• Ann Fr Anesth Reanim · Nov 2013

    [Organization of mechanical ventilation in French Intensive care units.]

    • P Montravers, Le Comité réanimation de la Sfar, C Ichai, H Dupont, J F Payen, G Orliaguet, P Blanchet, Y Malledant, J Albanèse, K Asehnoune, O Bastien, O Collange, J Duranteau, B Garrigues, A Lepape, and C Paugam-Burtz.
    • Département d'anesthésie réanimation, université Paris-Diderot, Sorbonne-Paris-Cité, centre hospitalier universitaire Bichat-Claude-Bernard, hôpitaux universitaires Paris-Nord - Val-de-Seine, AP-HP, 75018 Paris, France. Electronic address: philippe.montravers@bch.aphp.fr.
    • Ann Fr Anesth Reanim. 2013 Nov 1; 32 (11): 736-41.

    ObjectivesTo clarify the procedures related to mechanical ventilation in the intensive care unit setting: allocation of ventilators, team education, maintenance and reference documents.Study DesignDeclarative survey.MethodsBetween 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.ResultsAmong 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.ConclusionsThis 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.Copyright © 2013 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.

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