AutomedicationFrancoV1, Main, Exploration, bibRecord, 000525

Intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French survey.

Identifieur interne : 000525 ( Main/Exploration ); précédent : 000524; suivant : 000526

Intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French survey.

Auteurs : Benoit Champigneulle [France] ; Arthur Neuschwander [France] ; Régis Bronchard [France] ; Gersende Favé [France] ; Julien Josserand [France] ; Benjamin Lebas [France] ; Olivier Bastien [France] ; Romain Pirracchio [France]

Source :

BMC anesthesiology [ 1471-2253 ] ; 2019.

RBID : pubmed:31202272

Descripteurs français

KwdFr :
- Acquisition d'organes et de tissus (méthodes), Acquisition d'organes et de tissus (organisation et administration), Anesthésie (méthodes), Anesthésiologistes (psychologie), Compétence clinique (MeSH), Connaissances, attitudes et pratiques en santé (MeSH), Enquêtes sur les soins de santé (MeSH), France (MeSH), Humains (MeSH), Mort cérébrale (MeSH).
MESH :
- méthodes : Acquisition d'organes et de tissus, Anesthésie.
- organisation et administration : Acquisition d'organes et de tissus.
- psychologie : Anesthésiologistes.
- Compétence clinique, Connaissances, attitudes et pratiques en santé, Enquêtes sur les soins de santé, France, Humains, Mort cérébrale.
Wicri :
- geographic : France.

English descriptors

KwdEn :
- Anesthesia (methods), Anesthesiologists (psychology), Brain Death (MeSH), Clinical Competence (MeSH), France (MeSH), Health Care Surveys (MeSH), Health Knowledge, Attitudes, Practice (MeSH), Humans (MeSH), Tissue and Organ Procurement (methods), Tissue and Organ Procurement (organization & administration).
MESH :
- geographic : France.
- methods : Anesthesia, Tissue and Organ Procurement.
- organization & administration : Tissue and Organ Procurement.
- psychology : Anesthesiologists.
- Brain Death, Clinical Competence, Health Care Surveys, Health Knowledge, Attitudes, Practice, Humans.

Abstract

BACKGROUND

This study aimed at describing usual anesthetic practices for brain-dead donors (BDD) during an organ procurement (OP) procedure and to assess the knowledge and self-confidence of French anesthesiologists with this practice.

METHODS

An electronic and anonymous survey with closed-questions about anesthetic management of BDD was distributed to French anesthesiologists via the mailing list of the French Society of Anesthesiology and Intensive Care Medicine.

RESULTS

Four hundred fifty-eight responses were analyzed. Respondents were mainly attending physicians with more than 10 years of clinical experience. 78% of them declared being cognizant of guidelines regarding management of BDD. Advanced hemodynamic monitoring and endocrine substitution were rarely considered by respondents (31 and 35% of respondents, respectively). 98% of the respondents used crystalloids for fluid resuscitation. During the procedure, use of neuromuscular blockers, opioids and sedative agents were considered by respectively 84, 61 and 27% of the respondents. A very high level of agreement (10 [8-10], on a ten-points Likert-style scale) was reported concerning the expected impact of intraoperative anesthetic management on the primary function of grafts.

CONCLUSIONS

Declared anesthetic practice appeared in accordance with guidelines concerning organ donor management in the ICU. Further studies are needed to evaluate the specific impact of intraoperative management during this procedure and thus the need for specific anesthetic guidelines.

DOI: 10.1186/s12871-019-0766-y
PubMed: 31202272
PubMed Central: PMC6570868

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<term>Anesthésiologistes (psychologie)</term>
<term>Compétence clinique (MeSH)</term>
<term>Connaissances, attitudes et pratiques en santé (MeSH)</term>
<term>Enquêtes sur les soins de santé (MeSH)</term>
<term>France (MeSH)</term>
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<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Acquisition d'organes et de tissus</term>
<term>Anesthésie</term>
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<keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Acquisition d'organes et de tissus</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Anesthesiologists</term>
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<keywords scheme="MESH" xml:lang="en"><term>Brain Death</term>
<term>Clinical Competence</term>
<term>Health Care Surveys</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Humans</term>
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<term>Connaissances, attitudes et pratiques en santé</term>
<term>Enquêtes sur les soins de santé</term>
<term>France</term>
<term>Humains</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>This study aimed at describing usual anesthetic practices for brain-dead donors (BDD) during an organ procurement (OP) procedure and to assess the knowledge and self-confidence of French anesthesiologists with this practice.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>An electronic and anonymous survey with closed-questions about anesthetic management of BDD was distributed to French anesthesiologists via the mailing list of the French Society of Anesthesiology and Intensive Care Medicine.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Four hundred fifty-eight responses were analyzed. Respondents were mainly attending physicians with more than 10 years of clinical experience. 78% of them declared being cognizant of guidelines regarding management of BDD. Advanced hemodynamic monitoring and endocrine substitution were rarely considered by respondents (31 and 35% of respondents, respectively). 98% of the respondents used crystalloids for fluid resuscitation. During the procedure, use of neuromuscular blockers, opioids and sedative agents were considered by respectively 84, 61 and 27% of the respondents. A very high level of agreement (10 [8-10], on a ten-points Likert-style scale) was reported concerning the expected impact of intraoperative anesthetic management on the primary function of grafts.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Declared anesthetic practice appeared in accordance with guidelines concerning organ donor management in the ICU. Further studies are needed to evaluate the specific impact of intraoperative management during this procedure and thus the need for specific anesthetic guidelines.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31202272</PMID>
<DateCompleted><Year>2020</Year>
<Month>04</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>04</Month>
<Day>08</Day>
</DateRevised>
<Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2253</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>19</Volume>
<Issue>1</Issue>
<PubDate><Year>2019</Year>
<Month>06</Month>
<Day>15</Day>
</PubDate>
</JournalIssue>
<Title>BMC anesthesiology</Title>
<ISOAbbreviation>BMC Anesthesiol</ISOAbbreviation>
</Journal>
<ArticleTitle>Intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French survey.</ArticleTitle>
<Pagination><MedlinePgn>108</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1186/s12871-019-0766-y</ELocationID>
<Abstract><AbstractText Label="BACKGROUND">This study aimed at describing usual anesthetic practices for brain-dead donors (BDD) during an organ procurement (OP) procedure and to assess the knowledge and self-confidence of French anesthesiologists with this practice.</AbstractText>
<AbstractText Label="METHODS">An electronic and anonymous survey with closed-questions about anesthetic management of BDD was distributed to French anesthesiologists via the mailing list of the French Society of Anesthesiology and Intensive Care Medicine.</AbstractText>
<AbstractText Label="RESULTS">Four hundred fifty-eight responses were analyzed. Respondents were mainly attending physicians with more than 10 years of clinical experience. 78% of them declared being cognizant of guidelines regarding management of BDD. Advanced hemodynamic monitoring and endocrine substitution were rarely considered by respondents (31 and 35% of respondents, respectively). 98% of the respondents used crystalloids for fluid resuscitation. During the procedure, use of neuromuscular blockers, opioids and sedative agents were considered by respectively 84, 61 and 27% of the respondents. A very high level of agreement (10 [8-10], on a ten-points Likert-style scale) was reported concerning the expected impact of intraoperative anesthetic management on the primary function of grafts.</AbstractText>
<AbstractText Label="CONCLUSIONS">Declared anesthetic practice appeared in accordance with guidelines concerning organ donor management in the ICU. Further studies are needed to evaluate the specific impact of intraoperative management during this procedure and thus the need for specific anesthetic guidelines.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Champigneulle</LastName>
<ForeName>Benoit</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Anesthesiology and Intensive Care Department, European Hospital Georges-Pompidou, Assistance Publique - Hôpitaux de Paris (AP-HP), 20 rue Leblanc, 75015, Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>West francilian network for organ and tissue procurement, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Neuschwander</LastName>
<ForeName>Arthur</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Anesthesiology and Intensive Care Department, European Hospital Georges-Pompidou, Assistance Publique - Hôpitaux de Paris (AP-HP), 20 rue Leblanc, 75015, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bronchard</LastName>
<ForeName>Régis</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Agence de la Biomédecine, Direction Prélèvement Greffe Organes-Tissus, Saint-Denis La Plaine, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Favé</LastName>
<ForeName>Gersende</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Anesthesiology and Intensive Care Department, European Hospital Georges-Pompidou, Assistance Publique - Hôpitaux de Paris (AP-HP), 20 rue Leblanc, 75015, Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Paris Descartes University, Sorbonne Paris Cité, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Josserand</LastName>
<ForeName>Julien</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Anesthesiology and Intensive Care Department, European Hospital Georges-Pompidou, Assistance Publique - Hôpitaux de Paris (AP-HP), 20 rue Leblanc, 75015, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lebas</LastName>
<ForeName>Benjamin</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Anesthesiology and Intensive Care Department, Hautepierre Hospital, Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bastien</LastName>
<ForeName>Olivier</ForeName>
<Initials>O</Initials>
<AffiliationInfo><Affiliation>Agence de la Biomédecine, Direction Prélèvement Greffe Organes-Tissus, Saint-Denis La Plaine, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pirracchio</LastName>
<ForeName>Romain</ForeName>
<Initials>R</Initials>
<Identifier Source="ORCID">0000-0002-7007-4908</Identifier>
<AffiliationInfo><Affiliation>Anesthesiology and Intensive Care Department, European Hospital Georges-Pompidou, Assistance Publique - Hôpitaux de Paris (AP-HP), 20 rue Leblanc, 75015, Paris, France. romain.pirracchio@aphp.fr.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Paris Descartes University, Sorbonne Paris Cité, Paris, France. romain.pirracchio@aphp.fr.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Département de biostatistiques et d'informatique médicale, INSERM U-1153, Équipe ECSTRA, Université Paris Diderot; Hôpital Saint-Louis, AP-HP, Paris, France. romain.pirracchio@aphp.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>SFAR research network</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2019</Year>
<Month>06</Month>
<Day>15</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>BMC Anesthesiol</MedlineTA>
<NlmUniqueID>100968535</NlmUniqueID>
<ISSNLinking>1471-2253</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000758" MajorTopicYN="N">Anesthesia</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000072080" MajorTopicYN="Y">Anesthesiologists</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001926" MajorTopicYN="Y">Brain Death</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002983" MajorTopicYN="Y">Clinical Competence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019538" MajorTopicYN="Y">Health Care Surveys</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007722" MajorTopicYN="N">Health Knowledge, Attitudes, Practice</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009927" MajorTopicYN="N">Tissue and Organ Procurement</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
<QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Anesthesia</Keyword>
<Keyword MajorTopicYN="Y">Brain-dead donors</Keyword>
<Keyword MajorTopicYN="Y">Organ procurement</Keyword>
<Keyword MajorTopicYN="Y">Survey</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year>
<Month>12</Month>
<Day>07</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2019</Year>
<Month>05</Month>
<Day>23</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2019</Year>
<Month>6</Month>
<Day>17</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2019</Year>
<Month>6</Month>
<Day>17</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>4</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>epublish</PublicationStatus>
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<ArticleId IdType="pii">10.1186/s12871-019-0766-y</ArticleId>
<ArticleId IdType="pmc">PMC6570868</ArticleId>
</ArticleIdList>
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</pubmed>
<affiliations><list><country><li>France</li>
</country>
<region><li>Alsace (région administrative)</li>
<li>Grand Est</li>
<li>Île-de-France</li>
</region>
<settlement><li>Paris</li>
<li>Strasbourg</li>
</settlement>
</list>
<tree><country name="France"><region name="Île-de-France"><name sortKey="Champigneulle, Benoit" sort="Champigneulle, Benoit" uniqKey="Champigneulle B" first="Benoit" last="Champigneulle">Benoit Champigneulle</name>
</region>
<name sortKey="Bastien, Olivier" sort="Bastien, Olivier" uniqKey="Bastien O" first="Olivier" last="Bastien">Olivier Bastien</name>
<name sortKey="Bronchard, Regis" sort="Bronchard, Regis" uniqKey="Bronchard R" first="Régis" last="Bronchard">Régis Bronchard</name>
<name sortKey="Champigneulle, Benoit" sort="Champigneulle, Benoit" uniqKey="Champigneulle B" first="Benoit" last="Champigneulle">Benoit Champigneulle</name>
<name sortKey="Fave, Gersende" sort="Fave, Gersende" uniqKey="Fave G" first="Gersende" last="Favé">Gersende Favé</name>
<name sortKey="Fave, Gersende" sort="Fave, Gersende" uniqKey="Fave G" first="Gersende" last="Favé">Gersende Favé</name>
<name sortKey="Josserand, Julien" sort="Josserand, Julien" uniqKey="Josserand J" first="Julien" last="Josserand">Julien Josserand</name>
<name sortKey="Lebas, Benjamin" sort="Lebas, Benjamin" uniqKey="Lebas B" first="Benjamin" last="Lebas">Benjamin Lebas</name>
<name sortKey="Neuschwander, Arthur" sort="Neuschwander, Arthur" uniqKey="Neuschwander A" first="Arthur" last="Neuschwander">Arthur Neuschwander</name>
<name sortKey="Pirracchio, Romain" sort="Pirracchio, Romain" uniqKey="Pirracchio R" first="Romain" last="Pirracchio">Romain Pirracchio</name>
<name sortKey="Pirracchio, Romain" sort="Pirracchio, Romain" uniqKey="Pirracchio R" first="Romain" last="Pirracchio">Romain Pirracchio</name>
<name sortKey="Pirracchio, Romain" sort="Pirracchio, Romain" uniqKey="Pirracchio R" first="Romain" last="Pirracchio">Romain Pirracchio</name>
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Intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French survey.

Intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French survey.

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