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

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

  • Timsit JF APHP/Hopital Bichat-Medical and Infectious Diseases ICU (MI2), 46 rue Henri Huchard, 75018, Paris, France.
  • Baleine J Department of Neonatal Medicine and Pediatric Intensive Care, Arnaud de Villeneuve University Hospital, 371 Avenue Doyen G Giraud, 34295, Montpellier Cedex 5, France.
  • Bernard L Infectious Diseases Unit, University Hospital Tours, Nîmes 2 Boulevard, 37000, Tours, France.
  • Calvino-Gunther S CHU Grenoble Alpes, Réanimation Médicale Pôle Urgences Médecine Aiguë, 38000, Grenoble, France.
  • Darmon M Medical ICU, Saint-Louis University Hospital, AP-HP, Paris, France.
  • Dellamonica J Centre Hospitalier Universitaire de Nice, Médecine Intensive Réanimation, Archet 1, UR2CA Unité de Recherche Clinique Côte d'Azur, Université Cote d'Azur, Nice, France.
  • Desruennes E Clinique d'anesthésie pédiatrique, Hôpital Jeanne-de-Flandre, avenue Eugène-Avinée, CHU Lille, 59000, Lille, France.
  • Leone M Anesthésie Réanimation, Hôpital Nord, 13015, Marseille, France.
  • Lepape A Service d'Anesthésie et de Réanimation, Hospices Civils de Lyon, Groupement Hospitalier Sud, Lyon, France.
  • Leroy O Medical ICU, Chatilliez Hospital, Tourcoing, France.
  • Lucet JC AP-HP, Infection Control Unit, Bichat-Claude Bernard University Hospital, 46 rue Henri Huchard, 75877, Paris Cedex, France.
  • Merchaoui Z Pediatric Intensive Care, Paris South University Hospitals AP-HP, Le Kremlin Bicêtre, France.
  • Mimoz O Services des Urgences Adultes and SAMU 86, Centre Hospitalier Universitaire de Poitiers, 86021, Poitiers, France.
  • Misset B Department of Intensive Care, Sart-Tilman University Hospital, and University of Liège, Liège, Belgium.
  • Parienti JJ Department of Biostatistics and Clinical Research and Department of Infectious Diseases, Caen University Hospital, 14000, Caen, France.
  • Quenot JP Department of Intensive Care, François Mitterrand University Hospital, Dijon, France.
  • Roch A Assistance Publique - Hôpitaux de Marseille, Hôpital Nord, Service des Urgences, 13015, Marseille, France.
  • Schmidt M Assistance Publique-Hôpitaux de Paris (APHP), Pitié-Salpêtrière Hospital, Medical Intensive Care Unit, 75651, Paris, France.
  • Slama M Medical Intensive Care Unit, CHU Sud Amiens, Amiens, France.
  • Souweine B Medical ICU, Gabriel-Montpied University Hospital, Clermont-Ferrand, France.
  • Zahar JR IAME, UMR 1137, Université Paris 13, Sorbonne Paris Cité, Paris, France.
  • Zingg W Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
  • Bodet-Contentin L Medical Intensive Care Unit, INSERM CIC 1415, CRICS-TriGGERSep Network, CHRU de Tours and Université de Tours, Tours, France.
  • Maxime V Surgical and Medical Intensive Care Unit Hôpital, Raymond Poincaré, 9230, Garches, France. virginie.maxime@aphp.fr.
Show more…
  • 2020-09-07
Published in:
  • Annals of intensive care. - 2020
Bacteremia
Catheter
Critically ill
Infection
Prevention
Sepsis
English 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.
Language
  • English
Open access status
gold
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/43870
Statistics
Document views: 20 File downloads: