"Bundling Procedures in Critically Ill Trauma Patients: Should It Be Do" by Hannah Shin, Amy Young et al.
 

Bundling Procedures in Critically Ill Trauma Patients: Should It Be Done?

Document Type

Article

Publication Date

1-31-2025

Abstract

BACKGROUND: The precautions brought on by the COVID-19 pandemic led to the growing practice of bundling lines in patients requiring intubation. Our study aims to examine the effect of immediate bundled lines (IBL) on traumatic injuries. We hypothesized that severely injured patients may benefit from IBL.

METHODS: A retrospective review of all intubated trauma patients (1/2015-12/2020) at a Level I Trauma Center was conducted. Patients ≤18 years and those who died or were transferred prior to intensive care unit (ICU) admission were excluded. IBL was defined as placement of central venous catheter (CVC) and arterial line (AL) ≤4 hours after intubation. Delayed lines were any lines placed >4 hours after intubation. Primary outcome was time from intubation to CVC and AL.

RESULTS: 728 patients were included. The majority received CVC and/or AL with 17.7% in a delayed fashion. Severe head injury (AIS ≥3) most often had immediate AL or delayed bundled lines (

DISCUSSION: Intubated trauma patients who presented with certain mechanisms (GSW, pedestrian struck), received blood transfusions, or exhibited severe/profound ISS may be more likely to receive IBL. IBL is not superior to either immediate AL or to no lines in terms of mortality. No lines had a significant effect on ICU LOS or hospital LOS, except in the setting of severe head injury.

Publication Title

The American Surgeon

PubMed ID

39887080

Comments

This article was published in The American Surgeon.

The published version is available at https://doi.org/10.1177/00031348251314154.

Copyright © 2025 The Author(s).

This document is currently not available here.

Plum Print visual indicator of research metrics
PlumX Metrics
  • Usage
    • Abstract Views: 2
  • Mentions
    • News Mentions: 2
see details

COinS