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Evaluation of medical devices in thoracic radiograms in intensive care unit - time to pay attention!
OBJECTIVE: To identify and evaluate the correct positioning of the most commonly used medical devices as visualized in thoracic radiograms of patients in the intensive care unit of our center. METHODS: A literature search was conducted for the criteria used to evaluate the correct positioning of med...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação de Medicina Intensiva Brasileira -
AMIB
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051193/ https://www.ncbi.nlm.nih.gov/pubmed/27737432 http://dx.doi.org/10.5935/0103-507X.20160056 |
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author | Moreira, Ana Sofia Linhares Afonso, Maria da Graça Alves Dinis, Mónica Ribeiro dos Santos Alves dos Santos, Maria Cristina Granja Teixeira |
author_facet | Moreira, Ana Sofia Linhares Afonso, Maria da Graça Alves Dinis, Mónica Ribeiro dos Santos Alves dos Santos, Maria Cristina Granja Teixeira |
author_sort | Moreira, Ana Sofia Linhares |
collection | PubMed |
description | OBJECTIVE: To identify and evaluate the correct positioning of the most commonly used medical devices as visualized in thoracic radiograms of patients in the intensive care unit of our center. METHODS: A literature search was conducted for the criteria used to evaluate the correct positioning of medical devices on thoracic radiograms. All the thoracic radiograms performed in the intensive care unit of our center over an 18-month period were analyzed. All admissions in which at least one thoracic radiogram was performed in the intensive care unit and in which at least one medical device was identifiable in the thoracic radiogram were included. One radiogram per admission was selected for analysis. The radiograms were evaluated by an independent observer. RESULTS: Out of the 2,312 thoracic radiograms analyzed, 568 were included in this study. Several medical devices were identified, including monitoring leads, endotracheal and tracheostomy tubes, central venous catheters, pacemakers and prosthetic cardiac valves. Of the central venous catheters that were identified, 33.6% of the subclavian and 23.8% of the jugular were malpositioned. Of the endotracheal tubes, 19.9% were malpositioned, while all the tracheostomy tubes were correctly positioned. CONCLUSION: Malpositioning of central venous catheters and endotracheal tubes is frequently identified in radiograms of patients in an intensive care unit. This is relevant because malpositioned devices may be related to adverse events. In future studies, an association between malpositioning and adverse events should be investigated. |
format | Online Article Text |
id | pubmed-5051193 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Associação de Medicina Intensiva Brasileira -
AMIB |
record_format | MEDLINE/PubMed |
spelling | pubmed-50511932016-10-06 Evaluation of medical devices in thoracic radiograms in intensive care unit - time to pay attention! Moreira, Ana Sofia Linhares Afonso, Maria da Graça Alves Dinis, Mónica Ribeiro dos Santos Alves dos Santos, Maria Cristina Granja Teixeira Rev Bras Ter Intensiva Original Articles OBJECTIVE: To identify and evaluate the correct positioning of the most commonly used medical devices as visualized in thoracic radiograms of patients in the intensive care unit of our center. METHODS: A literature search was conducted for the criteria used to evaluate the correct positioning of medical devices on thoracic radiograms. All the thoracic radiograms performed in the intensive care unit of our center over an 18-month period were analyzed. All admissions in which at least one thoracic radiogram was performed in the intensive care unit and in which at least one medical device was identifiable in the thoracic radiogram were included. One radiogram per admission was selected for analysis. The radiograms were evaluated by an independent observer. RESULTS: Out of the 2,312 thoracic radiograms analyzed, 568 were included in this study. Several medical devices were identified, including monitoring leads, endotracheal and tracheostomy tubes, central venous catheters, pacemakers and prosthetic cardiac valves. Of the central venous catheters that were identified, 33.6% of the subclavian and 23.8% of the jugular were malpositioned. Of the endotracheal tubes, 19.9% were malpositioned, while all the tracheostomy tubes were correctly positioned. CONCLUSION: Malpositioning of central venous catheters and endotracheal tubes is frequently identified in radiograms of patients in an intensive care unit. This is relevant because malpositioned devices may be related to adverse events. In future studies, an association between malpositioning and adverse events should be investigated. Associação de Medicina Intensiva Brasileira - AMIB 2016 /pmc/articles/PMC5051193/ /pubmed/27737432 http://dx.doi.org/10.5935/0103-507X.20160056 Text en http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Moreira, Ana Sofia Linhares Afonso, Maria da Graça Alves Dinis, Mónica Ribeiro dos Santos Alves dos Santos, Maria Cristina Granja Teixeira Evaluation of medical devices in thoracic radiograms in intensive care unit - time to pay attention! |
title | Evaluation of medical devices in thoracic radiograms in intensive
care unit - time to pay attention! |
title_full | Evaluation of medical devices in thoracic radiograms in intensive
care unit - time to pay attention! |
title_fullStr | Evaluation of medical devices in thoracic radiograms in intensive
care unit - time to pay attention! |
title_full_unstemmed | Evaluation of medical devices in thoracic radiograms in intensive
care unit - time to pay attention! |
title_short | Evaluation of medical devices in thoracic radiograms in intensive
care unit - time to pay attention! |
title_sort | evaluation of medical devices in thoracic radiograms in intensive
care unit - time to pay attention! |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051193/ https://www.ncbi.nlm.nih.gov/pubmed/27737432 http://dx.doi.org/10.5935/0103-507X.20160056 |
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