Évaluation de la prise en charge de la douleur à domicile par cathéter périnerveux pour la chirurgie ambulatoire du pied

HAL Id: dumas-00845992

https://dumas.ccsd.cnrs.fr/dumas-00845992

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Évaluation de la prise en charge de la douleur à domicile

par cathéter périnerveux pour la chirurgie ambulatoire

du pied

Marie-Laure Thibault

To cite this version:

Marie-Laure Thibault. Évaluation de la prise en charge de la douleur à domicile par cathéter périnerveux pour la chirurgie ambulatoire du pied. Médecine humaine et pathologie. 2013. �dumas-00845992�

UNIVERSITE DE ROUEN

FACULTE DE MEDECINE DE ROUEN

AnnŽe : 2013

N¡ :

Thse pour le doctorat en mŽdecine

Par

Marie-Laure THIBAULT

NŽe le 05 Juin 1983

PrŽsentŽe et soutenue publiquement

Le 28 Juin 2013

Evaluation de la prise en charge

de la douleur ˆ domicile

par cathŽter pŽrinerveux

pour la chirurgie ambulatoire du pied

PrŽsident du jury

Monsieur le Professeur Dureuil

Directeur de thse

Monsieur le Professeur Compre

Membres du jury

Monsieur le Professeur Compre

Monsieur le Professeur Dureuil

Monsieur le Professeur Veber

Monsieur le Docteur Roussignol

ANNEE UNIVERSITAIRE 2012 Ð 2013 U.F.R DE MEDECINE Ð PHARMACIE DE ROUEN

--- DOYEN : Professeur Pierre FREGER

ASSESSEURS : Professeur Michel GUERBET Professeur Beno”t VEBER Professeur Pascal JOLY Professeur Bernard PROUST

DOYENS HONORAIRES : Professeurs J. BORDE - Ph. LAURET- H. PIGUET Ð C.THUILLEZ

PROFESSEURS HONORAIRES : MM. M-P AUGUSTIN - J.ANDRIEU-GUITRANCOURT -M.BENOZIO -

J.BORDE Ph. BRASSEUR R.COLIN E.COMOY J.DALLION -P.DESHAYES - C.FESSARD Ð

J.P FILLASTRE - P. FRIGOT -J.GARNIER - J.HEMET -B.HILLEMAND - G.HUMBERT -J.M.JOUANY - R. LAUMONIER Ð Ph. LAURET - M.LE FUR - J.P.LEMERCIER J.P.LEMOINE Mlle MAGARD Ð MM.B. MAITROT

-M.MAISONNET - F.MATRAY - P.MITROFANOFF - Mme A.M.ORECCHIONI - P.PASQUIS - H.PIGUET -M.SAMSON- Mme SAMSON-DOLLFUS -

J.C.SCHRUB - R.SOYER -B.TARDIF- J.TESTARD Ð J.M THOMINE - C.THUILLEZ - P.TRON - C.WINCKLER - L.M. WOLF

I- MEDECINE

PROFESSEURS :

M. FrŽdŽric ANSELME HCN Cardiologie Mme Isabelle AUQUIT AUCKBUR HCN Chirurgie Plastique M. Bruno BACHY HCN Chirurgie PŽdiatrique M. Fabrice BAUER HCN Cardiologie

Mme Soumeya BEKRI HCN Biochimie et Biologie MolŽculaire M. Jacques BENICHOU HCN Biostatistiques et informatique mŽdicale M. Jean-Paul BESSOU HCN Chirurgie thoracique et cardio-vasculaire Mme Franoise BEURET-BLANQUART CRMPR MŽdecine physique et de rŽadaptation M. Guy BONMARCHAND HCN RŽanimation MŽdicale

M. Olivier BOYER UFR Immunologie

M. Jean-Franois CAILLARD (Surnombre) HCN MŽdecine et santŽ au travail M. Franois CARON HCN Maladies infectieuses et tropicales M. Philippe CHASSAGNE HB MŽdecine interne (GŽriatrie)

M. Vincent COMPERE HCN AnesthŽsiologie et RŽanimation Chirurgicale M. Alain CRIBIER (Surnombre) HCN Cardiologie

M. Antoine CUVELIER HB Pneumologie

M. Pierre CZERNICHOW HCN EpidŽmiologie, Žconomie de la santŽ M. Jean - Nicolas DACHER HCN Radiologie et Imagerie MŽdicale

M. StŽphan DARMONI HCN Informatique mŽdicale/techniques de communication M. Pierre DECHELOTTE HCN Nutrition

Mme Danile DEHESDIN HCN Oto-Rhino-Laryngologie

M. Jean DOUCET HB ThŽrapeutique/MŽdecine Interne GŽriatrie M. Bernard DUBRAY CB RadiothŽrapie

M. Philippe DUCROTTE HCN HŽpato-Gastro-EntŽrologie

M. Franck DUJARDIN HCN Chirurgie OrthopŽdique et Traumatologique

M. Fabrice DUPARC HCN Anatomie-Chirurgie OrthopŽdique et Traumatologique M. Bertrand DUREUIL HCN AnesthŽsiologie et RŽanimation Chirurgicale

Mlle HŽlne ELTCHANINOFF HCN Cardiologie M. Thierry FREBOURG UFR GŽnŽtique

M. Pierre FREGER HCN Anatomie / Neurochirurgie M. Jean Franois GEHANNO HCN MŽdecine et santŽ au travail M. Emmanuel GERARDIN HCN Imagerie MŽdicale

M. Michel GODIN HB NŽphrologie M. Philippe GRISE HCN Urologie M. Didier HANNEQUIN HCN Neurologie M. Fabrice JARDIN CB HŽmatologie M. Luc-Marie JOLY HCN MŽdecine dÕurgence M. Pascal JOLY HCN Dermato - vŽnŽrŽologie

M. Jean-Marc KUHN HB Endocrinologie et maladies mŽtaboliques Mme Annie LAQUERRIERE HCN Anatomie cytologie pathologiques M. Vincent LAUDENBACH HCN AnesthŽsie et rŽanimation chirurgicale M. Jo‘l LECHEVALLIER HCN Chirurgie infantile

M. HervŽ LEFEBVRE HB Endocrinologie et maladies mŽtaboliques M. Thierry LEQUERRE HB Rhumatologie

M. Eric LEREBOURS HCN Nutrition Mlle. Anne-Marie LEROI HCN Physiologie M. HervŽ LEVESQUE HB MŽdecine Interne Mme Agns LIARD-ZMUDA HCN Chirurgie Infantile M. Pierre Yves LITZLER HCN Chirurgie Cardiaque

M. Bertrand MACE HCN Histologie, embryologie, cytogŽnŽtique M. Eric MALLET (Surnombre) HCN PŽdiatrie

M. Christophe MARGUET HCN PŽdiatrie

Mme Isabelle MARIE HB MŽdecine interne M. Jean-Paul MARIE HCN ORL

M. Lo•c MARPEAU HCN GynŽcologie - obstŽtrique M. StŽphane MARRET HCN PŽdiatrie

Mme VŽronique MERLE HCN EpidŽmiologie

M. Pierre MICHEL HCN HŽpato - Gastro - EntŽrologie M. Francis MICHOT HCN Chirurgie digestive

M. Bruno MIHOUT (Surnombre) HCN Neurologie

M. Pierre-Yves MILLIEZ HCN Chirurgie plastique, reconstructrice et esthŽtique M. Jean-Franois MUIR HB Pneumologie

M. Marc MURAINE HCN Ophtalmologie

M. Philippe MUSETTE HCN Dermatologie VŽnŽrŽologie M. Christophe PEILLON HCN Chirurgie gŽnŽrale

M. Jean-Marc PERON HCN Stomatologie et chirurgie maxillo - faciale M. Christian PFISTER HCN Urologie

M. Jean-Christophe PLANTIER HCN BactŽriologie - Virologie M. Didier PLISSONNIER HCN Chirurgie vasculaire M. Bernard PROUST HCN MŽdecine LŽgale M. Franois PROUST HCN Neurochirurgie

Mme Nathalie RIVES HCN Biologie et mŽd. du dŽvelop. et de la reproduction M. Jean-Christophe RICHARD (Mise en dispo) HCN RŽanimation mŽdicale, MŽdecine dÕurgence

M. Horace ROMAN HCN GynŽcologie ObstŽtrique M. Jean-Christophe SABOURIN HCN Anatomie - pathologie

M. Guillaume SAVOYE HCN HŽpato Ð Gastro Ð EntŽrologie Mme CŽline SAVOYE-COLLET HCN Imagerie MŽdicale

M. Michel SCOTTE HCN Chirurgie digestive Mme Fabienne TAMION HCN ThŽrapeutique Mlle Florence THIBAUT HCN Psychiatrie dÕadultes M. Luc THIBERVILLE HCN Pneumologie M. Christian THUILLIEZ HB Pharmacologie

M. HervŽ TILLY CB HŽmatologie et transfusion M. Franois TRON (Surnombre) UFR Immunologie

M. Jean-Jacques TUECH HCN Chirurgie digestive M. Jean-Pierre VANNIER HCN PŽdiatrie gŽnŽtique

M. Beno”t VEBER HCN AnesthŽsiologie et RŽanimation Chirurgicale M. Pierre VERA CB Biophysique et traitement de lÕimage M. Eric VERIN CRMPR MŽdecine physique et de rŽadaptation M. Eric VERSPYCK HCN GynŽcologie obstŽtrique

M. Olivier VITTECOQ HB Rhumatologie M. Jacques WEBER HCN Physiologie

MAITRES DE CONFERENCES :

Mme No‘lle BARBIER-FREBOURG HCN BactŽriologie Virologie M. Jeremy BELLIEN HCN Pharmacologie Mme Carole BRASSE LAGNEL HCN Biochimie M. GŽrard BUCHONNET HCN HŽmatologie Mme Mireille CASTANET HCN PŽdiatrie Mme Nathalie CHASTAN HCN Physiologie

Mme Sophie CLAEYESSENS HCN Biochimie et biologie molŽculaire M. Mo•se COEFFIER HCN Nutrition

M. Manuel ETIENNE HCN Maladies infectieuses et tropicales M. Guillaume GOURCEROL HCN Physiologie

Mme Catherine HAAS-HUBSCHER HCN AnesthŽsie RŽanimation chirurgicale M. Serge JACQUOT UFR Immunologie

M. Jo‘l LADNER HCN EpidŽmiologie, Žconomie de la santŽ M. Jean-Baptiste LATOUCHE UFR Biologie Cellulaire

Mme Lucie MARECHAL-GUYANT HCN Neurologie M. Thomas MOUREZ HCN BactŽriologie M. Jean-Franois MENARD HCN Biophysique

Mme Muriel QUILLARD HCN Biochimie et biologie molŽculaire M. Vincent RICHARD UFR Pharmacologie

M. Francis ROUSSEL HCN Histologie, Embryologie, cytogŽnŽtique Mme Pascale SAUGIER-VEBER HCN GŽnŽtique

Mme Anne-Claire TOBENAS-DUJARDIN HCN Anatomie

PROFESSEUR AGREGE OU CERTIFIE :

Mme Dominique LANIEZ UFR Anglais

II- PHARMACIE

PROFESSEURS :

M. Thierry BESSON Chimie ThŽrapeutique M. Jean-Jacques BONNET Pharmacologie M. Roland CAPRON (PU-PH) Biophysique M. Jean COSTENTIN (PU-PH) Pharmacologie Mme Isabelle DUBUS Biochimie M. Lo•c FAVENNEC (PU-PH) Parasitologie M. Jean Pierre GOULLE Toxicologie M. Michel GUERBET Toxicologie M. Olivier LAFONT Chimie organique Mme. Isabelle LEROUX Physiologie Mme Martine PESTEL-CARON (PU-PH) Microbiologie Mme Elisabeth SEGUIN Pharmacognosie M. Jean-Marie VAUGEOIS (DŽlŽgation CNRS) Pharmacologie M. Philippe VERITE Chimie analytique

MAITRES DE CONFERENCES :

Mle CŽcile BARBOT Chimie GŽnŽrale et MinŽrale Mme Dominique BOUCHER Pharmacologie

M. FrŽdŽric BOUNOURE Pharmacie GalŽnique M. Abdeslam CHAGRAOUI Physiologie

M. Jean CHASTANG BiomathŽmatiques

Mme Marie Catherine CONCE-CHEMTOB LŽgislation pharmaceutique et Žconomie de la santŽ Mme Elisabeth CHOSSON Botanique

Mle CŽcile CORBIERE Biochimie M. Eric DITTMAR Biophysique Mme Nathalie DOURMAP Pharmacologie Mle Isabelle DUBUC Pharmacologie Mme Roseline DUCLOS Pharmacologie M. Abdelhakim ELOMRI Pharmacognosie M. Franois ESTOUR Chimie organique M. Gilles GARGALA (MCU-PH) Parasitologie Mme Najila GHARBI Chimie analytique Mle Marie-Laure GROULT Botanique

M. HervŽ HUE Biophysique et MathŽmatiques Mme Laetitia LE GOFF Parasitologie Immunologie Mme Hong LU Biologie

Mme Sabine MENAGER Chimie organique Mme Christelle MONTEIL Toxicologie

M. Paul MULDER Sciences du mŽdicament M. Mohamed SKIBA Pharmacie galŽnique Mme Malika SKIBA Pharmacie galŽnique Mme Christine THARASSE Chimie thŽrapeutique M. RŽmi VARIN (MCU-PH) Pharmacie Hospitalire M. FrŽdŽric ZIEGLER Biochimie

PROFESSEUR ASSOCIE

Mme Sandrine PANCHOU Pharmacie Officinale

PROFESSEUR CONTRACTUEL

Mme Elizabeth DE PAOLIS Anglais

M. Mazim MEKAOUI Chimie Analytique Mlle Virginie OXARAN Microbiologie

III- MEDECINE GENERALE

PROFESSEURS

M. Jean-Loup HERMIL UFR MŽdecine GŽnŽrale

PROFESSEURS ASSOCIES A MI-TEMPS :

M. Pierre FAINSILBER UFR MŽdecine GŽnŽrale M. Alain MERCIER UFR MŽdecine gŽnŽrale M. Philippe NGUYEN THANH UFR MŽdecine GŽnŽrale

MAITRES DE CONFERENCE ASSOCIES A MI-TEMPS :

M. Emmanuel LEFEBVRE UFR MŽdecine gŽnŽrale Mme Elisabeth MAUVIARD UFR MŽdecine gŽnŽrale Mme Marie-ThŽrse THUEUX UFR MŽdecine gŽnŽrale

CHEF DES SERVICES ADMINISTRATIFS : Mme VŽronique DELAFONTAINE

HCN Ð H™pital Charles Nicolle HB Ð H™pital de BOIS GUILLAUME

CB Ð Centre HENRI BECQUEREL CHS Ð Centre Hospitalier SpŽcialisŽ du Rouvray CRMPR Ð Centre RŽgional de MŽdecine Physique et de rŽadaptation

LISTE DES RESPONSABLES DE DISCIPLINE

Melle CŽcile BARBOT Chimie gŽnŽrale et minŽrale M. Thierry BESSON Chimie thŽrapeutique M. Roland CAPRON Biophysique

M. Jean CHASTANG MathŽmatiques

Mme Marie-Catherine CONCE-CHEMTOB LŽgislation, Economie de la SantŽ Mlle Elisabeth CHOSSON Botanique

M. Jean-Jacques BONNET Pharmacodynamie Mme Isabelle DUBUS Biochimie

M. Lo•c FAVENNEC Parasitologie M. Michel GUERBET Toxicologie M. Olivier LAFONT Chimie Organique Mme Isabelle LEROUX-NICOLLET Physiologie Mme Martine PESTEL-CARON Microbiologie Mme Elisabeth SEGUIN Pharmacognosie M. Mohamed SKIBA Pharmacie GalŽnique M. Philippe VERITE Chimie analytique

ENSEIGNANTS MONO-APPARTENANTS MAITRES DE CONFERENCES

M. Sahil ADRIOUCH Biochimie et Biologie MolŽculaire (UnitŽ INSERM 905) Mme Ga‘lle BOUGEARD-DENOYELLE Biochimie et Biologie MolŽculaire (UnitŽ INSERM 1079) Mme Carine CLEREN Neurosciences (NŽovasc)

Mme Pascaline GAILDRAT GŽnŽtique molŽculaire humaine (UMR 1079) M. Antoine OUVRARD-PASCAUD Physiologie (UnitŽ INSERM 1076)

Mme Isabelle TOURNIER Biochimie (UMR 1079)

PROFESSEURS DES UNIVERSITES

M. Serguei FETISSOV Physiologie (Groupe ADEN) Mme Su RUAN GŽnie Informatique

Par dŽlibŽration en date du 3 mars 1967, la facultŽ a arrtŽ que les opinions

Žmises dans les dissertations qui lui seront prŽsentŽes doivent tre considŽrŽes

comme propres ˆ leurs auteurs et quÕelle nÕentend leur donner aucune

approbation ni improbation.

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