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

Intensive Care Med. 2018 Jun;44(6):742-759. doi: 10.1007/s00134-018-5212-y. Epub 2018 May 12.

Abstract

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. 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.

Keywords: Critically ill; Intravascular catheter; Pulmonary emboli; Sepsis; Thrombosis.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Catheterization, Central Venous / adverse effects*
  • Catheterization, Central Venous / nursing
  • Catheterization, Peripheral / adverse effects*
  • Catheterization, Peripheral / nursing
  • Catheters, Indwelling / adverse effects*
  • Central Venous Catheters / adverse effects*
  • Critical Care Nursing / standards*
  • Critical Illness / nursing*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Practice Guidelines as Topic*
  • Risk Factors
  • Thrombosis / etiology*
  • Thrombosis / nursing
  • Thrombosis / prevention & control