Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit
Abstract 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...
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Format: | Article |
Language: | English |
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SpringerOpen
2020-09-01
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Series: | Annals of Intensive Care |
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Online Access: | http://link.springer.com/article/10.1186/s13613-020-00713-4 |
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record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jean-François Timsit Julien Baleine Louis Bernard Silvia Calvino-Gunther Michael Darmon Jean Dellamonica Eric Desruennes Marc Leone Alain Lepape Olivier Leroy Jean-Christophe Lucet Zied Merchaoui Olivier Mimoz Benoit Misset Jean-Jacques Parienti Jean-Pierre Quenot Antoine Roch Matthieu Schmidt Michel Slama Bertrand Souweine Jean-Ralph Zahar Walter Zingg Laetitia Bodet-Contentin Virginie Maxime |
spellingShingle |
Jean-François Timsit Julien Baleine Louis Bernard Silvia Calvino-Gunther Michael Darmon Jean Dellamonica Eric Desruennes Marc Leone Alain Lepape Olivier Leroy Jean-Christophe Lucet Zied Merchaoui Olivier Mimoz Benoit Misset Jean-Jacques Parienti Jean-Pierre Quenot Antoine Roch Matthieu Schmidt Michel Slama Bertrand Souweine Jean-Ralph Zahar Walter Zingg Laetitia Bodet-Contentin Virginie Maxime Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit Annals of Intensive Care Catheter Critically ill Sepsis Infection Bacteremia Prevention |
author_facet |
Jean-François Timsit Julien Baleine Louis Bernard Silvia Calvino-Gunther Michael Darmon Jean Dellamonica Eric Desruennes Marc Leone Alain Lepape Olivier Leroy Jean-Christophe Lucet Zied Merchaoui Olivier Mimoz Benoit Misset Jean-Jacques Parienti Jean-Pierre Quenot Antoine Roch Matthieu Schmidt Michel Slama Bertrand Souweine Jean-Ralph Zahar Walter Zingg Laetitia Bodet-Contentin Virginie Maxime |
author_sort |
Jean-François Timsit |
title |
Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit |
title_short |
Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit |
title_full |
Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit |
title_fullStr |
Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit |
title_full_unstemmed |
Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit |
title_sort |
expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit |
publisher |
SpringerOpen |
series |
Annals of Intensive Care |
issn |
2110-5820 |
publishDate |
2020-09-01 |
description |
Abstract 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. |
topic |
Catheter Critically ill Sepsis Infection Bacteremia Prevention |
url |
http://link.springer.com/article/10.1186/s13613-020-00713-4 |
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doaj-de0147ce601e4e8ab839c93de683ab5f2020-11-25T03:37:43ZengSpringerOpenAnnals of Intensive Care2110-58202020-09-0110112610.1186/s13613-020-00713-4Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unitJean-François Timsit0Julien Baleine1Louis Bernard2Silvia Calvino-Gunther3Michael Darmon4Jean Dellamonica5Eric Desruennes6Marc Leone7Alain Lepape8Olivier Leroy9Jean-Christophe Lucet10Zied Merchaoui11Olivier Mimoz12Benoit Misset13Jean-Jacques Parienti14Jean-Pierre Quenot15Antoine Roch16Matthieu Schmidt17Michel Slama18Bertrand Souweine19Jean-Ralph Zahar20Walter Zingg21Laetitia Bodet-Contentin22Virginie Maxime23APHP/Hopital Bichat-Medical and Infectious Diseases ICU (MI2)Department of Neonatal Medicine and Pediatric Intensive Care, Arnaud de Villeneuve University HospitalInfectious Diseases Unit, University Hospital ToursCHU Grenoble Alpes, Réanimation Médicale Pôle Urgences Médecine AiguëMedical ICU, Saint-Louis University Hospital, AP-HPCentre Hospitalier Universitaire de Nice, Médecine Intensive Réanimation, Archet 1, UR2CA Unité de Recherche Clinique Côte d’Azur, Université Cote d’AzurClinique d’anesthésie pédiatrique, Hôpital Jeanne-de-FlandreAnesthésie Réanimation, Hôpital NordService d’Anesthésie et de Réanimation, Hospices Civils de Lyon, Groupement Hospitalier SudMedical ICU, Chatilliez HospitalAP-HP, Infection Control Unit, Bichat-Claude Bernard University HospitalPediatric Intensive Care, Paris South University Hospitals AP-HPServices des Urgences Adultes and SAMU 86, Centre Hospitalier Universitaire de PoitiersDepartment of Intensive Care, Sart-Tilman University Hospital, and University of LiègeDepartment of Biostatistics and Clinical Research and Department of Infectious Diseases, Caen University HospitalDepartment of Intensive Care, François Mitterrand University HospitalAssistance Publique - Hôpitaux de Marseille, Hôpital Nord, Service des UrgencesAssistance Publique-Hôpitaux de Paris (APHP), Pitié-Salpêtrière Hospital, Medical Intensive Care UnitMedical Intensive Care Unit, CHU Sud AmiensMedical ICU, Gabriel-Montpied University HospitalIAME, UMR 1137, Université Paris 13, Sorbonne Paris CitéInfection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of MedicineMedical Intensive Care Unit, INSERM CIC 1415, CRICS-TriGGERSep Network, CHRU de Tours and Université de ToursSurgical and Medical Intensive Care Unit HôpitalAbstract 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.http://link.springer.com/article/10.1186/s13613-020-00713-4CatheterCritically illSepsisInfectionBacteremiaPrevention |