An Observational Prospective Study On Complications Related To Invasive Procedures Done In Intensive Care Unit

Introduction: Invasive procedures are frequently performed in the Intensive Care Unit (ICU) for diagnostic and therapeutic purposes. Although these procedures are essential for critically ill patients, they carry the risk of mechanical complications. Identifying the incidence and nature of these complications can aid in minimizing risks and improving patient outcomes.Materials and methods: This prospective observational study was conducted over ten months in a Multidisciplinary ICU. A total of 187 adult subjects were enrolled in this study, who underwent invasive procedures in the ICU and developed mechanical complications within 24 hours, were included. Patients who underwent invasive procedures outside the ICU and were later transferred to the ICU were excluded. Demographic data, procedures done and its associated complications were observed. Results: Out of 187 invasive procedures performed, the common complications within the first 24 hours were frequently associated with tracheostomy and central venous catheterization. Among 10 tracheostomies, n=2(20%) complications were noted, including hemorrhage and subcutaneous emphysema. Out of 31 central venous catheterizations, n=1(3.22%) complication of hemorrhage was reported. No complications were reported in the remaining procedures. Conclusion: Mechanical complications following invasive procedures in the ICU remain a significant concern, emphasizing the importance of proper procedural techniques and close monitoring. Tracheostomy and central venous catheterization are particularly associated with hemorrhage and subcutaneous emphysema. The findings underscore the need for standardized protocols and continuous education for ICU staffs to reduce procedure-related complications and improve patient safety.