Accéder directement au contenu Accéder directement à la navigation
Article dans une revue

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

Jean-François Timsit 1, 2 Julien Baleine 3 Louis Bernard 4 Silvia Calvino-Gunther 5 Michael Darmon 6 Jean Dellamonica 7 Eric Desruennes 8, 9 Marc Leone 10 Alain Lepape 11, 12 Olivier Leroy 13 Jean-Christophe Lucet 14, 2 Zied Merchaoui 15 Olivier Mimoz 16, 17 Benoit Misset 18 Jean-Jacques Parienti 19, 20 Jean-Pierre Quenot 21, 22, 23 Antoine Roch 24, 10 Matthieu Schmidt 25 Michel Slama 26 Bertrand Souweine 27 Jean-Ralph Zahar 2 Walter Zingg 28 Laetitia Bodet-Contentin 29 Virginie Maxime 30
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 CHU - Centre Hospitalier Universitaire [Grenoble]
6 CHU Saint Louis [APHP]
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 CIRI - Centre International de Recherche en Infectiologie - UMR
12 HCL - Hospices Civils de Lyon
13 Génétique et Biologie du Développement
14 CIC - CHU Bichat
15 AP-HP Hôpital Bicêtre (Le Kremlin-Bicêtre)
16 CHU Poitiers - Centre hospitalier universitaire de Poitiers
17 PHAR - Pharmacologie des anti-infectieux
18 Université de Liège
19 CHU Caen
20 GRAM 2.0 - Groupe de Recherche sur l'Adaptation Microbienne
21 LNC - Lipides - Nutrition - Cancer [Dijon - U1231]
22 LabEx LipSTIC - Laboratoire d'Excellence : Lipoprotéines et Santé : prévention et Traitement des maladies Inflammatoires et du Cancer
23 CIC-EC - Centre d'Investigation Clinique 1432 (Dijon) - Epidemiologie Clinique/Essais Cliniques
24 CEReSS - Centre d'études et de recherche sur les services de santé et la qualité de vie
25 ICAN - Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Institute of cardiometabolism and nutrition
26 CHU Amiens-Picardie
27 CHU - CHU Gabriel Montpied
28 CHUV - Centre Hospitalier Universitaire Vaudois [Lausanne]
29 CIC - Centre d’Investigation Clinique [Tours]
30 Hôpital Raymond Poincaré [AP-HP]
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.
Keywords : Bacteremia Catheter Critically ill Infection Prevention Sepsis
Type de document :
Article dans une revue
Liste complète des métadonnées
https://hal.sorbonne-universite.fr/hal-03105706
Contributeur : Gestionnaire Hal-Su <>
Soumis le : lundi 11 janvier 2021 - 11:34:50
Dernière modification le : mercredi 13 janvier 2021 - 03:37:37

Fichier

Vignette du document
s13613-020-00713-4.pdf
Publication financée par une institution

Identifiants

Collections

SORBONNE-UNIVERSITE | UNIV-POITIERS | HCL | UNIV-FCOMTE | CURIE | CGFL | LAMBRET | PSL | ICAN | ENS-LYON | UNIV-BOURGOGNE | FNCLCC | LNC-UMR866 | PHAR | UNIV-LYON1 | UNIV-MONTPELLIER | UNIROUEN | CIRI | UNIV-AMU | UNICAEN | UGBDD | EPHE | SU-MEDECINE | GRAM | CNRS | UDL | INRAE | UNIV-PARIS13 | UP-SANTE | COMUE-NORMANDIE | SU-SCIENCES | UNIV-PARIS | SU-TI | USPC

Citation

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, SpringerOpen, 2020, 10 (1), pp.118. ⟨10.1186/s13613-020-00713-4⟩. ⟨hal-03105706⟩

Exporter

BibTeX TEI DC DCterms EndNote

Partager

Métriques

Consultations de la notice

100

Téléchargements de fichiers

141