title: [Organization of mechanical ventilation in French Intensive care units].
abstract: OBJECTIVE
  To clarify the procedures related to mechanical ventilation in the intensive care unit setting: allocation of ventilators, team education, maintenance and reference documents.
  
  
  METHODS
  Declarative survey.
  
  
  METHODS
  Between September and December 2010, we assessed the assignment and types of ventilators (ICU ventilators, temporary repair ventilators, non-invasive ventilators [NIV], and transportation ventilators), medical and nurse education, maintenance of the ventilators, presence of reference documents. Results are expressed in median/range and proportions.
  
  
  RESULTS
  Among the 62 participating ICUs, a median of 15 ventilators/ICU (range 1-50) was reported with more than one trademark in 47 (76%) units. Specific ventilators were used for NIV in 22 (35%) units, temporary repair in 49 (79%) and transportation in all the units. Nurse education courses were given by ICU physicians in 54 (87%) units or by a company in 29 (47%) units. Medical education courses were made by ICU senior physicians in 55 (89%) units or by a company in 21 (34%) units. These courses were organized occasionally in 24 (39%) ICU and bi-annually in 16 (26%) units. Maintenance procedures were made by the ICU staff in 39 (63%) units, dedicated staff (17 [27%]) or bioengineering technicians (14 [23%] ICU). Reference documents were written for maintenance procedures in 48 (77%) units, ventilator setup in 22 (35%) units and ventilator dysfunction in 20 (32%) ICU.
  
  
  CONCLUSIONS
  This first survey shows disparate distribution of ventilators and practices among French ICU. Education and understanding of the proper use of ventilators are key issues for security improvement.
authors.affiliation: Département d'anesthésie réanimation, université Paris-Diderot, Sorbonne-Paris-Cité, centre hospitalier universitaire Bichat-Claude-Bernard, hôpitaux universitaires Paris-Nord - Val-de-Seine, AP-HP, 75018 Paris, France. Electronic address: philippe.montravers@bch.aphp.fr.
authors.forename: P
authors.initials: P
authors.lastname: Montravers
authors.forename: C
authors.initials: C
authors.lastname: Ichai
authors.forename: H
authors.initials: H
authors.lastname: Dupont
authors.forename: J F
authors.initials: JF
authors.lastname: Payen
authors.forename: G
authors.initials: G
authors.lastname: Orliaguet
authors.forename: P
authors.initials: P
authors.lastname: Blanchet
authors.forename: Y
authors.initials: Y
authors.lastname: Malledant
authors.forename: J
authors.initials: J
authors.lastname: Albanèse
authors.forename: K
authors.initials: K
authors.lastname: Asehnoune
authors.forename: O
authors.initials: O
authors.lastname: Bastien
authors.forename: O
authors.initials: O
authors.lastname: Collange
authors.forename: J
authors.initials: J
authors.lastname: Duranteau
authors.forename: B
authors.initials: B
authors.lastname: Garrigues
authors.forename: A
authors.initials: A
authors.lastname: Lepape
authors.forename: C
authors.initials: C
authors.lastname: Paugam-Burtz
mesh_terms: D004282:Documentation; D004501:Education, Medical; D004502:Education, Medical, Continuing; D004868:Equipment Failure / Q000706:statistics & numerical data; D005602:France; D019538:Health Care Surveys; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D008284:Maintenance and Engineering, Hospital / Q000191:economics; D063087:Noninvasive Ventilation / Q000295:instrumentation / Q000706:statistics & numerical data; D009726:Nurses; D010348:Patient Care Team / Q000191:economics; D010820:Physicians; D012121:Respiration, Artificial / Q000379:methods*; D012122:Ventilators, Mechanical / Q000706:statistics & numerical data
keywords: Education; Formation; Intensive care unit; Maintenance; Mechanical ventilation; Organisation; Organization; Réanimation; Ventilation artificielle