Practice of ultrasound-guided central venous catheter technique by the French intensivists: a survey from the BoReal study group.
Identifieur interne : 000019 ( PubMed/Checkpoint ); précédent : 000018; suivant : 000020Practice of ultrasound-guided central venous catheter technique by the French intensivists: a survey from the BoReal study group.
Auteurs : Julien Maizel [France] ; Marie-Anaïs Bastide [France] ; Jack Richecoeur [France] ; Eric Frenoy [France] ; Christian Lemaire [France] ; Bertrand Sauneuf [France] ; Hervé Dupont [France] ; Fabienne Tamion [France] ; Saad Nseir [France] ; Damien Du Cheyron [France]Source :
- Annals of intensive care ; 2016.
Abstract
The ultrasound (US)-guided technique has been recommended for central venous catheter (CVC) placement in critical care. However, several surveys have shown that the majority of physicians continue to perform landmark procedures. In our region, we have implemented special courses to promote the use of US with formal training and simulators. Ultrasound machines have also been installed in almost every ICU in our area. We designed a survey to investigate whether the training program established for years and the widespread of ultrasound devices in the ICU of our region will be associated with a high rate of physicians performing US procedures.
DOI: 10.1186/s13613-016-0177-x
PubMed: 27502195
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maizel.julien@chu-amiens.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Medical ICU and INSERM U1088, University Hospital, Amiens</wicri:regionArea><placeName><settlement type="city">Amiens</settlement></placeName></affiliation></author><author><name sortKey="Bastide, Marie Anais" sort="Bastide, Marie Anais" uniqKey="Bastide M" first="Marie-Anaïs" last="Bastide">Marie-Anaïs Bastide</name><affiliation wicri:level="1"><nlm:affiliation>Medical ICU and INSERM U1088, University Hospital, Amiens, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Medical ICU and INSERM U1088, University Hospital, Amiens</wicri:regionArea><placeName><settlement type="city">Amiens</settlement></placeName></affiliation></author><author><name sortKey="Richecoeur, Jack" sort="Richecoeur, Jack" uniqKey="Richecoeur J" first="Jack" last="Richecoeur">Jack Richecoeur</name><affiliation wicri:level="1"><nlm:affiliation>Medical-Surgical ICU, Medical Center, Beauvais, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Medical-Surgical ICU, Medical Center, Beauvais</wicri:regionArea><placeName><settlement type="city">Beauvais</settlement></placeName></affiliation></author><author><name sortKey="Frenoy, Eric" sort="Frenoy, Eric" uniqKey="Frenoy E" first="Eric" last="Frenoy">Eric Frenoy</name><affiliation wicri:level="1"><nlm:affiliation>Medical-Surgical ICU, Medical Center, Le Havre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Medical-Surgical ICU, Medical Center, Le Havre</wicri:regionArea><placeName><settlement type="city">Le Havre</settlement></placeName></affiliation></author><author><name sortKey="Lemaire, Christian" sort="Lemaire, Christian" uniqKey="Lemaire C" first="Christian" last="Lemaire">Christian Lemaire</name><affiliation wicri:level="1"><nlm:affiliation>Medical-Surgical ICU, Medical Center, Roubaix, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Medical-Surgical ICU, Medical Center, Roubaix</wicri:regionArea><wicri:noRegion>Roubaix</wicri:noRegion><wicri:noRegion>Roubaix</wicri:noRegion></affiliation></author><author><name sortKey="Sauneuf, Bertrand" sort="Sauneuf, Bertrand" uniqKey="Sauneuf B" first="Bertrand" last="Sauneuf">Bertrand Sauneuf</name><affiliation wicri:level="1"><nlm:affiliation>Medical-Surgical ICU, Medical Center, Cherbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Medical-Surgical ICU, Medical Center, Cherbourg</wicri:regionArea><wicri:noRegion>Cherbourg</wicri:noRegion><wicri:noRegion>Cherbourg</wicri:noRegion></affiliation></author><author><name sortKey="Dupont, Herve" sort="Dupont, Herve" uniqKey="Dupont H" first="Hervé" last="Dupont">Hervé Dupont</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Critical Care and INSERM U1088, University Hospital, Amiens, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Anesthesiology and Critical Care and INSERM U1088, University Hospital, Amiens</wicri:regionArea><placeName><settlement type="city">Amiens</settlement></placeName></affiliation></author><author><name sortKey="Tamion, Fabienne" sort="Tamion, Fabienne" uniqKey="Tamion F" first="Fabienne" last="Tamion">Fabienne Tamion</name><affiliation wicri:level="1"><nlm:affiliation>Medical ICU, University Hospital, Rouen, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Medical ICU, University Hospital, Rouen</wicri:regionArea><placeName><settlement type="city">Rouen</settlement></placeName></affiliation></author><author><name sortKey="Nseir, Saad" sort="Nseir, Saad" uniqKey="Nseir S" first="Saad" last="Nseir">Saad Nseir</name><affiliation wicri:level="1"><nlm:affiliation>Medical ICU, University Hospital, Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Medical ICU, University Hospital, Lille</wicri:regionArea><placeName><settlement type="city">Lille</settlement></placeName></affiliation></author><author><name sortKey="Du Cheyron, Damien" sort="Du Cheyron, Damien" uniqKey="Du Cheyron D" first="Damien" last="Du Cheyron">Damien Du Cheyron</name><affiliation wicri:level="1"><nlm:affiliation>Medical ICU, University Hospital, Caen, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Medical ICU, University Hospital, Caen</wicri:regionArea><placeName><settlement type="city">Caen</settlement></placeName></affiliation></author></analytic><series><title level="j">Annals of intensive care</title><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The ultrasound (US)-guided technique has been recommended for central venous catheter (CVC) placement in critical care. However, several surveys have shown that the majority of physicians continue to perform landmark procedures. In our region, we have implemented special courses to promote the use of US with formal training and simulators. Ultrasound machines have also been installed in almost every ICU in our area. We designed a survey to investigate whether the training program established for years and the widespread of ultrasound devices in the ICU of our region will be associated with a high rate of physicians performing US procedures.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">27502195</PMID><DateCreated><Year>2016</Year><Month>8</Month><Day>9</Day></DateCreated><DateCompleted><Year>2016</Year><Month>08</Month><Day>20</Day></DateCompleted><DateRevised><Year>2016</Year><Month>8</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><JournalIssue CitedMedium="Print"><Volume>6</Volume><Issue>1</Issue><PubDate><Year>2016</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Annals of intensive care</Title><ISOAbbreviation>Ann Intensive Care</ISOAbbreviation></Journal><ArticleTitle>Practice of ultrasound-guided central venous catheter technique by the French intensivists: a survey from the BoReal study group.</ArticleTitle><Pagination><MedlinePgn>76</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s13613-016-0177-x</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The ultrasound (US)-guided technique has been recommended for central venous catheter (CVC) placement in critical care. However, several surveys have shown that the majority of physicians continue to perform landmark procedures. In our region, we have implemented special courses to promote the use of US with formal training and simulators. Ultrasound machines have also been installed in almost every ICU in our area. We designed a survey to investigate whether the training program established for years and the widespread of ultrasound devices in the ICU of our region will be associated with a high rate of physicians performing US procedures.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A survey comprising 14 questions was designed to elicit information on training in US techniques, the use of US for CVC placement, reasons for nonuse of US and their opinion concerning the need to teach the landmark technique to residents. This survey was electronically sent to every physician of the BoReal study group (32 ICUs located in the North West of France).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We received 190 responses (response rate 66 %) including 34 % of residents. Only 11 % of respondents reported the absence of training in the US technique, and 3 % reported they did not have access to an ultrasound machine. A total of 68 % declared "always" (18 %) or "almost always" (50 %) using US to guide CVC placement. Our results are better than those of previous surveys. The main reasons why physicians did not use the US technique were that they thought that US guidance was unnecessary (36 %) or because the ultrasound machine was not immediately available (33 %). Ninety-one percentages think that the landmark technique should still be taught to the residents. A higher proportion of residents compared to seniors declared that they always or almost always used the US technique.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Training in ultrasound techniques and the widespread availability of ultrasound machines in ICUs seem to improve the rate of US procedures. However, despite strong scientific evidence a proportion of physicians continue to consider the landmark technique as an alternative to US. Training and education are potentially still the best ways to overcome such barriers or conviction.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Maizel</LastName><ForeName>Julien</ForeName><Initials>J</Initials><Identifier Source="ORCID">http://orcid.org/0000-0001-5975-2635</Identifier><AffiliationInfo><Affiliation>Medical ICU and INSERM U1088, University Hospital, Amiens, France. maizel.julien@chu-amiens.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bastide</LastName><ForeName>Marie-Anaïs</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Medical ICU and INSERM U1088, University Hospital, Amiens, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Richecoeur</LastName><ForeName>Jack</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Medical-Surgical ICU, Medical Center, Beauvais, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Frenoy</LastName><ForeName>Eric</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Medical-Surgical ICU, Medical Center, Le Havre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lemaire</LastName><ForeName>Christian</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Medical-Surgical ICU, Medical Center, Roubaix, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sauneuf</LastName><ForeName>Bertrand</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Medical-Surgical ICU, Medical Center, Cherbourg, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dupont</LastName><ForeName>Hervé</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Critical Care and INSERM U1088, University Hospital, Amiens, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tamion</LastName><ForeName>Fabienne</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Medical ICU, University Hospital, Rouen, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nseir</LastName><ForeName>Saad</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Medical ICU, University Hospital, Lille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Du Cheyron</LastName><ForeName>Damien</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Medical ICU, University Hospital, Caen, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>BoReal Study group</CollectiveName></Author></AuthorList><Language>ENG</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>Aug</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Ann Intensive Care</MedlineTA><NlmUniqueID>101562873</NlmUniqueID><ISSNLinking>2110-5820</ISSNLinking></MedlineJournalInfo><OtherID Source="NLM">PMC4977263</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Central venous catheter</Keyword><Keyword MajorTopicYN="N">Education</Keyword><Keyword MajorTopicYN="N">Ultrasound</Keyword></KeywordList><InvestigatorList><Investigator ValidYN="Y"><LastName>Alvado</LastName><ForeName>G</ForeName><Initials>G</Initials></Investigator><Investigator ValidYN="Y"><LastName>Andrejak</LastName><ForeName>C</ForeName><Initials>C</Initials></Investigator><Investigator ValidYN="Y"><LastName>Azera</LastName><ForeName>P</ForeName><Initials>P</Initials></Investigator><Investigator ValidYN="Y"><LastName>Barjon</LastName><ForeName>G</ForeName><Initials>G</Initials></Investigator><Investigator ValidYN="Y"><LastName>Boulle</LastName><ForeName>C</ForeName><Initials>C</Initials></Investigator><Investigator ValidYN="Y"><LastName>Delastre</LastName><ForeName>O</ForeName><Initials>O</Initials></Investigator><Investigator ValidYN="Y"><LastName>Delerue</LastName><ForeName>V</ForeName><Initials>V</Initials></Investigator><Investigator ValidYN="Y"><LastName>Detave</LastName><ForeName>M</ForeName><Initials>M</Initials></Investigator><Investigator ValidYN="Y"><LastName>Dubosq</LastName><ForeName>P</ForeName><Initials>P</Initials></Investigator><Investigator ValidYN="Y"><LastName>Elbaaj</LastName><ForeName>J</ForeName><Initials>J</Initials></Investigator><Investigator ValidYN="Y"><LastName>Fiani</LastName><ForeName>M</ForeName><Initials>M</Initials></Investigator><Investigator ValidYN="Y"><LastName>Jeanjean</LastName><ForeName>P</ForeName><Initials>P</Initials></Investigator><Investigator ValidYN="Y"><LastName>Lambiotte</LastName><ForeName>F</ForeName><Initials>F</Initials></Investigator><Investigator ValidYN="Y"><LastName>Leroy</LastName><ForeName>O</ForeName><Initials>O</Initials></Investigator><Investigator ValidYN="Y"><LastName>Moubarak</LastName><ForeName>M</ForeName><Initials>M</Initials></Investigator><Investigator ValidYN="Y"><LastName>Pordes</LastName><ForeName>R</ForeName><Initials>R</Initials></Investigator><Investigator ValidYN="Y"><LastName>Renaud</LastName><ForeName>E</ForeName><Initials>E</Initials></Investigator><Investigator ValidYN="Y"><LastName>Rigaud</LastName><ForeName>J P</ForeName><Initials>JP</Initials></Investigator><Investigator ValidYN="Y"><LastName>Rivière</LastName><ForeName>A</ForeName><Initials>A</Initials></Investigator><Investigator ValidYN="Y"><LastName>Sahri</LastName><ForeName>R</ForeName><Initials>R</Initials></Investigator><Investigator ValidYN="Y"><LastName>Saint 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uniqKey="Du Cheyron D" first="Damien" last="Du Cheyron">Damien Du Cheyron</name><name sortKey="Dupont, Herve" sort="Dupont, Herve" uniqKey="Dupont H" first="Hervé" last="Dupont">Hervé Dupont</name><name sortKey="Frenoy, Eric" sort="Frenoy, Eric" uniqKey="Frenoy E" first="Eric" last="Frenoy">Eric Frenoy</name><name sortKey="Lemaire, Christian" sort="Lemaire, Christian" uniqKey="Lemaire C" first="Christian" last="Lemaire">Christian Lemaire</name><name sortKey="Nseir, Saad" sort="Nseir, Saad" uniqKey="Nseir S" first="Saad" last="Nseir">Saad Nseir</name><name sortKey="Richecoeur, Jack" sort="Richecoeur, Jack" uniqKey="Richecoeur J" first="Jack" last="Richecoeur">Jack Richecoeur</name><name sortKey="Sauneuf, Bertrand" sort="Sauneuf, Bertrand" uniqKey="Sauneuf B" first="Bertrand" last="Sauneuf">Bertrand Sauneuf</name><name sortKey="Tamion, Fabienne" sort="Tamion, Fabienne" uniqKey="Tamion F" first="Fabienne" last="Tamion">Fabienne Tamion</name></country></tree></affiliations></record>Pour 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