Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo khoa học: "Should central venous catheters be used to drain pleural effusions? Authors’ response"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Should central venous catheters be used to drain pleural effusions? Authors’ response. | Available online http ccforum.eom content 8 1 57 Letter Should central venous catheters be used to drain pleural effusions Authors response Kulgit Singh1 Shi Loo2 and Rinaldo Bellomo3 Consultant Department of Anaesthesiology Tan Tock Seng Hospital Singapore 2Senior Consultant Department of Anaesthesiology Tan Tock Seng Hospital Singapore 3Professor of Medicine University of Melbourne Director of Intensive Care Research Department of Intensive Care Austin Repatriation Medical Centre Heidelberg Melbourne Victoria Australia Correspondence Kulgit Singh Kulgit_singh@ttsh.com.sg Published online 2 January 2004 Critical Care 2004 8 57 DOI 10.1186 cc2448 This article is online at http ccforum.com content 8 1 57 2004 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X We would like to thank MacDuff and Grant 1 as well as the many others who accessed it for their interest in our article 2 on using central venous catheters for pleural drainage. We started using this technique about 5 years ago with the aim of achieving better patient comfort without compromising on adequate pleural drainage. We did not at that time have access to the specific chest drainage systems mentioned by MacDuff and Grant. While we agree that the central venous catheters we describe are not specifically designed for the purpose of pleural drainage they are made of biologically inert materials with a long track record of intravenous use. We have not modified them before placement. To minimize the risk of complications at insertion we were selective in our choice of patients and we monitor these patients closely from the safety and efficacy points of view. We share MacDuff and Grant s views on the need to practice safely in the current medico-legal climate. Our management is frequently influenced by the need to be seen to be medico-legally correct. This however has probably resulted in the increased per-patient care cost. We find this to be especially true in the use of specially designed .