Resume Objectif Identifier le profil de formation et les preuves relatives aux roles et retombees des pharmaciens hospitaliers dans l’organisation du circuit des dispositifs medicaux. Methodes Une revue de litterature a ete menee sur Google, Google Scholar et Pubmed de 1990 a 2016 associees a une recherche manuelle dans trois revues professionnelles pharmaceutiques non indexees de 2000 a 2016. Resultats L’analyse des offres de formations disponibles au sein du territoire ne nous a pas permis d’identifier un profil specifique decrivant la formation des pharmaciens. Un total de 72 articles relatifs aux roles et retombees du pharmacien a ete identifie dont 52 proviennent de revues non indexees. Aucun article ne porte directement sur les roles et retombees ; on a cependant repartis les articles recenses en trois spheres d’implication du pharmacien, qui sont le referencement (n = 36), le l’evaluation (n = 19) et le circuit du dispositif medical (n = 13). Conclusion Les pharmaciens francais disposent de nombreuses opportunites de formation theorique et pratique. Il existe peu d’articles decrivant precisement les roles et les retombees des pharmaciens hospitaliers dans la gestion des dispositifs medicaux. Il apparait pressant de mieux documenter cette activite dans la litterature professionnelle et indexee.

[The roles and the impacts of pharmacists in the management of medical devices at the hospital: A literature review].

Principes de la perfusion médicamenteuse et dispositifs médicaux utilisés en perfusion intraveineuse

Bonnes pratiques de perfusion en anesthésie-réanimation : des abords vasculaires aux montages de perfusion

<title>Abstract</title> <bold>Background</bold> Pharmacy services impact patients throughout the perioperative journey. Pharmacist activities at surgical pre-assessment clinics and on inpatient wards are well-documented, but services to theatre appear comparatively under-developed. High-risk and high-cost medicines are used routinely in theatre; pharmacists are well-placed to optimise their use and improve patient care.<bold>Aim</bold> To determine the range, extent and nature of theatre pharmacy services and their outcomes.<bold>Method</bold> This scoping review was conducted and reported as per the Joanna Briggs Institute methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. A search was conducted across electronic and grey literature databases to identify pharmacy theatre services. One reviewer screened titles and abstracts and carried out data extraction, with a 10% sample screened by a second reviewer. Two reviewers evaluated full texts. Quality appraisal was undertaken using the Mixed Methods Appraisal Tool.<bold>Results</bold> Ninety-two publications were included from 3924 search results. Fifty-seven were primary research articles. Most of the included publications described services in the United States of America; the remainder were from Australia, several European countries, Egypt, Morocco, Japan, China and Taiwan. Theatre pharmacy services included medication management and various clinical activities. Outcomes related to cost savings, patient safety and staff satisfaction. Nine of the 57 articles were suitable for quality appraisal. Adherence to quality criteria ranged from 40–100%.<bold>Conclusion</bold> Evidence for theatre pharmacy services is extensive and varied. Empirical research of high methodological quality is required to assess the outcomes of these services. 

Established and emerging theatre pharmacy services: a scoping review

Efficacy of antiseptic-impregnated central venous catheters in preventing catheter-related bloodstream infection. A Meta-analysis

Resume Introduction Le choix d’un catheter veineux central par les equipes medicales et pharmaceutiques est rendu difficile du fait d’un manque d’informations techniques issues des fournisseurs et de la litterature, de l’existence d’une multitude de caracteristiques techniques et de l’absence de referentiel. L’objectif de cette etude a ete d’etablir un cahier des charges pour le choix de catheters veineux centraux repondant aux besoins des cliniciens. Materiels et methodes Une analyse des documents techniques des fournisseurs et de la litterature a ete realisee afin de colliger l’ensemble des criteres techniques. A l’occasion d’un entretien semi-dirige avec le pharmacien, 5 anesthesistes-reanimateurs ont ete interroges afin de hierarchiser ces criteres selon 3 niveaux d’importance. Resultats Treize criteres techniques ont ete identifies a la lecture des documents techniques et de la litterature. Parmi eux, 8 ont ete classes comme indispensables (niveau 1) par les anesthesistes-reanimateurs : guide en forme de J, clamp sur chacune des voies, lumieres identifiees, radio-opacite, graduation tous les centimetres de 5 a 20 cm de l’extremite distale, longueur de 15 a 25 cm, catheters mono-lumieres ayant des voies de 14 a 16G et, trilumieres avec des voies de 14 a 18G. Enfin, 3 criteres ont ete classes comme intermediaires (niveau 2) et 2 comme optionnels (niveau 3). Conclusions Cette demarche collaborative a permis de referencer de nouveaux dispositifs repondant aux besoins des cliniciens et aux bonnes pratiques du catheterisme veineux central afin de securiser la prise en charge du patient.

Critères de choix d’un cathéter veineux central : points de vue de l’anesthésiste-réanimateur et du pharmacien

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Critères de choix d’un cathéter veineux central : points de vue de l’anesthésiste-réanimateur et du pharmacien

Stratégie d’optimisation de la prise en charge médicamenteuse péri-opératoire