REVIEW PAPER
Selected diagnostic and therapeutic procedures and the occurrence of vascular access complications in a group of critically ill patients
1
Faculty of Health Sciences, University of Bielsko-Biala, Poland
2
Department of Nursing and Epidemiological Care, Faculty of Health Sciences, Jagiellonian University Collegium Medicum, Cracow, Poland
3
Department of Clinical Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Collegium Medicum, Cracow, Poland
Corresponding author
Ewelina Bąk
University of Bielsko-Biala, Faculty of Health Sciences, Bielsko-Biala, Poland, ul. Willowa 2, 43-309 Bielsko- Biała, Poland
University of Bielsko-Biala, Faculty of Health Sciences, Bielsko-Biala, Poland, ul. Willowa 2, 43-309 Bielsko- Biała, Poland
J Pre Clin Clin Res. 2018;12(4):135–141
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Patients of intensive care units (ICU) require the use of many invasive procedures to maintain the function of inefficient organs. The use of vascular access is an indispensable part of the procedure, but it may involve the risk of lifethreatening complications.
Objective:
The aim of the study was to identify selected diagnostic and therapeutic procedures for the occurrence of vascular access complications.
Materials and metho:
A retrospective study was conducted in a 11-bed multi-profile intensive care unit in the south of Poland. The research used the analysis of individual and collective medical documentation, as well as an original questionnaire to collect the data. Statistical analysis was performed using STATISTICA 10 PL Software. .
Results:
Among 1,742 vascular accesses inserted, complications occurred in 411 cases. Among complications, the most common occurrence was infection (34%), cannula occlusion (24.2%) and accidental removal of the cannula during its use (18.3%). In relation to the examined patients, in addition to cannulation of venous and arterial vessels, mechanical ventilation, stomach and bladder probing were administered, some patients underwent surgery, had conditions following invasive cardiology procedures or required intra-aortic counter-perfusion.
Conclusions:
The multitude of interventions had a significant impact on the occurrence of vascular access complications. The incidence of vascular access complications was influenced by other therapeutic procedures, such as the length of mechanical ventilation, the need to perform tracheotomy, and catheterization of the bladder.
Patients of intensive care units (ICU) require the use of many invasive procedures to maintain the function of inefficient organs. The use of vascular access is an indispensable part of the procedure, but it may involve the risk of lifethreatening complications.
Objective:
The aim of the study was to identify selected diagnostic and therapeutic procedures for the occurrence of vascular access complications.
Materials and metho:
A retrospective study was conducted in a 11-bed multi-profile intensive care unit in the south of Poland. The research used the analysis of individual and collective medical documentation, as well as an original questionnaire to collect the data. Statistical analysis was performed using STATISTICA 10 PL Software. .
Results:
Among 1,742 vascular accesses inserted, complications occurred in 411 cases. Among complications, the most common occurrence was infection (34%), cannula occlusion (24.2%) and accidental removal of the cannula during its use (18.3%). In relation to the examined patients, in addition to cannulation of venous and arterial vessels, mechanical ventilation, stomach and bladder probing were administered, some patients underwent surgery, had conditions following invasive cardiology procedures or required intra-aortic counter-perfusion.
Conclusions:
The multitude of interventions had a significant impact on the occurrence of vascular access complications. The incidence of vascular access complications was influenced by other therapeutic procedures, such as the length of mechanical ventilation, the need to perform tracheotomy, and catheterization of the bladder.
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