This work domain is more dynamic than those previously studied under EID because there is a constant potential for the addition and removal of devices, as well as changing configurations, making it important to study the generalizability of the framework.
Serious, device-related adverse events required surgical repositioning of catheters in two patients and removal of devices in another.
Complications such as extubation failure, tracheostomy and inadvertent removal of devices were similar in both groups.
These findings go along with the need for removal of devices in spite of antifungal therapy in patients with device-related infection.
However, such CXRs are sources of discomfort and irradiation for the patients, of disorganization of the radiology department, and of potential risk of accidental removal of devices (catheters, tubes) and microbial dissemination, all resulting in additional cost for the community.
These results are further reinforced by a controlled trial of a mobility protocol on 145 intubated ICU patients [ 63], in which no incidents of accidental removal of devices were reported.
We examined OPCS-4 procedure codes A54.3 (implantation of ITDD device adjacent to spinal cord), A54.4 (attention to ITDD device adjacent to spinal cord), A54.5 (removal of ITDD device adjacent to spinal cord).
For patients with ICD device-related endocarditis, surgical removal of the device is strongly recommended when S. aureus bacteremia persists after antimicrobial therapy [ 16, 17].
Candida species are the most common fungi isolated from device-related infections, inquiring sometimes the removal of the device [4 6].
These findings suggest that the presence of the implanted devices may perpetuate a reactive tissue response, and the removal of the device not only reduces pro-inflammatory and pro-apoptotic signaling but also allows for regeneration and healing.
