La sédation-analgésie au quotidien: Enquête de pratiques auprès de 218 services de réanimation en France

Translated title of the contribution: Current use of sedation and analgesia: 218 resuscitations in France services practices survey

J. M. Constantin, G. Chanques, B. De Jonghe, P. Sanchez, J. Mantz, J. F. Payen, F. Sztark, P. Richebé, F. Lagneau, X. Capdevila, J. E. Bazin, J. Y. Lefrant

Research output: Contribution to journalArticle

Abstract

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 4. hours 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

Original languageFrench
Pages (from-to)339-346
Number of pages8
JournalAnnales Francaises d'Anesthesie et de Reanimation
Volume29
Issue number5
DOIs
StatePublished - May 2010
Externally publishedYes

Fingerprint

Resuscitation
Analgesia
France
Intensive Care Units
Sufentanil
Surveys and Questionnaires
Midazolam
Propofol
Septic Shock
Multivariate Analysis
Insulin
Pain

Keywords

  • Analgesia
  • Intensive care unit
  • Mechanical ventilation
  • Sedation
  • Sedation algorithm
  • Septic shock
  • Visual analogous scales

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Medicine(all)

Cite this

La sédation-analgésie au quotidien : Enquête de pratiques auprès de 218 services de réanimation en France. / Constantin, J. M.; Chanques, G.; De Jonghe, B.; Sanchez, P.; Mantz, J.; Payen, J. F.; Sztark, F.; Richebé, P.; Lagneau, F.; Capdevila, X.; Bazin, J. E.; Lefrant, J. Y.

In: Annales Francaises d'Anesthesie et de Reanimation, Vol. 29, No. 5, 05.2010, p. 339-346.

Research output: Contribution to journalArticle

Constantin, JM, Chanques, G, De Jonghe, B, Sanchez, P, Mantz, J, Payen, JF, Sztark, F, Richebé, P, Lagneau, F, Capdevila, X, Bazin, JE & Lefrant, JY 2010, 'La sédation-analgésie au quotidien: Enquête de pratiques auprès de 218 services de réanimation en France', Annales Francaises d'Anesthesie et de Reanimation, vol. 29, no. 5, pp. 339-346. https://doi.org/10.1016/j.annfar.2010.01.014
Constantin, J. M. ; Chanques, G. ; De Jonghe, B. ; Sanchez, P. ; Mantz, J. ; Payen, J. F. ; Sztark, F. ; Richebé, P. ; Lagneau, F. ; Capdevila, X. ; Bazin, J. E. ; Lefrant, J. Y. / La sédation-analgésie au quotidien : Enquête de pratiques auprès de 218 services de réanimation en France. In: Annales Francaises d'Anesthesie et de Reanimation. 2010 ; Vol. 29, No. 5. pp. 339-346.
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