canule de trach\u00e9otomie<\/strong> : pour ventilation invasive ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-35\"><strong>Embout buccal (\u00ab pipette \u00bb)<\/strong> : tenu entre les l\u00e8vres et les dents.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-36\"><strong>Circuits et humidificateurs<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-37\">Les <strong>circuits<\/strong> relient le respirateur \u00e0 l\u2019interface et peuvent \u00eatre chauffants pour am\u00e9liorer l\u2019humidification ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-38\">Les <strong>humidificateurs<\/strong> permettent d\u2019humidifier l\u2019air insuffl\u00e9, avec deux types :\n<ul class=\"wp-block-list\">\n<li>Filtres humidificateurs ;<\/li>\n\n\n\n<li>Humidificateurs chauffants avec r\u00e9servoir d\u2019eau.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-39\"><strong>Prise en charge par PSAD MAROC<\/strong><\/h3>\n\n\n\n<p class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-40 wp-block-paragraph\"><strong>\u00c9tape 1 : Pr\u00e9paration<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-41\">Analyse des besoins du patient ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-42\">Proposition de l\u2019\u00e9quipement le plus adapt\u00e9 pour garantir s\u00e9curit\u00e9 et efficacit\u00e9 ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-43\">Coordination avec le m\u00e9decin prescripteur et autres professionnels de sant\u00e9.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-pure-black-color has-pure-white-background-color has-text-color has-background has-link-color has-medium-font-size wp-elements-44 wp-block-paragraph\"><strong>\u00c9tape 2 : Initiation<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-45\">Mise en place du mat\u00e9riel en milieu hospitalier ou visite pr\u00e9paratoire \u00e0 domicile ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-46\">Formation du patient et de son entourage \u00e0 l\u2019utilisation et aux r\u00e8gles d\u2019hygi\u00e8ne ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-47\">Explication de la prestation m\u00e9dico-technique.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-48 wp-block-paragraph\"><strong>\u00c9tape 3 : Accompagnement et suivi<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-49\">Rendez-vous r\u00e9guliers \u00e0 domicile ou t\u00e9l\u00e9phoniques ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-50\">V\u00e9rification du bon d\u00e9roulement du traitement et du respect de la prescription m\u00e9dicale ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-51\">Reporting m\u00e9dical au m\u00e9decin prescripteur via une plateforme s\u00e9curis\u00e9e ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-52\">Coordination avec les autres professionnels de sant\u00e9 impliqu\u00e9s.<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-53 wp-block-paragraph\"><strong>Important :<\/strong> La prestation m\u00e9dico-technique (installation et suivi du mat\u00e9riel) est distincte des soins \u00e0 domicile, qui sont assur\u00e9s par d\u2019autres structures.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-54\"><strong>R\u00f4le de PSAD MAROC<\/strong><\/h3>\n\n\n\n<p class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-55 wp-block-paragraph\">L\u2019\u00e9quipe technique et param\u00e9dicale assure :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-56\">L\u2019installation et la configuration du mat\u00e9riel ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-57\">La formation \u00e0 son utilisation ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-58\">L\u2019information sur l\u2019entretien et l\u2019hygi\u00e8ne ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-59\">Le suivi de l\u2019efficacit\u00e9 du traitement ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-60\">Des visites r\u00e9guli\u00e8res au domicile du patient ;<\/li>\n\n\n\n<li class=\"has-pure-black-color has-text-color has-link-color has-medium-font-size wp-elements-61\">Le <strong>reporting m\u00e9dical<\/strong>.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Ventilation Invasive et Non Invasive La ventilation permet de suppl\u00e9er, totalement ou partiellement, \u00e0 la respiration spontan\u00e9e gr\u00e2ce \u00e0 un appareil appel\u00e9 respirateur ou ventilateur. Objectifs et indications La ventilation non invasive, lorsqu\u2019elle est correctement suivie, permet de : Situations d\u2019utilisation de la VNI : Indication principale : hypoventilation alv\u00e9olaire chronique, souvent accompagn\u00e9e d\u2019hypercapnie (taux [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","footnotes":""},"class_list":["post-186","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/psadmaroc.com\/en\/wp-json\/wp\/v2\/pages\/186","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/psadmaroc.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/psadmaroc.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/psadmaroc.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/psadmaroc.com\/en\/wp-json\/wp\/v2\/comments?post=186"}],"version-history":[{"count":4,"href":"https:\/\/psadmaroc.com\/en\/wp-json\/wp\/v2\/pages\/186\/revisions"}],"predecessor-version":[{"id":483,"href":"https:\/\/psadmaroc.com\/en\/wp-json\/wp\/v2\/pages\/186\/revisions\/483"}],"wp:attachment":[{"href":"https:\/\/psadmaroc.com\/en\/wp-json\/wp\/v2\/media?parent=186"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}