| Title |
Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit
|
|---|---|
| Published in |
Annals of Intensive Care, September 2020
|
| DOI | 10.1186/s13613-020-00713-4 |
| Pubmed ID | |
| Authors |
Jean-François Timsit, Julien Baleine, Louis Bernard, Silvia Calvino-Gunther, Michael Darmon, Jean Dellamonica, Eric Desruennes, Marc Leone, Alain Lepape, Olivier Leroy, Jean-Christophe Lucet, Zied Merchaoui, Olivier Mimoz, Benoit Misset, Jean-Jacques Parienti, Jean-Pierre Quenot, Antoine Roch, Matthieu Schmidt, Michel Slama, Bertrand Souweine, Jean-Ralph Zahar, Walter Zingg, Laetitia Bodet-Contentin, Virginie Maxime |
| Abstract |
The French Society of Intensive Care Medicine (SRLF), jointly with the French-Speaking Group of Paediatric Emergency Rooms and Intensive Care Units (GFRUP) and the French-Speaking Association of Paediatric Surgical Intensivists (ADARPEF), worked out guidelines for the management of central venous catheters (CVC), arterial catheters and dialysis catheters in intensive care unit. For adult patients: Using GRADE methodology, 36 recommendations for an improved catheter management were produced by the 22 experts. Recommendations regarding catheter-related infections' prevention included the preferential use of subclavian central vein (GRADE 1), a one-step skin disinfection(GRADE 1) using 2% chlorhexidine (CHG)-alcohol (GRADE 1), and the implementation of a quality of care improvement program. Antiseptic- or antibiotic-impregnated CVC should likely not be used (GRADE 2, for children and adults). Catheter dressings should likely not be changed before the 7th day, except when the dressing gets detached, soiled or impregnated with blood (GRADE 2- adults). CHG dressings should likely be used (GRADE 2+). For adults and children, ultrasound guidance should be used to reduce mechanical complications in case of internal jugular access (GRADE 1), subclavian access (Grade 2) and femoral venous, arterial radial and femoral access (Expert opinion). For children, an ultrasound-guided supraclavicular approach of the brachiocephalic vein was recommended to reduce the number of attempts for cannulation and mechanical complications. Based on scarce publications on diagnostic and therapeutic strategies and on their experience (expert opinion), the panel proposed definitions, and therapeutic strategies. |
X Demographics
The data shown below were collected from the profiles of 199 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Mexico | 36 | 18% |
| Ecuador | 11 | 6% |
| Argentina | 7 | 4% |
| Spain | 6 | 3% |
| France | 6 | 3% |
| Venezuela, Bolivarian Republic of | 5 | 3% |
| Colombia | 4 | 2% |
| Brazil | 4 | 2% |
| Chile | 2 | 1% |
| Other | 20 | 10% |
| Unknown | 98 | 49% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 173 | 87% |
| Practitioners (doctors, other healthcare professionals) | 21 | 11% |
| Scientists | 3 | 2% |
| Science communicators (journalists, bloggers, editors) | 2 | 1% |
Mendeley readers
The data shown below were compiled from readership statistics for 288 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 288 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Other | 30 | 10% |
| Student > Master | 24 | 8% |
| Student > Postgraduate | 21 | 7% |
| Researcher | 20 | 7% |
| Student > Bachelor | 20 | 7% |
| Other | 53 | 18% |
| Unknown | 120 | 42% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 104 | 36% |
| Nursing and Health Professions | 29 | 10% |
| Unspecified | 7 | 2% |
| Pharmacology, Toxicology and Pharmaceutical Science | 7 | 2% |
| Agricultural and Biological Sciences | 3 | 1% |
| Other | 15 | 5% |
| Unknown | 123 | 43% |
Attention Score in Context
This research output has an Altmetric Attention Score of 131. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 April 2023.
All research outputs
#322,756
of 25,721,020 outputs
Outputs from Annals of Intensive Care
#31
of 1,211 outputs
Outputs of similar age
#9,832
of 427,602 outputs
Outputs of similar age from Annals of Intensive Care
#2
of 38 outputs
Altmetric has tracked 25,721,020 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,211 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 18.5. This one has done particularly well, scoring higher than 97% of its peers.
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We're also able to compare this research output to 38 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 94% of its contemporaries.