[Technical criteria of central venous catheters: Anaesthesiologist/intensivist and pharmacist opinions]

Ann Pharm Fr. 2015 Nov;73(6):471-81. doi: 10.1016/j.pharma.2015.04.003. Epub 2015 May 14.
[Article in French]

Abstract

Introduction: The lack of technical information from suppliers and from the literature, a wide variety of features and the absence of medical device reference document explain the difficulty for medical and pharmaceutical staffs to choose a central venous catheter (CVC). The aim of this study was to establish the specifications to choose a CVC according to the clinician needs.

Methods: An analysis of suppliers' technical documentation and a literature review was performed to identify criteria and to collect them in a questionnaire to conduct semi-structured interviews between 1 pharmacist and 5 anaesthesiologists/intensivists. With these interviews, the technical criteria were classified according to their importance in 3 levels.

Results: Thirteen technical criteria were identified after reading the technical documents and the literature. Among them, 8 were classified as "essential criteria" (level I) by the physicians: J-shaped guide, one clamp on each way, identified lumen, radiopacity, graduation every centimeter by 5 to 20 cm from the distal extremity, a length of 15 to 25 cm, a single-lumen catheter with a 14 to 16G way and a three-lumen catheter with 14 to 18G way. Finally, three criteria were classified as "intermediate criteria" (level II) and two as "optional criteria" (level III).

Conclusions: This collaborative approach allowed to reference new medical devices according to the clinicians needs. These CVC are a mean to respect guidelines for physicians and nurses and to secure the patient's care.

Keywords: Anaesthesia and intensive care; Anesthésie-réanimation; Cahier des charges; Cathéter veineux centraux; Central venous catheter; Clinical pharmacy; Criteria; Critères; Pharmacie clinique; Specifications.

MeSH terms

  • Anesthesiologists
  • Catheterization, Central Venous / methods*
  • Central Venous Catheters / standards*
  • Equipment Design
  • Humans
  • Pharmacists
  • Physicians
  • Surveys and Questionnaires