The unnecessary application of central venous catheterization in surgical patients

Uemura, Keiko; Inoue, Satoki; Kawaguchi, Masahiko

doi:10.1016/j.bjane.2018.01.010

Cited by 4 publications

(3 citation statements)

References 14 publications

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“…CVC insertion also can cause complications, such as vascular injury, pneumothorax, arrhythmia, device dysfunction, and infection 1 , 9 , 16 , 23 , 24 . Therefore, these invasive procedures should only be performed when necessary during surgery 25 . By contrast, if these catheters are not secured before surgery, it can be difficult to deal with sudden hemodynamically unstable situations.…”

Section: Discussionmentioning

confidence: 99%

Preoperative prediction of the need for arterial and central venous catheterization using machine learning techniques

Suh

Lee

2022

Sci Rep

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Some surgical patients require an arterial or central venous catheterization intraoperatively. This decision relied solely on the experience of individual anesthesiologists; however, these decisions are not easy for clinicians who are in an emergency or inexperienced. Therefore, applying recent artificial intelligence techniques to automatically extractable data from electronic medical record (EMR) could create a very clinically useful model in this situation. This study aimed to develop a model that is easy to apply in real clinical settings by implementing a prediction model for the preoperative decision to insert an arterial and central venous catheter and that can be automatically linked to the EMR. We collected and retrospectively analyzed data from 66,522 patients, > 18 years of age, who underwent non-cardiac surgeries from March 2019 to April 2021 at the single tertiary medical center. Data included demographics, pre-operative laboratory tests, surgical information, and catheterization information. When compared with other machine learning methods, the DNN model showed the best predictive performance in terms of the area under receiver operating characteristic curve and area under the precision-recall curve. Operation code information accounted for the largest portion of the prediction. This can be applied to clinical fields using operation code and minimal preoperative clinical information.

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Section: Discussionmentioning

confidence: 99%

Preoperative prediction of the need for arterial and central venous catheterization using machine learning techniques

Suh

Lee

2022

Sci Rep

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“…Isso pode ser explicado a interrupção abrupta da infusão de doses altas de aminas vasoativas, ou até mesmo um evento hemorrágico relacionado à saída não planejada de cateter arterial. Pode-se apontar ainda os riscos associados à reinserção do dispositivo, tais como pneumotórax e infecção (Uemura, Inoue & Kawaguchi, 2018;Melo et al, 2016).…”

Section: Tipo De Dispositivosunclassified

Retiradas não planejadas de dispositivos invasivos em uma unidade de terapia intensiva

Rosário

Almeida

Camerini

et al. 2020

RSD

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Objective: to analyze the unplanned withdrawals of invasive devices in an intensive care unit. Method: this is a cross-sectional, descriptive, documentary study carried out at a university hospital in Rio de Janeiro. Data collection took place on the control forms of invasive devices, from February to September 2018. The data were analyzed using simple and inferential descriptive statistics. Results: 2292 records were consulted, which resulted in the analysis of 7,098 invasive devices / day. Of these, 115 had unplanned withdrawals, corresponding to a rate of 16.2. Most unplanned withdrawals occurred with enteral tubes (76), with the main reason for withdrawal by the patient himself (55- 72.4%). Conclusion: the analysis of withdrawals, allows the adoption of strategies and actions that act to prevent the withdrawal of these devices.

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“…Infraclavicular subclavian vein (SV) catheterization may sometimes be used for this purpose in cardiac surgery. As the catheter usually stays in place for more than a week, it causes patient discomfort (especially after internal jugular vein catheterization) [1][2][3]. In addition to routine internal jugular vein catheterization, SV catheterization is sometimes used at Farshchian Cardiovascular Hospital, Hamadan, Iran.…”

Section: Introductionmentioning

confidence: 99%

Sternal Retraction and Subclavian Vein Catheter Occlusion during Cardiac Surgery

et al. 2021

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Background: Subclavian vein (SV) catheterization is a method for the delivery of fluids, drugs, and blood products, venous blood sampling, and central vein pressure monitoring in cardiac surgery. Catheter occlusion is a serious complication of SV catheterization during cardiac surgery, especially after sternal retractor expansion. Methods: In this observational study, 303 patients who had successful right infraclavicular SV catheterization from September 2019 to April 2020 were enrolled to determine the incidence of catheter occlusion. After catheterization, the lumens of all catheters were checked for the ability to infuse and withdraw blood from the catheter before and after sternal retractor expansion. The patients' characteristics, cannulation approach, on-pump or off-pump technique, occlusion of the catheter and its lumens, and any associated complications were recorded. The data were analyzed using IBM SPSS ver. 22.0 (IBM Corp., Armonk, NY, USA). Results: Of the 303 patients studied, 205 were male (67.7%) and 98 were female (32.3%). Catheter occlusion occurred in 11 patients with on-pump cardiopulmonary bypass (CPB) (227 patients) and 4 patients with off-pump CPB (76 patients) (p=0.863). The incidence of catheter occlusion was 4.95% (15 of 303 patients) with no cases of simultaneous 3-lumen occlusion in a catheter. The most commonly occluded lumen was the distal lumen (57.92%). Simultaneous 2-lumen occlusion occurred in 4 patients. Catheter occlusion was found in 3 of 13 malpositioned catheters (23.07%). Conclusion:The current study showed that malpositioning of the catheter tip was a risk factor for catheter occlusion and that the distal lumen of a triple-lumen catheter was the most commonly occluded lumen.

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The unnecessary application of central venous catheterization in surgical patients

Cited by 4 publications

References 14 publications

Preoperative prediction of the need for arterial and central venous catheterization using machine learning techniques

Preoperative prediction of the need for arterial and central venous catheterization using machine learning techniques

Retiradas não planejadas de dispositivos invasivos em uma unidade de terapia intensiva

Sternal Retraction and Subclavian Vein Catheter Occlusion during Cardiac Surgery

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