• Jean-Yves Lefrant, Marc-Olivier Fischer, Hugo Potier, Cécile Degryse, Samir Jaber, Laurent Muller, Julien Pottecher, Hélène Charboneau, Eric Meaudre, Pierre Lanot, Vincent Bruckert, Benoît Plaud, Bertrand Dureuil, Emmanuel Samain, Hervé Bouaziz, Claude Ecoffey, Xavier Capdevila, and French ICU study investigators group.
• EA 2992 IMAGINE, Univ Montpellier, Pôle Anesthésie Réanimation Douleur Urgence, CHU Nîmes, Nîmes, France. Electronic address: jean.yves.lefrant@chu-nimes.fr.
• Anaesth Crit Care Pain Med. 2020 Dec 1; 39 (6): 709-715.

BackgroundWhereas 5415 Intensive Care Unit (ICU) beds were initially available, 7148 COVID-19 patients were hospitalised in the ICU at the peak of the outbreak. The present study reports how the French Health Care system created temporary ICU beds to avoid being overwhelmed.MethodsAll French ICUs were contacted for answering a questionnaire focusing on the available beds and health care providers before and during the outbreak.ResultsAmong 336 institutions with ICUs before the outbreak, 315 (94%) participated, covering 5054/5531 (91%) ICU beds. During the outbreak, 4806 new ICU beds (+95% increase) were created from Acute Care Unit (ACU, 2283), Post Anaesthetic Care Unit and Operating Theatre (PACU & OT, 1522), other units (374) or real build-up of new ICU beds (627), respectively. At the peak of the outbreak, 9860, 1982 and 3089 ICU, ACU and PACU beds were made available. Before the outbreak, 3548 physicians (2224 critical care anaesthesiologists, 898 intensivists and 275 from other specialties, 151 paediatrics), 1785 residents, 11,023 nurses and 6763 nursing auxiliaries worked in established ICUs. During the outbreak, 2524 physicians, 715 residents, 7722 nurses and 3043 nursing auxiliaries supplemented the usual staff in all ICUs. A total number of 3212 new ventilators were added to the 5997 initially available in ICU.ConclusionDuring the COVID-19 outbreak, the French Health Care system created 4806 ICU beds (+95% increase from baseline), essentially by transforming beds from ACUs and PACUs. Collaboration between intensivists, critical care anaesthesiologists, emergency physicians as well as the mobilisation of nursing staff were primordial in this context.Copyright © 2020 Société française d'anesthésie et de réanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.

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