Although mortality in the intensive care unit (ICU) has declined over time, ICU associated complications remain common, affecting up to a half of critically ill patients and resulting in increased mortality, longer hospital stays, and higher healthcare costs.

Invasive procedures are a common source of complications in the ICU.

Although the foundation of avoiding device related complications consists of avoiding unnecessary device use, with careful assessment of their need and prompt removal when no longer necessary, understanding modifiable risk factors for complications is essential for critical care practitioners.

Additional research is needed to close gaps in available clinical guidelines and better understand long term consequences of ICU devices.

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