Evaluation de la prise en charge de la douleur a … · UNIVERSITE DE ROUEN FACULTE DE MEDECINE DE...

Evaluation de la prise en charge de la douleur a domicile

par catheter perinerveux pour la chirurgie ambulatoire

du pied

Marie-Laure Thibault

To cite this version:

Marie-Laure Thibault. Evaluation de la prise en charge de la douleur a domicile par catheterperinerveux pour la chirurgie ambulatoire du pied. Human health and pathology. 2013.<dumas-00845992>

HAL Id: dumas-00845992

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

Submitted on 19 Jul 2013

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UNIVERSITE DE ROUEN

FACULTE DE MEDECINE DE ROUEN

Ann�e : 2013 N¡ :

Th�se pour le doctorat en m�decine

Par

Marie-Laure THIBAULT

N�e le 05 Juin 1983

Pr�sent�e et soutenue publiquement

Le 28 Juin 2013

Evaluation de la prise en charge

de la douleur � domicile

par cath�ter p�rinerveux

pour la chirurgie ambulatoire du pied

Pr�sident 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. Fr�d�ric ANSELME HCN Cardiologie Mme Isabelle AUQUIT AUCKBUR HCN Chirurgie Plastique M. Bruno BACHY HCN Chirurgie P�diatrique M. Fabrice BAUER HCN Cardiologie Mme Soumeya BEKRI HCN Biochimie et Biologie Mol�culaire M. Jacques BENICHOU HCN Biostatistiques et informatique m�dicale M. Jean-Paul BESSOU HCN Chirurgie thoracique et cardio-vasculaire Mme Fran�oise BEURET-BLANQUART CRMPR M�decine physique et de r�adaptation M. Guy BONMARCHAND HCN R�animation M�dicale M. Olivier BOYER UFR Immunologie M. Jean-Fran�ois CAILLARD (Surnombre) HCN M�decine et sant� au travail M. Fran�ois CARON HCN Maladies infectieuses et tropicales M. Philippe CHASSAGNE HB M�decine interne (G�riatrie) M. Vincent COMPERE HCN Anesth�siologie et R�animation Chirurgicale M. Alain CRIBIER (Surnombre) HCN Cardiologie M. Antoine CUVELIER HB Pneumologie M. Pierre CZERNICHOW HCN Epid�miologie, �conomie de la sant� M. Jean - Nicolas DACHER HCN Radiologie et Imagerie M�dicale M. St�phan DARMONI HCN Informatique m�dicale/techniques de communication M. Pierre DECHELOTTE HCN Nutrition Mme Dani�le DEHESDIN HCN Oto-Rhino-Laryngologie M. Jean DOUCET HB Th�rapeutique/M�decine Interne G�riatrie M. Bernard DUBRAY CB Radioth�rapie M. Philippe DUCROTTE HCN H�pato-Gastro-Ent�rologie M. Franck DUJARDIN HCN Chirurgie Orthop�dique et Traumatologique M. Fabrice DUPARC HCN Anatomie-Chirurgie Orthop�dique et Traumatologique M. Bertrand DUREUIL HCN Anesth�siologie et R�animation Chirurgicale Mlle H�l�ne ELTCHANINOFF HCN Cardiologie M. Thierry FREBOURG UFR G�n�tique M. Pierre FREGER HCN Anatomie / Neurochirurgie M. Jean Fran�ois GEHANNO HCN M�decine et sant� au travail M. Emmanuel GERARDIN HCN Imagerie M�dicale Mme Priscille GERARDIN HCN P�dopsychiatrie

M. Michel GODIN HB N�phrologie M. Philippe GRISE HCN Urologie M. Didier HANNEQUIN HCN Neurologie M. Fabrice JARDIN CB H�matologie M. Luc-Marie JOLY HCN M�decine dÕurgence M. Pascal JOLY HCN Dermato - v�n�r�ologie M. Jean-Marc KUHN HB Endocrinologie et maladies m�taboliques Mme Annie LAQUERRIERE HCN Anatomie cytologie pathologiques M. Vincent LAUDENBACH HCN Anesth�sie et r�animation chirurgicale M. Jo�l LECHEVALLIER HCN Chirurgie infantile M. Herv� LEFEBVRE HB Endocrinologie et maladies m�taboliques M. Thierry LEQUERRE HB Rhumatologie M. Eric LEREBOURS HCN Nutrition Mlle. Anne-Marie LEROI HCN Physiologie M. Herv� LEVESQUE HB M�decine Interne Mme Agn�s LIARD-ZMUDA HCN Chirurgie Infantile M. Pierre Yves LITZLER HCN Chirurgie Cardiaque M. Bertrand MACE HCN Histologie, embryologie, cytog�n�tique M. Eric MALLET (Surnombre) HCN P�diatrie M. Christophe MARGUET HCN P�diatrie Mme Isabelle MARIE HB M�decine interne M. Jean-Paul MARIE HCN ORL M. Lo�c MARPEAU HCN Gyn�cologie - obst�trique M. St�phane MARRET HCN P�diatrie Mme V�ronique MERLE HCN Epid�miologie M. Pierre MICHEL HCN H�pato - Gastro - Ent�rologie M. Francis MICHOT HCN Chirurgie digestive M. Bruno MIHOUT (Surnombre) HCN Neurologie M. Pierre-Yves MILLIEZ HCN Chirurgie plastique, reconstructrice et esth�tique M. Jean-Fran�ois MUIR HB Pneumologie M. Marc MURAINE HCN Ophtalmologie M. Philippe MUSETTE HCN Dermatologie V�n�r�ologie M. Christophe PEILLON HCN Chirurgie g�n�rale M. Jean-Marc PERON HCN Stomatologie et chirurgie maxillo - faciale M. Christian PFISTER HCN Urologie M. Jean-Christophe PLANTIER HCN Bact�riologie - Virologie M. Didier PLISSONNIER HCN Chirurgie vasculaire M. Bernard PROUST HCN M�decine L�gale M. Fran�ois PROUST HCN Neurochirurgie Mme Nathalie RIVES HCN Biologie et m�d. du d�velop. et de la reproduction M. Jean-Christophe RICHARD (Mise en dispo) HCN R�animation m�dicale, M�decine dÕurgence M. Horace ROMAN HCN Gyn�cologie Obst�trique M. Jean-Christophe SABOURIN HCN Anatomie - pathologie M. Guillaume SAVOYE HCN H�pato Ð Gastro Ð Ent�rologie Mme C�line SAVOYE-COLLET HCN Imagerie M�dicale M. Michel SCOTTE HCN Chirurgie digestive Mme Fabienne TAMION HCN Th�rapeutique Mlle Florence THIBAUT HCN Psychiatrie dÕadultes M. Luc THIBERVILLE HCN Pneumologie M. Christian THUILLIEZ HB Pharmacologie M. Herv� TILLY CB H�matologie et transfusion M. Fran�ois TRON (Surnombre) UFR Immunologie M. Jean-Jacques TUECH HCN Chirurgie digestive M. Jean-Pierre VANNIER HCN P�diatrie g�n�tique M. Beno�t VEBER HCN Anesth�siologie et R�animation Chirurgicale M. Pierre VERA CB Biophysique et traitement de lÕimage M. Eric VERIN CRMPR M�decine physique et de r�adaptation M. Eric VERSPYCK HCN Gyn�cologie obst�trique M. Olivier VITTECOQ HB Rhumatologie M. Jacques WEBER HCN Physiologie

MAITRES DE CONFERENCES :

Mme No�lle BARBIER-FREBOURG HCN Bact�riologie Virologie M. Jeremy BELLIEN HCN Pharmacologie Mme Carole BRASSE LAGNEL HCN Biochimie M. G�rard BUCHONNET HCN H�matologie Mme Mireille CASTANET HCN P�diatrie Mme Nathalie CHASTAN HCN Physiologie Mme Sophie CLAEYESSENS HCN Biochimie et biologie mol�culaire M. Mo�se COEFFIER HCN Nutrition M. Manuel ETIENNE HCN Maladies infectieuses et tropicales M. Guillaume GOURCEROL HCN Physiologie Mme Catherine HAAS-HUBSCHER HCN Anesth�sie R�animation chirurgicale M. Serge JACQUOT UFR Immunologie M. Jo�l LADNER HCN Epid�miologie, �conomie de la sant� M. Jean-Baptiste LATOUCHE UFR Biologie Cellulaire Mme Lucie MARECHAL-GUYANT HCN Neurologie M. Thomas MOUREZ HCN Bact�riologie M. Jean-Fran�ois MENARD HCN Biophysique Mme Muriel QUILLARD HCN Biochimie et biologie mol�culaire M. Vincent RICHARD UFR Pharmacologie M. Francis ROUSSEL HCN Histologie, Embryologie, cytog�n�tique Mme Pascale SAUGIER-VEBER HCN G�n�tique Mme Anne-Claire TOBENAS-DUJARDIN HCN Anatomie PROFESSEUR AGREGE OU CERTIFIE : Mme Dominique LANIEZ UFR Anglais Mme Christina BADULESCU UFR Communication

II- PHARMACIE

PROFESSEURS : M. Thierry BESSON Chimie Th�rapeutique 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 (D�l�gation CNRS) Pharmacologie M. Philippe VERITE Chimie analytique MAITRES DE CONFERENCES : Mle C�cile BARBOT Chimie G�n�rale et Min�rale Mme Dominique BOUCHER Pharmacologie M. Fr�d�ric BOUNOURE Pharmacie Gal�nique M. Abdeslam CHAGRAOUI Physiologie M. Jean CHASTANG Biomath�matiques Mme Marie Catherine CONCE-CHEMTOB L�gislation pharmaceutique et �conomie de la sant� Mme Elisabeth CHOSSON Botanique Mle C�cile 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. Herv� HUE Biophysique et Math�matiques Mme Laetitia LE GOFF Parasitologie Immunologie Mme Hong LU Biologie Mme Sabine MENAGER Chimie organique Mme Christelle MONTEIL Toxicologie M. Paul MULDER Sciences du m�dicament M. Mohamed SKIBA Pharmacie gal�nique Mme Malika SKIBA Pharmacie gal�nique Mme Christine THARASSE Chimie th�rapeutique M. R�mi VARIN (MCU-PH) Pharmacie Hospitali�re M. Fr�d�ric ZIEGLER Biochimie PROFESSEUR ASSOCIE Mme Sandrine PANCHOU Pharmacie Officinale PROFESSEUR CONTRACTUEL Mme Elizabeth DE PAOLIS Anglais ATTACHES TEMPORAIRES DÕENSEIGNEMENT ET DE RECHERCHE

M. Mazim MEKAOUI Chimie Analytique Mlle Virginie OXARAN Microbiologie

III- MEDECINE GENERALE

PROFESSEURS M. Jean-Loup HERMIL UFR M�decine G�n�rale PROFESSEURS ASSOCIES A MI-TEMPS : M. Pierre FAINSILBER UFR M�decine G�n�rale M. Alain MERCIER UFR M�decine g�n�rale M. Philippe NGUYEN THANH UFR M�decine G�n�rale MAITRES DE CONFERENCE ASSOCIES A MI-TEMPS : M. Emmanuel LEFEBVRE UFR M�decine g�n�rale Mme Elisabeth MAUVIARD UFR M�decine g�n�rale Mme Marie-Th�r�se THUEUX UFR M�decine g�n�rale CHEF DES SERVICES ADMINISTRATIFS : Mme V�ronique DELAFONTAINE HCN Ð H�pital Charles Nicolle HB Ð H�pital de BOIS GUILLAUME CB Ð Centre HENRI BECQUEREL CHS Ð Centre Hospitalier Sp�cialis� du Rouvray CRMPR Ð Centre R�gional de M�decine Physique et de r�adaptation

LISTE DES RESPONSABLES DE DISCIPLINE

Melle C�cile BARBOT Chimie g�n�rale et min�rale M. Thierry BESSON Chimie th�rapeutique M. Roland CAPRON Biophysique M. Jean CHASTANG Math�matiques Mme Marie-Catherine CONCE-CHEMTOB L�gislation, Economie de la Sant� 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 Gal�nique M. Philippe VERITE Chimie analytique

ENSEIGNANTS MONO-APPARTENANTS

MAITRES DE CONFERENCES M. Sahil ADRIOUCH Biochimie et Biologie Mol�culaire (Unit� INSERM 905) Mme Ga�lle BOUGEARD-DENOYELLE Biochimie et Biologie Mol�culaire (Unit� INSERM 1079) Mme Carine CLEREN Neurosciences (N�ovasc) Mme Pascaline GAILDRAT G�n�tique mol�culaire humaine (UMR 1079) M. Antoine OUVRARD-PASCAUD Physiologie (Unit� INSERM 1076) Mme Isabelle TOURNIER Biochimie (UMR 1079) PROFESSEURS DES UNIVERSITES M. Serguei FETISSOV Physiologie (Groupe ADEN) Mme Su RUAN G�nie Informatique

Par d�lib�ration en date du 3 mars 1967, la facult� a arr�t� que les opinions

�mises dans les dissertations qui lui seront pr�sent�es doivent �tre consid�r�es

comme propres � leurs auteurs et quÕelle nÕentend leur donner aucune

approbation ni improbation.

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