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

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.

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Correspondence to Jean-François Timsit.

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Dr. Chopra discloses receiving grant support from the Agency for Healthcare Quality and Research and honoraria for research talks as a visiting professor. Dr. Kärpänen has received honoraria to present at a symposium and attend an international conference supported by 3M. Since contributing to the manuscript, she has taken a Senior Clinical Research Specialist role at 3M Deutschland GmbH. Dr. Mermel has served as a consultant for Marvao Medical and Nobio. Dr. Mimoz received grant support from 3M and Carefusion-BD and honoraria for giving lectures from 3M and Carefusion-BD. Dr. Timsit received grant support from 3M and honoraria for giving lectures from 3M.

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Timsit, JF., Rupp, M., Bouza, E. et al. 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 44, 742–759 (2018). https://doi.org/10.1007/s00134-018-5212-y

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Keywords

  • Intravascular catheter
  • Thrombosis
  • Pulmonary emboli
  • Sepsis
  • Critically ill