Organisation de la ventilation artificielle dans les unités de réanimation en France

Translated title of the contribution: Organization of mechanical ventilation in French Intensive care units

P. Montravers, Carole Ichai, H. Dupont, Jean François Payen, G. Orliaguet, P. Blanchet, Y. Malledant, J. Albanèse, Karim Asehnoune, O. Bastien, O. Collange, J. Duranteau, B. Garrigues, A. Lepape, Catherine Paugam-Burtz

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)

Abstract

Objectifs: Type d'étude: Méthodes: Résultats: Conclusion: Objectives: To clarify the procedures related to mechanical ventilation in the intensive care unit setting: allocation of ventilators, team education, maintenance and reference documents. Study design: Declarative survey. Methods: Between September and December 2010, we assessed the assignment and types of ventilators (ICU ventilators, temporary repair ventilators, non-invasive ventilators [NIV], and transportation ventilators), medical and nurse education, maintenance of the ventilators, presence of reference documents. Results are expressed in median/range and proportions. Results: Among the 62 participating ICUs, a median of 15 ventilators/ICU (range 1-50) was reported with more than one trademark in 47 (76%) units. Specific ventilators were used for NIV in 22 (35%) units, temporary repair in 49 (79%) and transportation in all the units. Nurse education courses were given by ICU physicians in 54 (87%) units or by a company in 29 (47%) units. Medical education courses were made by ICU senior physicians in 55 (89%) units or by a company in 21 (34%) units. These courses were organized occasionally in 24 (39%) ICU and bi-annually in 16 (26%) units. Maintenance procedures were made by the ICU staff in 39 (63%) units, dedicated staff (17 [27%]) or bioengineering technicians (14 [23%] ICU). Reference documents were written for maintenance procedures in 48 (77%) units, ventilator setup in 22 (35%) units and ventilator dysfunction in 20 (32%) ICU. Conclusions: This first survey shows disparate distribution of ventilators and practices among French ICU. Education and understanding of the proper use of ventilators are key issues for security improvement.

Translated title of the contributionOrganization of mechanical ventilation in French Intensive care units
Original languageFrench
Pages (from-to)736-741
Number of pages6
JournalAnnales Francaises d'Anesthesie et de Reanimation
Volume32
Issue number11
DOIs
Publication statusPublished - Nov 2013
Externally publishedYes

Keywords

  • Education
  • Intensive care unit
  • Maintenance
  • Mechanical ventilation
  • Organization

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