Power injectable peripherally inserted central catheters in the ICU not only a question of flow 英文参考文献.docVIP

Bonizzoli et al. Critical Care 2012, 16:422 /content/16/2/422 LET TER Power injectable peripherally inserted central catheters in the ICU: not only a question of ? ow Manuela Bonizzoli, Stefano Batacchi, Giovanni Zagli* and Adriano Peris See related research by Pittiruti et al., /content/16/1/R21 In the previous issue of Critical Care, we read with catheters (CVCs), it would be interesting to know the interest the paper by Pittiruti and colleague e total number of venous catheters inserted in the same period of the study. work presents innovative approaches to the problem of venous access in intensive care, but characteristics of the study need to be discussed in order to correctly address Pittiruti and colleagues reported a virtual absence of deep vein thrombosis but only of symptomatic throm- the decision-making process at the base of the use of bosis. Ultrasound examination is performed only in the peripherally inserted central catheters (PICCs). presence of clinical symptoms of suspected thrombosis. e study population consisted of adult and pediatric So the low incidence of symptomatic thrombosis is patients in whom power injectable PICCs were used, but similar to that documented in a recent study from our the authors did not clarify whether every patient group [2], and a higher asymptomatic thrombosis inci- admitted to the intensive care unit (ICU) was dence documented by ultrasonography surveillance automatically eligible for the placement of a PICC (a table cannot be ruled out e precise selection of the ratio of summarizing population characteristics would help). To inner diameter of the vein to the outer diameter of the give important suggestions (for example, train ing and catheter could justify the good results obtained and resource allocation) to thos