tailieunhanh - Báo cáo khoa học: " Accidental catheter removal in critically ill patients: a prospective and observational study"

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: Accidental catheter removal in critically ill patients: a prospective and observational study. | Available online http content 8 4 R229 Research Accidental catheter removal in critically ill patients a prospective and observational study Leonardo Lorente1 María S Huidobro1 María M Martín1 Alejandro Jimenez2 and María L Mora1 Open Access 1Staff Intensivist Department of Intensive Care Hospital Universitario de Canarias Tenerife Spain Statistician Research Unit Hospital Universitario de Canarias Tenerife Spain Corresponding author Leonardo Lorente lorentemartin@ Received 06 March 2004 Revisions requested 06 April 2004 Revisions received 9 April 2004 Accepted 28 April 2004 Published 2 June 2004 Critical Care 2004 8 R229-R233 DOI cc2874 This article is online at http content 8 4 R229 2004 Lorente et al. licensee BioMed Central Ltd. This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract Introduction The importance of accidental catheter removal ACR lies in the complications caused by the removal itself and by catheter reinsertion. To the best of our knowledge no studies have analyzed accidental removal of various types of catheters in the intensive care unit ICU . The objective of the present study was to analyze the incidence of ACR for all types of catheters in the ICU. Methods This was a prospective and observational study conducted in a 24-bed medical surgical ICU in a university hospital. We included all consecutive patients admitted to the ICU over 18 months 1 May 2000 to 31 October 2001 . The incidences of ACR for all types of catheters both per 100 catheters and per 100 catheter-days were determined. Results A total of 988 patients were included. There were no significant differences in ACR incidence between the four central venous access sites peripheral jugular subclavian and femoral or between the four arterial access sites radial femoral pedal and humeral . However