David Geffen School of Medicine at the University of California-Los Angeles, Los Angeles, CA, USA.
David Geffen School of Medicine at the University of California-Los Angeles, Los Angeles, CA, USA
BMJ. 2024 Aug 13;386:e077318. doi: 10.1136/bmj-2023-077318.
Invasive devices are routinely used in the care of critically ill patients. Although they are often essential components of patient care, devices such as intravascular catheters, endotracheal tubes, and ventilators are a common source of complications in the intensive care unit. Critical care practitioners who use these devices need to use strategies for risk reduction and understand approaches to management when adverse events occur. This review discusses the identification, prevention, and management of complications of vascular, airway, and mechanical support devices commonly used in the intensive care unit.
在危重症患者的治疗中，经常会使用有创性设备。尽管这些设备通常是患者治疗的重要组成部分，但血管内导管、气管内导管和呼吸机等设备却是重症监护病房中常见并发症的来源。使用这些设备的重症医学从业者需要使用降低风险的策略，并在发生不良事件时了解管理方法。本篇综述讨论了在重症监护病房中常用的血管、气道和机械支持设备的并发症的识别、预防和管理。
