1. [Current use of sedation and analgesia: 218 resuscitations in France services practices survey]
- Author
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Constantin, Jean-Michel, Chanques, Gérald, De Jonghe, Bernard, Sanchez, Paola, Mantz, Jean, Payen, Jean-François, Sztark, François, Richebé, Philippe, Lagneau, Franck, Capdevila, Xavier, Bazin, Jean-Etienne, Lefrant, Jean-Yves, Service d'Anésthésie Réanimation [CHU Clermont-Ferrand], CHU Estaing [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand, Département anesthésie-réanimation, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-CHU Saint-Eloi, Service de réanimation médico-chirurgicale, CHI Poissy-Saint-Germain, Service d' anesthésie-réanimation polyvalente, CHU Toulouse [Toulouse]-Hôpital Purpan [Toulouse], CHU Toulouse [Toulouse], Service d'anesthésie-réanimation chirurgicale, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Beaujon [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Neuro-imagerie fonctionnelle et métabolique (ANTE-INSERM U836, équipe 5), Grenoble Institut des Neurosciences (GIN), Université Joseph Fourier - Grenoble 1 (UJF)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Joseph Fourier - Grenoble 1 (UJF)-Institut National de la Santé et de la Recherche Médicale (INSERM), Département d'anesthésie-réanimation, Groupe hospitalier Pellegrin, Department of anesthesiology and pain medicine, Health Sciences RR415/ RR444, Hôpital privé de Parly-2, Département d'anesthésie-réanimation A, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Hôpital Lapeyronie, Pôle d'anesthésie-réanimation-urgences, Centre Hospitalier Universitaire de Nîmes (CHU Nîmes)-Hôpital Universitaire Carémeau [Nîmes] (CHU Nîmes), Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Dojat, Michel, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Hôpital Saint Eloi (CHRU Montpellier), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Pôle Anesthésie Réanimation [CHU de Toulouse], and Centre Hospitalier Universitaire de Toulouse (CHU Toulouse)
- Subjects
MESH: Conscious Sedation ,MESH: Humans ,health care facilities, manpower, and services ,MESH: Questionnaires ,Conscious Sedation ,MESH: Deep Sedation ,MESH: France ,MESH: Analgesia ,Surveys and Questionnaires ,Humans ,[SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] ,[SDV.NEU] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] ,France ,Analgesia ,Deep Sedation ,Practice Patterns, Physicians' ,MESH: Physician's Practice Patterns - Abstract
International audience; OBJECTIVES: To assess the current use of sedation and analgesia in a large sample of French intensive care units (ICUs) and to define structural characteristics of the units that use a written procedure. STUDY DESIGN: Self-reported survey. PARTICIPANTS: Three hundred and sixty French ICUs were presented the questionnaire in September 2007. RESULTS: Surveys were received from 228 (60.6%) ICUs. Midazolam was used in more than 50% of the patients in 79.2% of the ICUs and propofol in 22.2% of the ICUs. Sufentanil was the most frequently used morphinic. A sedation-scale was used in 68.8% of the units (80.3% Ramsay score). Sedation was assessed at least every 4hours in 61% of ICUs. A pain-scale was used in 88.9% of the ICUs, but only 12.5% in the non-communicant patients. A written procedure was used in 29.4% of the units only. In multivariate analysis, use in the ICU of a written procedure for the early management of patients with septic shock and/or intensive insulin therapy was the single variable significantly associated with presence of a written procedure for sedation and analgesia (respectively OR 4.37; p
- Published
- 2009