A state of the art review on optimal practices to prevent,

Intensive care medicine · Jun 2018

Review

A state of the art review on optimal practices to prevent, recognize, and manage complications associated with intravascular devices in the critically ill.

Intravascular catheters are inserted into almost all critically ill patients. This review provides up-to-date insight into available knowledge on epidemiology and diagnosis of complications of central vein and arterial catheters in ICU. ⋯ Prevention of complications is a multidisciplinary task that combines both improvement of the process of care and introduction of new technologies. We emphasize the main component of the prevention strategies that should be used in critical care and propose areas of future investigation in this field.

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- Jean-François Timsit, Mark Rupp, Emilio Bouza, Vineet Chopra, Tarja Kärpänen, Kevin Laupland, Thiago Lisboa, Leonard Mermel, Olivier Mimoz, Jean-Jacques Parienti, Garyphalia Poulakou, Bertrand Souweine, and Walter Zingg.
- Université Paris Diderot/Hopital Bichat - Réanimation Medicale et des maladies infectieuses, Paris, 75018, France. Jean-francois.timsit@aphp.fr.
- Intensive Care Med. 2018 Jun 1; 44 (6): 742-759.
AbstractIntravascular catheters are inserted into almost all critically ill patients. This review provides up-to-date insight into available knowledge on epidemiology and diagnosis of complications of central vein and arterial catheters in ICU. It discusses the optimal therapy of catheter-related infections and thrombosis. Prevention of complications is a multidisciplinary task that combines both improvement of the process of care and introduction of new technologies. We emphasize the main component of the prevention strategies that should be used in critical care and propose areas of future investigation in this field.

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A state of the art review on optimal practices to prevent, recognize, and manage complications associated with intravascular devices in the critically ill.

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