Singapore General Hospital, Respiratory and Critical Care Medicine, Singapore.
Respirology. 2009 Nov;14(8):1092-7. doi: 10.1111/j.1440-1843.2009.01643.x.
Intensive Care Unit (ICU) patients often require urgent, high-risk diagnostic and therapeutic procedures. However, they are particularly vulnerable to procedural complications due to the severity and instability of their illnesses. We discuss the complications associated with bronchoscopy, percutaneous dilatational tracheostomy, pleural interventions for example thoracentesis and chest tube placement, central venous catheterization and pulmonary artery catheterization. Invasive procedures are frequently performed in critically ill patients. It is important for the operator to be familiar with the specific complications of each procedure, as well as steps to take in order to enhance safety and reduce adverse events. High standards of training and credentialing are crucial to ensure that the ICU physicians are proficient in performing these procedures.
重症监护病房（ICU）的患者常常需要进行紧急、高风险的诊断和治疗操作。然而，由于他们疾病的严重程度和不稳定性，他们特别容易发生操作并发症。我们将讨论与支气管镜检查、经皮扩张气管切开术、胸腔穿刺和胸管放置、中心静脉导管插入术和肺动脉导管插入术等相关的并发症。在危重病患者中，经常进行有创性操作。操作者熟悉每种操作的特定并发症以及为提高安全性和减少不良事件而采取的措施非常重要。高标准的培训和认证对于确保 ICU 医生熟练进行这些操作至关重要。
