16 novembre 2022
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F. Coste et al., « Hypoxémie : de la physiopathologie au diagnostic [Hypoxemia: from pathophysiology to diagnosis] », Serveur académique Lausannois, ID : 10.53738/REVMED.2022.18.804.2157
Hypoxemia is defined as a decreased oxygen partial pressure in arterial blood. This frequent clinical phenomenon can lead to tissue hypoxia and requires a prompt diagnostic approach to guide its management. Five pathophysiological mechanisms should be assessed in the presence of hypoxemia: alveolar hypoventilation, ventilation/perfusion mismatches, diffusion disorders, true shunts and a decrease in the partial pressure of inspired oxygen. In this article, we synthesize the main etiologies of hypoxemia based on respiratory pathophysiology and suggest a diagnostic approach for its evaluation.