Diagnostic et prise en charge des troubles respiratoires d'un patient en situation de polyhandicap. Construction d'une échelle de choix

Patients with multiple disabilities have a respiratory morbidity, which must be detected and treated. But respiratory diseases are difficult to explore in these patients because of poor relation capacities. The initial management includes correct position, limiting inhalation risk and adverse effects of drugs. Clinical examination is the basis of the diagnostic process and guide the treatment. If we need to treat, complementary investigations (night oxygen saturation, capnography, polysomnography or polygraphy) are sometimes necessary to make right diagnosis and adapt management.