French intensive care unit organisation

Marc Leone 1 Jean-Michel Constantin 2 Claire Dahyot-Fizelier 3 Caroline Duracher-Gout 4 Olivier Joannes-Boyau 5 Olivier Langeron 6, 7 Matthieu Legrand 8, 9, 10, 11 Yazine Mahjoub 12 Sebastien Mirek 13 Segolene Mrozek 14 Laurent Muller 15 Jean-Christophe Orban 16 Christophe Quesnel 17 Antoine Roquilly 18 Antoine Virat 19 Xavier Capdevila 20
Abstract : Anaesthesia, Critical Care and Pain Medicine is the journal of the French Society of Anaesthesia and Intensive Care Medicine (Societe Francaise d'Anesthe sieet de Reanimation), aimed at promoting the French approach to anaesthesiology, critical care and perioperative medicine. Here, the Intensive Care Committee of the French Society of Anaesthesia and Intensive Care Medicine provides an overview of the organisation of the 400 French Intensive Care Units (ICU), which are polyvalent (50%), surgical (20%), or medical (12%). Around 150,000 patients are admitted to these units each year. Law Decrees govern the frame of practices, including architecture, nurse staffing - two nurses for five patients and one nurseassistant for four patients - and 24/7 medical coverage. The daily cost of ICU hospitalisation is around 1425(sic), entirely ensured by the National Health System. The clinical practices are variable but guidelines produced by intensivists are invited to adhere to guidelines available and freely accessible. End-of-life practices are framed by a Law Decree (Claeys Leonetti) aiming at protecting patients against stubbornly and unreasonable cares. The biomedical research plays a critical role in the French ICU, and practices are performed under the supervision of the JardeLaw. An Institutional Research Board approval is required for prospective studies. In conclusion, the French ICU practice is surrounded by a legal frame. (C) 2018 Societe francaise d'anesthesie et de reanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.
Document type :
Journal articles
Complete list of metadatas

https://hal.archives-ouvertes.fr/hal-01970224
Contributor : Isabelle Combe <>
Submitted on : Monday, April 15, 2019 - 4:14:55 PM
Last modification on : Thursday, April 25, 2019 - 1:28:45 AM

File

main(9).pdf
Publication funded by an institution

Identifiers

Citation

Marc Leone, Jean-Michel Constantin, Claire Dahyot-Fizelier, Caroline Duracher-Gout, Olivier Joannes-Boyau, et al.. French intensive care unit organisation. Anaesthesia Critical Care & Pain Medicine, Elsevier Masson, 2018, 37 (6), pp.625-627. ⟨10.1016/j.accpm.2018.10.011⟩. ⟨hal-01970224⟩

Share

Metrics

Record views

41

Files downloads

84