Evolution of intensive care unit capacity and human resources after the first wave of the COVID-19 pandemic: a survey performed by the Trade Union of Intensive Care Physicians

Authors

  • Syndicat des Médecins Réanimateurs SMR
  • Laura Federici Service de réanimation polyvalente, Centre hospitalier Notre-Dame de la Miséricorde, Ajaccio, France
  • Olivier Lesieur Service de réanimation polyvalente, Hôpital Saint-Louis, La Rochelle, France
  • Arnaud Sement Réanimation polyvalente, Centre Hospitalier Mont de Marsan, Urrugne, Nouvelle-Aquitaine, France
  • Jean-Luc Chagnon Service de réanimation polyvalente, Centre hospitalier de Valencienne, Valencienne, France
  • Jean-Philippe Rigaud Service de réanimation polyvalente, Hôpital général de Dieppe, Dieppe, France
  • Jean-Luc Diehl Service de médecine intensive, Hôpital Européen Georges Pompidou, Université de Paris, Paris, France
  • Didier Dreyfuss Université de Paris, INSERM UUMR S1 155, Paris, France
  • Philippe Guiot Service de médecine intensive réanimation, GHR Mulhouse Sud Alsace, Mulhouse, France
  • Nicolas Joram Service de reanimation pédiatrique, CHU Nantes, France
  • Hervé Outin Medecine intensive reanimation, Centre hospitalier intercommunal de Poissy-Saint-Germain-en-Laye, Poissy, France
  • Chantal Sevens Syndicat des médecins réanimateurs, Maison de la Réanimation, 50 avenue Claude Vellefaux, Paris, France
  • Didier Thévenin Medecine intensive reanimation, Centre hospitalier de Lens, Lens, France
  • Samia Touati Reanimation médico-chirurgicale, Groupement hospitalier public du sud de l’Oise, Creil, France
  • Djillali Annane General intensive care unit, Hôpital Raymond Poincaré (APHP), Université de Versailles SQY and université Paris Saclay, 104 boulevard raymond poincaré, 92380 Garches, France INSERM U1042, university grenoble Alpes, Medical Intensive Care Unit, Grenoble, France
  • Nicolas Terzi INSERM U1042, university grenoble Alpes, Medical Intensive Care Unit, Grenoble, France

DOI:

https://doi.org/10.37051/mir-00090

Keywords:

COVID-19, Intensive care unit, capability ressources

Abstract

In the spring of 2020, the coronavirus disease 2019 (COVID-19) pandemic has placed enormous strain on intensive care units (ICUs) in France. France experienced an unparalleled health and societal crisis due to pandemia. The surge of ICU patients peaked at 7000 patients in April 10. Operating rooms, post-operative care rooms, coronary care units, stroke units, intermediate care units were converted into ICUs.

After this first wave, proposals have been made to optimize the organization of critical care. In this context, we conducted a survey addressed to intensive care unit, to produce an overview of the situation. The main objective was to determine whether the measures claimed by the caregivers and displayed by the executive were effective.

We conducted a declarative survey to establish the evolution of numbers of beds and the health care workforce before and after the first wave of the COVID-19 pandemic in France. We were able to demonstrate that none of the additional beds opened during the first outbreak wave were sustained. We observe in a disturbing way that 13% of the 114 responder units point out that the ratio of one nurse to 2.5 patients is not respected due to a lack of trained and available staff. These evidences confirm that no decisions have been taken to improve a historically and cyclically deficit capability. France should align ICU resources to those of other countries with recognizing the specific competencies of ICU, increasing medical and paramedical staff resources.

 

 

 

 

Image

Published

2022-03-21

How to Cite

SMR, S. des M. R., Federici, L., Lesieur, O., Sement, A., Chagnon, J.-L., Rigaud, J.-P., Diehl, J.-L., Dreyfuss, D., Guiot, P., Joram, N., Outin, H., Sevens, C., Thévenin, D., Touati, S., Annane, D., & Terzi, N. (2022). Evolution of intensive care unit capacity and human resources after the first wave of the COVID-19 pandemic: a survey performed by the Trade Union of Intensive Care Physicians. Médecine Intensive Réanimation, 31(1), 29-36. https://doi.org/10.37051/mir-00090

Issue

Section

Original article

Most read articles by the same author(s)

1 2 > >>