title: [Use of the intraosseous access in adult patients in France in 2012].
abstract: OBJECTIVE
  To evaluate theoretical and practical knowledges of intraosseous (IO) access in adults patients in France in 2012.
  
  
  METHODS
  National observational descriptive transversal study as survey of opinion and practices.
  
  
  METHODS
  An email, with an URL to online computerized quiz, was sent to residents and medical doctors who were working, in France, in anesthesiologist units, intensive care units or emergency units. Several questions were asked about theoretical and practical knowledges concerning IO access.
  
  
  RESULTS
  After 1359 responses, 396 (29%) practitioners have used an IO kit mainly in case of cardiopulmonary arrest in adults (68%). The insurance of operators in this technique and the rate of physicians who has even put an IO catheter increased with the years of experience of physicians. The reasons given for not using an IO access were no trouble placing a peripheral vein (77%) and unfamiliarity with the equipment and technology (32%). Most of practitioners (753 [55%]) have been trained and 90% (n=265) of untrained doctors believe that training was necessary. The powered system was the most used (71%).
  
  
  CONCLUSIONS
  Only 29% of practitioners have ever used an IO kit. With the new IO kits, a theoretical and practical training is needed to ensure IO kit used.
authors.affiliation: Département d'anesthésie-réanimation, réanimation adultes & USC, CHU de Clermont-Ferrand, CHU Estaing, 1, place Lucie-et-Raymond-Aubrac, 63003 Clermont-Ferrand cedex, France; Département d'anesthésie-réanimation, hôpital Lapeyronie, CHU de Montpellier, 34295 Montpellier cedex 5, France.
authors.forename: B
authors.initials: B
authors.lastname: Abbal
authors.affiliation: Département d'anesthésie-réanimation, réanimation adultes & USC, CHU de Clermont-Ferrand, CHU Estaing, 1, place Lucie-et-Raymond-Aubrac, 63003 Clermont-Ferrand cedex, France; Faculté de médecine, R2D2, EA 7281, université d'Auvergne, 63001 Clermont-Ferrand, France; Faculté de médecine, université d'Auvergne, centre de simulation CAUMSSI, 63001 Clermont-Ferrand, France. Electronic address: sperbet@chu-clermontferrand.fr.
authors.forename: S
authors.initials: S
authors.lastname: Perbet
authors.affiliation: Direction de la recherche clinique et de l'innovation, biostatistiques, CHU de Clermont-Ferrand, CHU Gabriel-Montpied, 63003 Clermont-Ferrand, France.
authors.forename: B
authors.initials: B
authors.lastname: Pereira
authors.affiliation: Faculté de médecine, université d'Auvergne, centre de simulation CAUMSSI, 63001 Clermont-Ferrand, France; Département d'anesthésie-réanimation, réanimation médico-chirurgicale, CHU de Clermont-Ferrand, CHU Gabriel-Montpied, 63003 Clermont-Ferrand, France.
authors.forename: S
authors.initials: S
authors.lastname: Colomb
authors.affiliation: Réanimation médicale, CHU de Tours, 37000 Tours, France.
authors.forename: S
authors.initials: S
authors.lastname: Ehrmann
authors.affiliation: Département d'anesthésie-réanimation, réanimation adultes & USC, CHU de Clermont-Ferrand, CHU Estaing, 1, place Lucie-et-Raymond-Aubrac, 63003 Clermont-Ferrand cedex, France; Faculté de médecine, université d'Auvergne, centre de simulation CAUMSSI, 63001 Clermont-Ferrand, France.
authors.forename: J-E
authors.initials: JE
authors.lastname: Bazin
authors.affiliation: Département d'anesthésie-réanimation, réanimation adultes & USC, CHU de Clermont-Ferrand, CHU Estaing, 1, place Lucie-et-Raymond-Aubrac, 63003 Clermont-Ferrand cedex, France; Faculté de médecine, R2D2, EA 7281, université d'Auvergne, 63001 Clermont-Ferrand, France; Faculté de médecine, université d'Auvergne, centre de simulation CAUMSSI, 63001 Clermont-Ferrand, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Constantin
mesh_terms: D000328:Adult; D000776:Anesthesiology / Q000193:education; D005602:France; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D017148:Infusions, Intraosseous / Q000706:statistics & numerical data*; D007396:Internship and Residency; D010820:Physicians
keywords: Accès vasculaire; Adult; Adulte; Emergency medicine; Intraosseous infusion; Médecine d’urgence; Perfusion intraosseuse; Vascular access