Evaluation of unnecessary central venous catheters in critically ill patients: a prospective observational study

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Bruce CloadRoy Ilan

Abstract

Central venous catheters are used commonly in critical care. Evidence-based practices to prevent catheter-related bloodstream infections have been widely promoted. One such practice includes assessing the need for central venous catheters on a daily basis and removing those found to be unnecessary. However, little is known about the adherence to this recommendation. Our objective was to examine the prevalence of unnecessary central venous catheters in our intensive care units. We performed a prospective observational study during 28 consecutive days in two adult intensive care units at an academic medical centre. The principal investigator screened patients daily for the presence of non-tunnelled central venous catheters and assessed whether there was an indication for continued central catheterization. Patients under the age of 18 were excluded, as were those undergoing palliative care. Standardized indications were abstracted from the patient's chart, and the patient's primary nurse was interviewed if there was no indication for central venous catheterization in the chart. If there were multiple catheters or indications, the most appropriate indication was recorded. The end point was to establish whether a patient had an appr...Continue Reading

References

May 25, 1994·JAMA : the Journal of the American Medical Association·D PittetR P Wenzel
Oct 27, 1999·JAMA : the Journal of the American Medical Association·M D CabanaH R Rubin
May 15, 2003·American Journal of Epidemiology·Louise-Anne McNuttJean Paul Hafner
Oct 16, 2004·Critical Care Medicine·Sean M BerenholtzTrish M Perl
Dec 29, 2006·The New England Journal of Medicine·Peter PronovostChristine Goeschel
Jan 24, 2007·Critical Care Medicine·Jacob T Gutsche, Benjamin A Kohl
Jul 24, 2007·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Naomi E JonesDaren K Heyland

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Citations

Oct 12, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Roy IlanAndrew Day
Dec 11, 2013·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Mario Fernández-RuizFrancisco López-Medrano
Sep 10, 2014·Annals of the New York Academy of Sciences·Elizabeth TemkinYehuda Carmeli
Oct 9, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jonas MarschallDeborah S Yokoe
Aug 1, 2015·BMC Infectious Diseases·M J Pérez-GrandaE Bouza
Jun 11, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jonas MarschallDeborah S Yokoe
Nov 7, 2016·Infectious Disease Clinics of North America·Mark E Rupp, Denisa Majorant
Oct 1, 2019·Annals of Internal Medicine·Payal K PatelVineet Chopra

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