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Article Dans Une Revue Annales Pharmaceutiques Françaises Année : 2015

Technical criteria of central venous catheters: Anaesthesiologist/intensivist and pharmacist opinions

Résumé

INTRODUCTION: The lack of technical information from suppliers and from the literature, a wide variety of features and the absence of medical device reference document explain the difficulty for medical and pharmaceutical staffs to choose a central venous catheter (CVC). The aim of this study was to establish the specifications to choose a CVC according to the clinician needs. METHODS: An analysis of suppliers' technical documentation and a literature review was performed to identify criteria and to collect them in a questionnaire to conduct semi-structured interviews between 1 pharmacist and 5 anaesthesiologists/intensivists. With these interviews, the technical criteria were classified according to their importance in 3 levels. RESULTS: Thirteen technical criteria were identified after reading the technical documents and the literature. Among them, 8 were classified as "essential criteria" (level I) by the physicians: J-shaped guide, one clamp on each way, identified lumen, radiopacity, graduation every centimeter by 5 to 20 cm from the distal extremity, a length of 15 to 25 cm, a single-lumen catheter with a 14 to 16G way and a three-lumen catheter with 14 to 18G way. Finally, three criteria were classified as "intermediate criteria" (level II) and two as "optional criteria" (level III). CONCLUSIONS: This collaborative approach allowed to reference new medical devices according to the clinicians needs. These CVC are a mean to respect guidelines for physicians and nurses and to secure the patient's care.
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Dates et versions

hal-01911215 , version 1 (02-11-2018)

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T. Novais, D. Cabelguenne, F. Jolivet, M. Nouvel, Florent Wallet, et al.. Technical criteria of central venous catheters: Anaesthesiologist/intensivist and pharmacist opinions. Annales Pharmaceutiques Françaises, 2015, 73 (6), pp.471-481. ⟨10.1016/j.pharma.2015.04.003⟩. ⟨hal-01911215⟩
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