[ { "key": "SM8ZTIGQ", "version": 822, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/SM8ZTIGQ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/SM8ZTIGQ", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/27624/items/F2QI25F2", "type": "application/json" } }, "meta": { "lastModifiedByUser": { "id": 23010, "username": "netbuoy", "name": "Marc Grober", "links": { "alternate": { "href": "https://www.zotero.org/netbuoy", "type": "text/html" } } } }, "data": { "key": "SM8ZTIGQ", "version": 822, "parentItem": "F2QI25F2", "itemType": "attachment", "linkMode": "imported_url", "title": "Snapshot", "accessDate": "2010-09-30T03:33:59Z", "url": "http://www.anesthesia-analgesia.org/content/104/3/491.full", "note": "", "contentType": "text/html", "charset": "utf-8", "filename": "491.html", "md5": null, "mtime": 1285817639000, "tags": [], "relations": {}, "dateAdded": "2010-09-30T03:33:59Z", "dateModified": "2019-09-01T23:05:09Z" } }, { "key": "F2QI25F2", "version": 822, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/F2QI25F2", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/F2QI25F2", "type": "text/html" } }, "meta": { "lastModifiedByUser": { "id": 23010, "username": "netbuoy", "name": "Marc Grober", "links": { "alternate": { "href": "https://www.zotero.org/netbuoy", "type": "text/html" } } }, "creatorSummary": "Bailey et al.", "parsedDate": "2007-03", "numChildren": 1 }, "data": { "key": "F2QI25F2", "version": 822, "itemType": "journalArticle", "title": "A Survey of the Use of Ultrasound During Central Venous Catheterization", "creators": [ { "creatorType": "author", "firstName": "Peter L.", "lastName": "Bailey" }, { "creatorType": "author", "firstName": "Laurent G.", "lastName": "Glance" }, { "creatorType": "author", "firstName": "Michael P.", "lastName": "Eaton" }, { "creatorType": "author", "firstName": "Bob", "lastName": "Parshall" }, { "creatorType": "author", "firstName": "Scott", "lastName": "McIntosh" } ], "abstractNote": "BACKGROUND: Complications during central venous catheterization (CVC) are not rare and can be serious. The use of ultrasound (US) during CVC has been recommended to improve patient safety. We performed a survey to evaluate the frequency of, and factors influencing, US use.METHODS: We conducted an electronic survey of all members of the Society of Cardiovascular Anesthesiologists. Univariate and multivariate logistic regressions were used to assess the association between the frequency of US use and hospital and physician factors. All tests were two-sided, and a P value <0.05 was considered statistically significant.RESULTS: Of the 4235 members, 1494 responded (response rate = 35.3%). Two-thirds of the respondents never, or almost never, use US, whereas only 15% always, or almost always, use US. Thirty-three percent of the respondents never, or almost never, have US available, whereas 41% stated that US is always, or almost always, available. Availability of US equipment was strongly associated with US use for CVC (adj OR = 18.9; P value <0.001). The most common reason cited for not using US was “no apparent need for the use of US” (46%). When US was used, rescue or screening approaches were more common (72%) than real-time use (26%).CONCLUSIONS: The use of US during CVC remains limited and is most strongly associated with the availability of equipment. Screening and rescue use of US are more common than real-time guidance. Our survey suggests that current use of US during CVC differs from existing evidence-based recommendations.", "publicationTitle": "Anesthesia & Analgesia", "publisher": "", "place": "", "date": "March 2007", "volume": "104", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "491 -497", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1213/01.ane.0000255289.78333.c2", "citationKey": "", "url": "http://www.anesthesia-analgesia.org/content/104/3/491.abstract", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "0035", "rights": "", "extra": "", "tags": [], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/27624/items/Q5BGP5R6" }, "dateAdded": "2010-09-30T03:02:24Z", "dateModified": "2019-09-01T23:05:09Z" } }, { "key": "KPNU3RAP", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/KPNU3RAP", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/KPNU3RAP", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/27624/items/FDTQQ4HR", "type": "application/json" } }, "meta": {}, "data": { "key": "KPNU3RAP", "version": 1, "parentItem": "FDTQQ4HR", "itemType": "attachment", "linkMode": "linked_url", "title": "article.asp?issn=0971-3026;year=2009;volume=19;issue=3;spage=191;epage=198;aulast=Palepu", "accessDate": "2010-09-30T03:31:33Z", "url": "http://www.ijri.org/article.asp?issn=0971-3026;year=2009;volume=19;issue=3;spage=191;epage=198;aulast=Palepu", "note": "", "contentType": "", "charset": "", "tags": [], "relations": {}, "dateAdded": "2010-09-30T03:31:33Z", "dateModified": "2010-09-30T03:31:33Z" } }, { "key": "FDTQQ4HR", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/FDTQQ4HR", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/FDTQQ4HR", "type": "text/html" } }, "meta": { "creatorSummary": "Palepu et al.", "parsedDate": "2009-07-01", "numChildren": 1 }, "data": { "key": "FDTQQ4HR", "version": 1, "itemType": "webpage", "title": "Impact of ultrasonography on central venous catheter insertion in intensive care", "creators": [ { "creatorType": "author", "firstName": "Gopal", "lastName": "Palepu" }, { "creatorType": "author", "firstName": "Juneja", "lastName": "Deven" }, { "creatorType": "author", "firstName": "M", "lastName": "Subrahmanyam" }, { "creatorType": "author", "firstName": "S", "lastName": "Mohan" } ], "abstractNote": "Background and Aims: The insertion of central venous catheters (CVCs) is an integral part of the management of critically ill patients. We aimed to study the impact of ultrasonography (USG) on CVC insertion in intensive care. Setting and Design: A prospective study of 450 patients requiring CVC in the intensive care unit (ICU) of a tertiary care hospital. Methods and Materials: The patients were randomized into two groups: to have CVC insertion with USG-guidance or with the anatomic landmark technique (ALT). Data were collected on patient demographics; operator experience; and method, site and side of insertion. Outcome measures included successful insertion of CVC, number of attempts needed and complications. Results: Internal jugular vein (IJV) cannulation was successful in 177/194 patients (91.2%) using ALT and in 200/205 patients (97.6%) using USG guidance, a significant difference of 6.4% (P = 0.006). Using ALT, 72.7% of cannulations could be accomplished in the first attempt as compared with 84.4% with USG guidance (P = 0.004). The overall complication rate was 28/399 (7%), with 19 (9.8%) complications in the ALT group and 9 (4.4%) in the USG group (age-, sex-, and operator-adjusted OR = 0.35, 95% CI: 0.13-0.96; P = 0.03). For subclavian vein catheterization, the success rate was 26/28 (92.9%) in the ALT group and 17/17 (100%) in the USG group (P = 0.52). Using ALT, 71.4% cannulation could be accomplished in the first attempt as compared with 82.4% under USG guidance (P = 0.49). The overall complication rate was 6/45 (13.3%), with 4 (14.3%) complications in the ALT group and 2 (11.8%) in the USG group (P > 0.99). Conclusions: Real-time USG guidance improves success rates, reduces the number of attempts and decreases the complications associated with CVC insertion, especially for the IJV, and should become the standard of care in intensive care.", "websiteTitle": "Indian J Radiol Imaging", "websiteType": "", "date": "July 1, 2009", "publisher": "", "place": "", "DOI": "", "citationKey": "", "url": "http://www.ijri.org/article.asp?issn=0971-3026;year=2009;volume=19;issue=3;spage=191;epage=198;aulast=Palepu", "accessDate": "", "shortTitle": "", "language": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2010-09-30T03:31:32Z", "dateModified": "2010-09-30T03:31:32Z" } }, { "key": "IVTCRRWR", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/IVTCRRWR", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/IVTCRRWR", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/27624/items/T7TCPGTE", "type": "application/json" } }, "meta": {}, "data": { "key": "IVTCRRWR", "version": 1, "parentItem": "T7TCPGTE", "itemType": "attachment", "linkMode": "imported_url", "title": "ScienceDirect Snapshot", "accessDate": "2010-09-30T03:29:42Z", "url": "http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6W7X-4DTSP6K-2&_user=47004&_coverDate=12%2F31%2F2004&_rdoc=1&_fmt=high&_orig=search&_origin=search&_sort=d&_docanchor=&view=c&_searchStrId=1479345799&_rerunOrigin=google&_acct=C000005018&_version=1&_urlVersion=0&_userid=47004&md5=c4210f7ef2702a04a0ebf16450236d32&searchtype=a", "note": "", "contentType": "text/html", "charset": "utf-8", "filename": "science.html", "md5": null, "mtime": 1285817375000, "tags": [], "relations": {}, "dateAdded": "2010-09-30T03:29:42Z", "dateModified": "2010-09-30T03:29:42Z" } }, { "key": "T7TCPGTE", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/T7TCPGTE", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/T7TCPGTE", "type": "text/html" } }, "meta": { "creatorSummary": "Cajozzo et al.", "parsedDate": "2004-12", "numChildren": 1 }, "data": { "key": "T7TCPGTE", "version": 1, "itemType": "journalArticle", "title": "Comparison of central venous catheterization with and without ultrasound guide", "creators": [ { "creatorType": "author", "firstName": "Massimo", "lastName": "Cajozzo" }, { "creatorType": "author", "firstName": "Gerlando", "lastName": "Quintini" }, { "creatorType": "author", "firstName": "Gerlando", "lastName": "Cocchiera" }, { "creatorType": "author", "firstName": "Geo", "lastName": "Greco" }, { "creatorType": "author", "firstName": "Roberto", "lastName": "Vaglica" }, { "creatorType": "author", "firstName": "Giuseppina", "lastName": "Pezzano" }, { "creatorType": "author", "firstName": "Vincenzo", "lastName": "Barbera" }, { "creatorType": "author", "firstName": "Giuseppe", "lastName": "Modica" } ], "abstractNote": "Purpose: To compare the effectiveness, safety and time needed to perform central venous catheterization (CVC) in the presence or absence of an ultrasound (US) guide.\nMethods: Between January 1999 and February 2002 we performed CVCs in 196 patients: 105 patients received US guided CVC (group I) and 91 patients had CVC without US guide (group II).\nResults: The average time to perform CVC was shorter with US guide (4 vs 7 min). The utilization of the US guide was also associated with improved success (98.09% vs 91.2%, p < 0.025) and lack of major complications (0% vs 9.8%, p < 0.001).\nConclusions: US-guided CVC affords an easier, safer and more rapid cannulation of a central vein. It is especially helpful in those patients with anatomical variation or difficult veins (small or not visible, non-palpable landmarks) and in those with coagulative disorders.", "publicationTitle": "Transfusion and Apheresis Science", "publisher": "", "place": "", "date": "December 2004", "volume": "31", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "199-202", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1016/j.transci.2004.05.006", "citationKey": "", "url": "http://www.sciencedirect.com/science/article/B6W7X-4DTSP6K-2/2/77cb9dffe9a81fad8a3d5a22e5af0743", "accessDate": "2010-09-30T03:29:39Z", "PMID": "", "PMCID": "", "ISSN": "1473-0502", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "ScienceDirect", "callNumber": "0010", "rights": "", "extra": "", "tags": [ { "tag": "Central venous catheterization", "type": 1 }, { "tag": "Seldinger technique", "type": 1 }, { "tag": "Ultrasounds", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2010-09-30T03:29:39Z", "dateModified": "2010-09-30T03:29:41Z" } }, { "key": "VVI5GBDB", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/VVI5GBDB", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/VVI5GBDB", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/27624/items/KBKIFQA2", "type": "application/json" } }, "meta": {}, "data": { "key": "VVI5GBDB", "version": 1, "parentItem": "KBKIFQA2", "itemType": "attachment", "linkMode": "imported_url", "title": "UCSF Department Of Medicine at SFGH | Housestaff Procedures Training | Procedures Training Home", "accessDate": "2010-09-30T03:27:50Z", "url": "http://sfgh.medicine.ucsf.edu/education/resed/procedures/centrallines/", "note": "", "contentType": "text/html", "charset": "utf-8", "filename": "centrallines.html", "md5": null, "mtime": 1285817269000, "tags": [], "relations": {}, "dateAdded": "2010-09-30T03:27:50Z", "dateModified": "2010-09-30T03:27:50Z" } }, { "key": "KBKIFQA2", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/KBKIFQA2", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/KBKIFQA2", "type": "text/html" } }, "meta": { "numChildren": 1 }, "data": { "key": "KBKIFQA2", "version": 1, "itemType": "webpage", "title": "UCSF Department Of Medicine at SFGH | Housestaff Procedures Training | Procedures Training Home", "creators": [], "abstractNote": "", "websiteTitle": "", "websiteType": "", "date": "", "publisher": "", "place": "", "DOI": "", "citationKey": "", "url": "http://sfgh.medicine.ucsf.edu/education/resed/procedures/centrallines/", "accessDate": "2010-09-30T03:27:49Z", "shortTitle": "", "language": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2010-09-30T03:27:49Z", "dateModified": "2010-09-30T03:27:49Z" } }, { "key": "F99ITWI4", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/F99ITWI4", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/F99ITWI4", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/27624/items/QU4PC82W", "type": "application/json" } }, "meta": {}, "data": { "key": "F99ITWI4", "version": 1, "parentItem": "QU4PC82W", "itemType": "attachment", "linkMode": "imported_url", "title": "Central Venous Access", "accessDate": "2010-09-30T03:27:18Z", "url": "http://medresidents.stanford.edu/cvc/CVCknowledgeBase.html", "note": "", "contentType": "text/html", "charset": "windows-1252", "filename": "CVCknowledgeBase.html", "md5": null, "mtime": 1285817238000, "tags": [], "relations": {}, "dateAdded": "2010-09-30T03:27:18Z", "dateModified": "2010-09-30T03:27:18Z" } }, { "key": "QU4PC82W", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/QU4PC82W", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/QU4PC82W", "type": "text/html" } }, "meta": { "numChildren": 1 }, "data": { "key": "QU4PC82W", "version": 1, "itemType": "webpage", "title": "Central Venous Access", "creators": [], "abstractNote": "", "websiteTitle": "", "websiteType": "", "date": "", "publisher": "", "place": "", "DOI": "", "citationKey": "", "url": "http://medresidents.stanford.edu/cvc/CVCknowledgeBase.html", "accessDate": "2010-09-30T03:27:17Z", "shortTitle": "", "language": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2010-09-30T03:27:17Z", "dateModified": "2010-09-30T03:27:17Z" } }, { "key": "ES9FTRKI", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/ES9FTRKI", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/ES9FTRKI", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/27624/items/39TSH9TV", "type": "application/json" } }, "meta": {}, "data": { "key": "ES9FTRKI", "version": 1, "parentItem": "39TSH9TV", "itemType": "attachment", "linkMode": "imported_url", "title": "Snapshot", "accessDate": "2010-09-30T03:24:41Z", "url": "http://qshc.bmj.com/content/16/4/252.full", "note": "", "contentType": "text/html", "charset": "utf-8", "filename": "252.html", "md5": null, "mtime": 1285817076000, "tags": [], "relations": {}, "dateAdded": "2010-09-30T03:24:41Z", "dateModified": "2010-09-30T03:24:41Z" } }, { "key": "39TSH9TV", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/39TSH9TV", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/39TSH9TV", "type": "text/html" } }, "meta": { "creatorSummary": "Ayas et al.", "parsedDate": "2007", "numChildren": 1 }, "data": { "key": "39TSH9TV", "version": 1, "itemType": "journalArticle", "title": "Pneumothorax after insertion of central venous catheters in the intensive care unit: association with month of year and week of month", "creators": [ { "creatorType": "author", "firstName": "Najib T", "lastName": "Ayas" }, { "creatorType": "author", "firstName": "Monica", "lastName": "Norena" }, { "creatorType": "author", "firstName": "Hubert", "lastName": "Wong" }, { "creatorType": "author", "firstName": "Dean", "lastName": "Chittock" }, { "creatorType": "author", "firstName": "Peter M", "lastName": "Dodek" } ], "abstractNote": "Rationale: One of the complications associated with insertion of central venous catheters (CVCs) is pneumothorax (PTX). Because of housestaff inexperience, it was hypothesised that rates of PTX after insertion of CVCs in teaching hospitals would be highest in July and August and in the first week of the month (beginning of intensive care unit (ICU) rotation).Methods: In a retrospective analysis of data from patients admitted to the ICU in two tertiary care teaching hospitals in British Columbia from 1999 to 2005, rates of PTX occurring after insertion of CVCs were calculated, and it was evaluated whether rates were increased during certain times of the year/month.Results: During this period, 3548 patients were admitted to these ICUs and had at least one CVC placed. 5816 CVCs were inserted; 113 PTX occurred within 2 days after insertions (1.9% per CVC). The rate during the last week of the month was greater (2.7%) than during the first, second or third weeks (1.7%, 1.8% and 1.4%, respectively). This effect persisted after controlling for the Acute Physiology and Chronic Health Evaluation II score, the number of catheters placed per patient, gender, age and hospital. Rates of PTX after catheter placement did not vary by the month of the year.Conclusions: The rate of PTX after insertion of CVCs is greatest in the last week of the month. If this effect can be verified in other centres, increased supervision of residents at the end of ICU rotations when placing CVCs should be considered. Whether this effect applies to other patient safety outcomes in the ICU also needs further study.", "publicationTitle": "Quality and Safety in Health Care", "publisher": "", "place": "", "date": "2007", "volume": "16", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "252 -255", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1136/qshc.2006.021162", "citationKey": "", "url": "http://qshc.bmj.com/content/16/4/252.abstract", "accessDate": "2010-09-30T03:24:39Z", "PMID": "", "PMCID": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "Pneumothorax after insertion of central venous catheters in the intensive care unit", "language": "", "libraryCatalog": "Highwire 2.0", "callNumber": "0006", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2010-09-30T03:24:39Z", "dateModified": "2010-09-30T03:24:40Z" } }, { "key": "N536ZCX4", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/N536ZCX4", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/N536ZCX4", "type": "text/html" } }, "meta": { "creatorSummary": "Gabrielli et al.", "parsedDate": "2008-12-01", "numChildren": 1 }, "data": { "key": "N536ZCX4", "version": 1, "itemType": "book", "title": "Civetta, Taylor and Kirby's Critical Care", "creators": [ { "creatorType": "author", "firstName": "Andrea", "lastName": "Gabrielli" }, { "creatorType": "author", "firstName": "A. Joseph", "lastName": "Layon" }, { "creatorType": "author", "firstName": "Mihae", "lastName": "Yu" } ], "abstractNote": "", "series": "", "seriesNumber": "", "volume": "", "numberOfVolumes": "", "edition": "", "date": "2008-12-01", "publisher": "W. W. Norton & Company", "place": "", "originalDate": "", "originalPublisher": "", "originalPlace": "", "format": "", "numPages": "2816", "ISBN": "9780781768696", "DOI": "", "citationKey": "", "url": "", "accessDate": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "Google Books", "callNumber": "0000", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2010-09-30T03:22:50Z", "dateModified": "2010-09-30T03:22:52Z" } }, { "key": "BTUKBKHI", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/BTUKBKHI", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/BTUKBKHI", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/27624/items/N536ZCX4", "type": "application/json" } }, "meta": {}, "data": { "key": "BTUKBKHI", "version": 1, "parentItem": "N536ZCX4", "itemType": "attachment", "linkMode": "linked_url", "title": "Google Books Link", "accessDate": "2010-09-30T03:22:51Z", "url": "http://books.google.com/books?id=d5LIF1uW_4kC", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2010-09-30T03:22:51Z", "dateModified": "2010-09-30T03:22:51Z" } }, { "key": "FMUEKH9R", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/FMUEKH9R", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/FMUEKH9R", "type": "text/html" } }, "meta": { "creatorSummary": "de Lassence et al.", "parsedDate": "2006", "numChildren": 1 }, "data": { "key": "FMUEKH9R", "version": 1, "itemType": "journalArticle", "title": "Pneumothorax in the Intensive Care Unit: Incidence, Risk Factors, and Outcome", "creators": [ { "creatorType": "author", "firstName": "Arnaud", "lastName": "de Lassence" }, { "creatorType": "author", "firstName": "Jean-François", "lastName": "Timsit" }, { "creatorType": "author", "firstName": "Muriel", "lastName": "Tafflet" }, { "creatorType": "author", "firstName": "Élie", "lastName": "Azoulay" }, { "creatorType": "author", "firstName": "Samir", "lastName": "Jamali" }, { "creatorType": "author", "firstName": "François", "lastName": "Vincent" }, { "creatorType": "author", "firstName": "Yves", "lastName": "Cohen" }, { "creatorType": "author", "firstName": "Maïté", "lastName": "Garrouste-Orgeas" }, { "creatorType": "author", "firstName": "Corinne", "lastName": "Alberti" }, { "creatorType": "author", "firstName": "Didier", "lastName": "Dreyfuss" }, { "creatorType": "author", "firstName": "", "lastName": "on behalf of the OUTCOMEREA Study Group" } ], "abstractNote": "Background: The risk factors and outcomes of critically ill patients with iatrogenic pneumothorax (IP) have not been studied in a large unselected intensive care unit (ICU) population.\nMethods: The authors studied a prospective cohort of adults admitted for more than 24 h. Data were collected at ICU admission and daily by senior physicians until ICU discharge. Risk factors for IP were identified in the entire cohort. A matched nested case-control study was used to evaluate the excess risk of IP in decedents.\nResults: Of the 3,499 patients, 69 with pneumothorax before ICU admission were excluded. Of the remaining 3,430 patients, 94 experienced IP within 30 days (42 due to barotrauma and 52 due to invasive procedures). The cumulative incidence of IP was 1.4% (95% confidence interval [CI], 1.0-1.8) on day 5 and 3.0% (95% CI, 2.4-3.6) on day 30. Risk factors for IP (hazard ratio [95% CI]) were body weight less than 80 kg (2.4 [1.3-4.2]), history of adult immunodeficiency syndrome (2.8 [1.2-6.4]), diagnosis of acute respiratory distress syndrome (5.3 [2.6-11]) or cardiogenic pulmonary edema at admission (2.0 [1.1-3.6]), central vein or pulmonary artery catheter insertion (1.7 [1.0-2.7]), and use of inotropic agents during the first 24 h (2.1 [1.3-3.4]). Excess risk of IP in decedents was 2.6 (95% CI, 1.3-4.9; P = 0.004).\nConclusion: Iatrogenic pneumothorax is a life-threatening complication seen in 3% of ICU patients. Incorporating risk factors for IP into preventive strategies should reduce the occurrence of IP.\n(C) 2006 American Society of Anesthesiologists, Inc.", "publicationTitle": "Anesthesiology", "publisher": "", "place": "", "date": "2006", "volume": "104", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "", "citationKey": "", "url": "http://journals.lww.com/anesthesiology/Fulltext/2006/01000/Pneumothorax_in_the_Intensive_Care_Unit_.3.aspx", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "0003-3022", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "0018", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2010-09-30T03:20:03Z", "dateModified": "2010-09-30T03:20:05Z" } }, { "key": "K6JV3WXJ", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/K6JV3WXJ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/K6JV3WXJ", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/27624/items/FMUEKH9R", "type": "application/json" } }, "meta": {}, "data": { "key": "K6JV3WXJ", "version": 1, "parentItem": "FMUEKH9R", "itemType": "attachment", "linkMode": "linked_url", "title": "Pneumothorax_in_the_Intensive_Care_Unit_.3.aspx", "accessDate": "2010-09-30T03:20:04Z", "url": "http://journals.lww.com/anesthesiology/Fulltext/2006/01000/Pneumothorax_in_the_Intensive_Care_Unit_.3.aspx", "note": "", "contentType": "", "charset": "", "tags": [], "relations": {}, "dateAdded": "2010-09-30T03:20:04Z", "dateModified": "2010-09-30T03:20:04Z" } }, { "key": "CAKPUEA6", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/CAKPUEA6", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/CAKPUEA6", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/27624/items/Z3AIQCNT", "type": "application/json" } }, "meta": {}, "data": { "key": "CAKPUEA6", "version": 1, "parentItem": "Z3AIQCNT", "itemType": "attachment", "linkMode": "imported_url", "title": "Subclavian CVC", "accessDate": "2010-09-30T03:18:04Z", "url": "http://www.anwresidency.com/simulation/guide/subclavian.html", "note": "", "contentType": "text/html", "charset": "utf-8", "filename": "subclavian.html", "md5": null, "mtime": 1285816684000, "tags": [], "relations": {}, "dateAdded": "2010-09-30T03:18:04Z", "dateModified": "2010-09-30T03:18:04Z" } }, { "key": "Z3AIQCNT", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/Z3AIQCNT", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/Z3AIQCNT", "type": "text/html" } }, "meta": { "numChildren": 1 }, "data": { "key": "Z3AIQCNT", "version": 1, "itemType": "webpage", "title": "Subclavian CVC", "creators": [], "abstractNote": "", "websiteTitle": "", "websiteType": "", "date": "", "publisher": "", "place": "", "DOI": "", "citationKey": "", "url": "http://www.anwresidency.com/simulation/guide/subclavian.html", "accessDate": "2010-09-30T03:18:02Z", "shortTitle": "", "language": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2010-09-30T03:18:02Z", "dateModified": "2010-09-30T03:18:02Z" } }, { "key": "ITHEMPVQ", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/ITHEMPVQ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/ITHEMPVQ", "type": "text/html" } }, "meta": { "parsedDate": "2006", "numChildren": 1 }, "data": { "key": "ITHEMPVQ", "version": 1, "itemType": "journalArticle", "title": "Pneumothorax in the Intensive Care Unit: Incidence, Risk Factors, and Outcome", "creators": [], "abstractNote": "", "publicationTitle": "Survey of Anesthesiology", "publisher": "", "place": "", "date": "2006", "volume": "50", "issue": "5", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "", "citationKey": "", "url": "http://journals.lww.com/surveyanesthesiology/Fulltext/2006/10000/Pneumothorax_in_the_Intensive_Care_Unit_.5.aspx", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "0039-6206", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "0018", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2010-09-30T03:15:57Z", "dateModified": "2010-09-30T03:15:59Z" } }, { "key": "UT7UXU87", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/UT7UXU87", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/UT7UXU87", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/27624/items/ITHEMPVQ", "type": "application/json" } }, "meta": {}, "data": { "key": "UT7UXU87", "version": 1, "parentItem": "ITHEMPVQ", "itemType": "attachment", "linkMode": "linked_url", "title": "Pneumothorax_in_the_Intensive_Care_Unit_.5.aspx", "accessDate": "2010-09-30T03:15:58Z", "url": "http://journals.lww.com/surveyanesthesiology/Fulltext/2006/10000/Pneumothorax_in_the_Intensive_Care_Unit_.5.aspx", "note": "", "contentType": "", "charset": "", "tags": [], "relations": {}, "dateAdded": "2010-09-30T03:15:58Z", "dateModified": "2010-09-30T03:15:58Z" } }, { "key": "FK7K4D63", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/FK7K4D63", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/FK7K4D63", "type": "text/html" } }, "meta": { "creatorSummary": "Lobato et al.", "parsedDate": "2008", "numChildren": 1 }, "data": { "key": "FK7K4D63", "version": 1, "itemType": "book", "title": "Complications in anesthesiology", "creators": [ { "creatorType": "author", "firstName": "Emilio B.", "lastName": "Lobato" }, { "creatorType": "author", "firstName": "Nikolaus", "lastName": "Gravenstein" }, { "creatorType": "author", "firstName": "Robert R.", "lastName": "Kirby" } ], "abstractNote": "", "series": "", "seriesNumber": "", "volume": "", "numberOfVolumes": "", "edition": "", "date": "2008", "publisher": "Lippincott Williams & Wilkins", "place": "", "originalDate": "", "originalPublisher": "", "originalPlace": "", "format": "", "numPages": "1050", "ISBN": "9780781782630", "DOI": "", "citationKey": "", "url": "", "accessDate": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "Google Books", "callNumber": "0009", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2010-09-30T03:14:58Z", "dateModified": "2010-09-30T03:15:00Z" } }, { "key": "SIBZQD9U", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/SIBZQD9U", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/SIBZQD9U", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/27624/items/FK7K4D63", "type": "application/json" } }, "meta": {}, "data": { "key": "SIBZQD9U", "version": 1, "parentItem": "FK7K4D63", "itemType": "attachment", "linkMode": "linked_url", "title": "Google Books Link", "accessDate": "2010-09-30T03:14:59Z", "url": "http://books.google.com/books?id=S0usnJnJKjUC", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2010-09-30T03:14:59Z", "dateModified": "2010-09-30T03:14:59Z" } }, { "key": "9R7HEJQI", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/9R7HEJQI", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/9R7HEJQI", "type": "text/html" } }, "meta": { "numChildren": 0 }, "data": { "key": "9R7HEJQI", "version": 1, "itemType": "journalArticle", "title": "", "creators": [], "abstractNote": "", "publicationTitle": "", "publisher": "", "place": "", "date": "", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "", "citationKey": "", "url": "ijahsp.nova.edu/articles/vol3num3/Cox_Printer_version.pdf", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "0000", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2010-09-30T03:11:50Z", "dateModified": "2010-09-30T03:14:37Z" } }, { "key": "U3WBW9XC", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/U3WBW9XC", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/U3WBW9XC", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/27624/items/HM9V4TCP", "type": "application/json" } }, "meta": {}, "data": { "key": "U3WBW9XC", "version": 1, "parentItem": "HM9V4TCP", "itemType": "attachment", "linkMode": "imported_url", "title": "ScienceDirect Snapshot", "accessDate": "2010-09-30T03:07:00Z", "url": "http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6VHS-42BS97K-10&_user=47004&_coverDate=12%2F31%2F2000&_rdoc=1&_fmt=high&_orig=search&_origin=search&_sort=d&_docanchor=&view=c&_searchStrId=1479326691&_rerunOrigin=google&_acct=C000005018&_version=1&_urlVersion=0&_userid=47004&md5=6ed7a5c2ce3fe5296cca2304e1dcaee1&searchtype=a", "note": "", "contentType": "text/html", "charset": "utf-8", "filename": "science.html", "md5": null, "mtime": 1285816016000, "tags": [], "relations": {}, "dateAdded": "2010-09-30T03:07:00Z", "dateModified": "2010-09-30T03:07:00Z" } }, { "key": "HM9V4TCP", "version": 1, "library": { "type": "group", "id": 27624, "name": "Complications of CVC", "links": { "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/27624/items/HM9V4TCP", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/complications_of_cvc/items/HM9V4TCP", "type": "text/html" } }, "meta": { "creatorSummary": "Laronga et al.", "parsedDate": "2000-12", "numChildren": 1 }, "data": { "key": "HM9V4TCP", "version": 1, "itemType": "journalArticle", "title": "A treatment algorithm for pneumothoraces complicating central venous catheter insertion", "creators": [ { "creatorType": "author", "firstName": "Christine", "lastName": "Laronga" }, { "creatorType": "author", "firstName": "Funda", "lastName": "Meric" }, { "creatorType": "author", "firstName": "Mylene T.", "lastName": "Truong" }, { "creatorType": "author", "firstName": "Carla", "lastName": "Mayfield" }, { "creatorType": "author", "firstName": "Paul", "lastName": "Mansfield" } ], "abstractNote": "Background: We investigated the role of observation or insertion of a small French pigtail catheter with Heimlich valve as alternative management to a tube thoracostomy for iatrogenic pneumothorax complicating central venous catheter (CVC) insertion.\nMethods: A retrospective review of 9,637 consecutive patients who had had subclavian CVCs inserted on an outpatient basis identified 100 patients with pneumothoraces. Treatment consisted of (1) observation, (2) outpatient insertion of a Heimlich valve, or (3) inpatient tube thoracostomy.\nResults: The median pneumothorax size was 10% (range 1% to 100%). Fifty-eight patients had observation as initial treatment, and this strategy was successful in 35 (60%). Thirty-four patients were treated initially with Heimlich valves, and this strategy was successful in 29 (85%). Tube thoracostomy as initial therapy was successful in 7 (88%) of 8 patients. Patients in who initial treatment failed were treated with insertion of a Heimlich valve or tube thoracostomy.\nConclusions: In appropriately selected patients, pneumothorax after insertion of a subclavian CVC can be successfully managed in the outpatient setting with observation. Patients in whom observation fails can be treated with insertion of a Heimlich valve. Tube thoracostomy can be reserved for refractory PTX or emergent situations.", "publicationTitle": "The American Journal of Surgery", "publisher": "", "place": "", "date": "December 2000", "volume": "180", "issue": "6", "section": "", "partNumber": "", "partTitle": "", "pages": "523-527", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1016/S0002-9610(00)00542-0", "citationKey": "", "url": "http://www.sciencedirect.com/science/article/B6VHS-42BS97K-10/2/794398fe70851ce2fe233f3dba421ef3", "accessDate": "2010-09-30T03:06:58Z", "PMID": "", "PMCID": "", "ISSN": "0002-9610", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "ScienceDirect", "callNumber": "0017", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2010-09-30T03:06:58Z", "dateModified": "2010-09-30T03:06:59Z" } } ]