ANAESTHESIA, INTENSIVE CARE, BRAIN-DAMAGED PATIENTS UNIT, HOSPITAL COORDINATION
Multidisciplinary Intensive Care
Hôpital Sainte Musse
Lead Consultant: Dr Laurent DUCROS
- Dr DUCROS Laurent Lead Consultant
- Dr DEMORY Didier Internal structure manager
- Dr ARNAL Jean-Michel
- Dr HENRY Christophe
- Dr GEAY Cyrille
- Dr EMBRIACO Nathalie
- Dr DURAND-GASSELIN Jacques
- Dr DONATI Stéphane-Yannis
- Dr CORNO Gaëlle
- Dr BERRIC Audrey
- Dr ALLEZ Charlotte
- Dr KELWAY Charlotte
- Dr GARNERO Aude
Multidisciplinary Intensive Care – Consultations, inpatient and outpatient care
Consultations for patients with chronic respiratory failure specificially equipped with a ventilatory support are made by Dr ARNAL Jean-Michel and Dr DEMORY Didier within the PTCES (Technical platform for outpatient visits) on the 3rd floor.
- Multidisciplinary intensive care:
The intensive care consists of two units of 8 beds each: a different practitioner each week is responsible for one unit from Monday to Friday. The weekend is under the shared responsibility of these two practitioners. Paramedical staff resources (nurses and nursing assistants) correspond to the standards defined by a decree (Decree n°2002-466 - April 5th, 2002).
The multidisciplinary intensive care unit consists of 16 private rooms.
An additional room called a transition room within the ward allows the patient discharged from intensive care or continuous monitoring unit to wait safely and comfortably for his/her discharge to another ward of the hospital, to another care facility or to his/her home.
Each of the 16 intensive care rooms is equipped with the equipment necessary for quality care, including ventilators (artificial ventilation devices), monitoring (permanent monitoring of vital parameters) and high-tech beds.
The department is also equipped with three dialysis machines for the management of acute renal failure.
The performance of ultrasounds are essentially cardiac (the majority of the intensive care practitioners in the department are trained for this exploration) but also abdominal, renal and thoracic ultrasounds can be performed on the patient's bed thanks to a dedicated device in the unit.
Likewise, bronchial fibroscopies with diagnostic or therapeutic aims are performed at the patient's bed by physicians trained in this technique.
The intensive care rooms allow quality care and also ensure optimal patient comfort: large and individual rooms respecting hygiene and privacy, soundproofing, air conditioning and constant renewal of air, natural light. The beds allow the prevention of bedsores, the armchair position and the patient get up assistance. Finally, the rooms are all equipped with flat screen TVs.
- Continuous monitoring unit
Eight continuous monitoring unit beds are adjacent to the intensive care unit, increasing the department's maximum capicity. Medical and paramedical staff are common to the intensive care.
This unit receives patients discharged from the multidisciplinary intensive care unit and who cannot be admitted in "classical" services taking into account the supervision and the specific care which they still need.
The other major missions of this unit are post-operative programmed monitoring and management (and in particular therapeutic education) of patients with chronic respiratory failure equipped with specific ventilatory support equipment.
The rooms in this unit are all equipped with high-tech beds and permanent monitoring of vital parameters.
As in the intensive care, the individual, airy, air-conditioned and bright (natural light) characteristic of these rooms ensures patient comfort. In addition, 4 of these continuous care rooms are equipped with bathrooms. As in the intensive care, they are all equipped with flat screen TVs.
- Families management:
Families reception and information are among the priorities of the department
Telephone information centres for families:
Intensive care sector 1: 04 94 14 52 23
Intensive care sector 2: 04 94 14 52 27
Families visits to their relatives are possible 24 hours a day. These visits are not limited in number and duration; however, the care provided to patients sometimes justifies a restriction of visits, in agreement with relatives.
Daily personalised information is carried out by the practitioners of the department for the families who are interested. This information takes place in the offices located near the family waiting room and can be done with the nurse in charge of the patient.
Visiting children (without age limit) are allowed to visit their relative after a specific interview with the practitioner and nurse who are in charge of the patient concerned.
A large waiting room (including an area dedicated to young children) furnished, decorated and equipped with a TV allows families to wait in the most comfortable way possible.
Medical and paramedical activity
The department treats adult patients and teenagers who have or are likely to have several acute visceral deficiencies directly life-threatening and involving the use of substitution methods.
These patients are in medical illness, post-surgical care of all types (except cardiac surgery not present in the hospital) and post-traumatic care.
The department receives more than 1,000 patients annually and their average length of stay in the unit is five days.
Located at the heart of the technical platform of the CHITS, the department is in close collaboration with the emergency department, the SAMU, the operating theatre and the medical imaging department (CT scans, MRI, ultrasound, etc.) The intensive care unit is also at the heart of the care system for vital intra-hospital emergencies.
The department also provides continuous monitoring of nosocomial infections as part of a regional network.
Paramedical meetings are organised twice a week within the department in order to define each patient's therapeutic project and thus address the ethical problems associated with it.
Both practitioners and paramedical staff are involved in other specific public health missions, such as clinical research, teaching, organ and tissue samplings, follow-up and therapeutic education for patients with chronic respiratory failure who are specifically equipped with ventilatory support.
Additional care teams
- Specialty junior doctors : 4 dedicated positions in the department, change every six months
- Paramedical management Senior Nurse Manager Mrs. Martine CURTI; Nurse Manager Mrs. Laurence HULLAR
- Paramedical staff The staff is composed of 54 nurses, 32 nursing assistants. The team also includes 11 ASH (Agent de Service Hospitalier meaning Hospital Worker).