To determine the use of ventilator circuit and secretion management strategies in France and Canada.
Binational cross-sectional survey.
Intensive care unit (ICU) directors in French and Canadian university hospitals.
We compared responses between countries regarding the use of seven circuit and secretion strategies, the rationales against their use, decisional responsibility for these strategies, whether ventilator-associated pneumonia (VAP) practice was audited, and whether VAP prevention guidelines addressing these strategies were used.
The response rate was 72/84 (85.7%) for French and 31/32 (96.9%) for Canadian ICUs. Endotracheal intubation was predominantly oral in both countries. Changing the ventilator circuits only for every new patient was more frequent in France than in Canada (p
Comment In: Crit Care Med. 2000 Oct;28(10):3572-311057825