Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit - Centre Georges Francois Leclerc Accéder directement au contenu
Article Dans Une Revue Annals of Intensive Care Année : 2020

Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit

1 MI2 - Inflammation, microbiome, immunosurveillance
2 IAME (UMR_S_1137 / U1137) - Infection, Anti-microbiens, Modélisation, Evolution
3 Hôpital Arnaud de Villeneuve [CHRU Montpellier]
4 CHRU Tours - Centre Hospitalier Régional Universitaire de Tours
5 CHUGA - Centre Hospitalier Universitaire [CHU Grenoble]
6 AP-HP - Hopital Saint-Louis [AP-HP]
7 CHU Nice - Centre Hospitalier Universitaire de Nice
8 Hôpital Jeanne de Flandres
9 UNICANCER/Lille - Centre Régional de Lutte contre le Cancer Oscar Lambret [Lille]
10 Hôpital Nord [CHU - APHM]
11 MEPHI - Microbes évolution phylogénie et infections
12 HCL - Hospices Civils de Lyon
13 LPE-Fondation Mérieux - Laboratoire des pathogènes émergents -- Emerging Pathogens Laboratory
14 Génétique et Biologie du Développement
15 CIC - CHU Bichat
16 AP-HP Hôpital Bicêtre (Le Kremlin-Bicêtre)
17 CHU de Poitiers - Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
18 PHAR [Poitiers] - Pharmacologie des anti-infectieux
19 Université de Liège
20 CHU Caen
21 GRAM 2.0 - Groupe de Recherche sur l'Adaptation Microbienne
22 LNC - Lipides - Nutrition - Cancer [Dijon - U1231]
23 LabEx LipSTIC - Laboratoire d'Excellence : Lipoprotéines et Santé : prévention et Traitement des maladies Inflammatoires et du Cancer
24 CIC-EC - Centre d'Investigation Clinique 1432 (Dijon) - Epidemiologie Clinique/Essais Cliniques
25 CEReSS - Centre d'études et de recherche sur les services de santé et la qualité de vie
26 ICAN - Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases
27 CHU Amiens-Picardie
28 MP3CV - Mécanismes physiopathologiques et conséquences des calcifications vasculaires - UR UPJV 7517
29 CHU Gabriel Montpied [Clermont-Ferrand]
30 CHUV - Centre Hospitalier Universitaire Vaudois = Lausanne University Hospital [Lausanne]
31 CIC - Centre d’Investigation Clinique [Tours] CIC 1415
32 Hôpital Raymond Poincaré [AP-HP]
Michael Darmon
Jean Dellamonica
Olivier Leroy

Résumé

The French Society of Intensive Care Medicine (SRLF), jointly with the French-Speaking Group of Paediatric Emergency Rooms and Intensive Care Units (GFRUP) and the French-Speaking Association of Paediatric Surgical Intensivists (ADARPEF), worked out guidelines for the management of central venous catheters (CVC), arterial catheters and dialysis catheters in intensive care unit. For adult patients: Using GRADE methodology, 36 recommendations for an improved catheter management were produced by the 22 experts. Recommendations regarding catheter-related infections' prevention included the preferential use of subclavian central vein (GRADE 1), a one-step skin disinfection(GRADE 1) using 2% chlorhexidine (CHG)-alcohol (GRADE 1), and the implementation of a quality of care improvement program. Antiseptic- or antibiotic-impregnated CVC should likely not be used (GRADE 2, for children and adults). Catheter dressings should likely not be changed before the 7th day, except when the dressing gets detached, soiled or impregnated with blood (GRADE 2- adults). CHG dressings should likely be used (GRADE 2+). For adults and children, ultrasound guidance should be used to reduce mechanical complications in case of internal jugular access (GRADE 1), subclavian access (Grade 2) and femoral venous, arterial radial and femoral access (Expert opinion). For children, an ultrasound-guided supraclavicular approach of the brachiocephalic vein was recommended to reduce the number of attempts for cannulation and mechanical complications. Based on scarce publications on diagnostic and therapeutic strategies and on their experience (expert opinion), the panel proposed definitions, and therapeutic strategies.
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Dates et versions

hal-03105706 , version 1 (11-01-2021)

Identifiants

Citer

Jean-François Timsit, Julien Baleine, Louis Bernard, Silvia Calvino-Gunther, Michael Darmon, et al.. Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit. Annals of Intensive Care, 2020, 10 (1), pp.118. ⟨10.1186/s13613-020-00713-4⟩. ⟨hal-03105706⟩
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