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Titolo:
Bedside insertion of inferior vena cave filters in the intensive care unit
Autore:
Sing, RF; Jacobs, DG; Heniford, BT;
Indirizzi:
Carolinas Med Ctr, Dept Surg, Charlotte, NC 28203 USA Carolinas Med Ctr Charlotte NC USA 28203 pt Surg, Charlotte, NC 28203 USA
Titolo Testata:
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
fascicolo: 5, volume: 192, anno: 2001,
pagine: 570 - 575
SICI:
1072-7515(200105)192:5<570:BIOIVC>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
CRITICALLY ILL PATIENTS; RISK TRAUMA PATIENTS; PULMONARY-EMBOLISM; FOLLOW-UP; INTRAHOSPITAL TRANSPORT; GREENFIELD FILTERS; INJURED PATIENTS; PLACEMENT; COMPLICATIONS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Sing, RF Carolinas Med Ctr, Dept Surg, MEB-601,1000 Blythe Blvd, Charlotte, NC 28203 USA Carolinas Med Ctr MEB-601,1000 Blythe Blvd Charlotte NC USA 28203
Citazione:
R.F. Sing et al., "Bedside insertion of inferior vena cave filters in the intensive care unit", J AM COLL S, 192(5), 2001, pp. 570-575

Abstract

BACKGROUND:Several authors have showed that bedside insertion of inferior vena cava filters (IVCF) is feasible and cost effective, with the additional benefit of not having to transport a critically ill patient to the operating room orradiology department. The objective of this study was to examine our experience of 158 IVCF insertions at the bedside in the intensive care unit. STUDY DESIGN:A prospective, observational study of bedside IVCF insertion performed by the authors from February 1996 through August 2000 was undertaken. RESULTS:One hundred fifty-eight patients underwent bedside IVCF insertion in the intensive care unit. The mean age was 42.2 years (SD 17.5 years). The mean Injury Severity Score of the trauma patients was 27.3 (SD 14.5). The majority of patients (90%) had a prophylactic indication for IVCF insertion using our institutional guidelines for venous thromboembolic prophylaxis for trauma patients. All IVCF insertions were successfully performed at the bedsideafter iodinated contrast or carbon dioxide cavography. The mortality was 11% (n = 18), none attributable to the IVCF insertion or cavagram. There wasone asymptomatic cava occlusion and one postinsertion pulmonary embolus ina patients with a subclavian vein thrombosis. CONCLUSIONS:Our results demonstrate the safety and efficacy of IVCF insertion at the bedside in the ICU. This method offers less resource use and more safety forcritically ill patients, avoiding the hazards of intrahospital transport. (J Am Coll Surg 2001;192:570-576. (C) 2001 by the American College of Surgeons).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 06:33:05