BibTex RIS Kaynak Göster

Assessment of central venous catheters applied in pediatric patients at emergency department

Yıl 2013, Cilt: 30 Sayı: 4, 345 - 348, 05.02.2014

Yılmaz Zengin Mustafa İçer Ercan Gündüz Recep Dursun Hasan Durgun Cahfer Güloğlu

Öz

Central venous catheterization, an effective method for intravenous therapy, is commonly used at emergency departments and intensive care units. In this study, we aimed to assess the complications of central venous catheterization procedure in pediatric patients at emergency department and to seek possible risk factors for complications. This study included a total of 64 patients (41 males (64.1%) and 23 females (35.9%)) who underwent central venous catheterization between January 1, 2011 and May 31, 2013. Personal records of the patients were retrospectively assessed using the hospital records system. A total of 64 catheters [53 (%82.8) femoral, 5 (%7.8) subclavian, and 6 (%9.4) jugular] were inserted in all cases. One arrhythmia episode, one pneumothorax, five arterial punctures, and 4 hematomas were observed, making up a total of 11 complications (17.2%). No statistically significant relationship was observed between development of complications and age, gender, indication for central venous catheterization, anatomical site preferred for catheter insertion, time of the day of performance of the procedure, and the level of training of the performing resident (p>0.05). Hypovolemic shock as an indication for the procedure and three or more attempts to access target vein during insertion were significantly correlated with complications (p=0.015 and p=0.025, respectively). Three or more attempts to access the target vein, as well as hypovolemic shock as an indication of the procedure, were risk factors for complications.

J. Exp. Clin. Med., 2013; 30:345-348

Anahtar Kelimeler

Central venous catheterization; complication; emergency department; pediatric patient

Kaynakça

  • Akyıldız, B., Kondolot, M., Akçakuş, M., Poyrazoğlu, H., Tunç, A., Hafızoğlu, D., et al. 2009. Çocuk yoğun bakım ünitesinde santral venöz kateterizasyon uygulanan hastalarımızın değerlendirilmesi: iki yıllık deneyimlerimiz. Çocuk Sağlığı ve Hastalıkları Dergisi. 52, 63-67. Anıl, A., Anıl, M., Kanar, B., Yavaşcan, Ö., Bal, A., Albudak, E. et al., 2011. Çocuk yoğun bakım biriminde santral venöz kateterizasyon komplikasyonlarının değerlendirilmesi. Türk Pediatri Arşivi. 46, 215-219.
  • Bhatt, S., Dahat, A., Jain, N., Nayak, U., Patel, V., 2012. Indications and Complications of Central Venous Catheterization in Critically ill Children in Intensive Care Unit. National Journal of Medical Research. 2, 85-88.
  • Cruzeiro, P.C., Camargos, P.A., Miranda, M.E., 2006. Central venous catheter placement in children: A prospective study of complications in Brazilian public hospital. Pediatr Surg Int. 22, 536-540.
  • Çitak, A., Karaböcüoglu, M., Üçsel, R., Uzel, N., 2002. Central venous catheters in pediatric patients-subclavian venous approach as the first choice. Pediatr Int. 44, 83-86.
  • Dheer, G., Chaudhry, G.K., Singh, T., 2011. Immediate complications of percutaneous central venous cannulation in children. J Indian Assoc Pediatr Surg. 16, 145-147.
  • Karapınar, B., Cura, A., 2007. Complications of central venous catheterization in critically ill children. Pediatr Int. 49, 593-599.
  • Moral, A.R., Uyar, M., 2005. Santral venöz kataterizasyon. In: Ertekin C, Taviloğlu K, Güloğlu R, et al. editors. Travma. 1st. ed. İstanbul: İstanbul Medikal Yayıncılık. p: 274-277.
  • Polderman, K.H., Girbes, A.J., 2002. Central venous catheter use. Part I. Mechanical complications. Intensive Care Med. 28, 1-17.
  • Randolph, A.G., Brun-Buisson, C., Goldmann, D., 2005. Identification of central venous catheter-related infections in infants and children. Pediatr Crit Care Med. 6, 19-24.
  • Rey, C., Alvarez, F., De La Rua, V., et al., 2009. Mechanical complications during central venous cannulations in pediatric patients. Intensive Care Med. 35, 1438-1443.
  • Seldinger, S.I.. 1953. Catheter replacement of the needle in percutaneous arteriography. Acta Radiol. 39, 368-376.
  • Sheridan, R.L., Weber, J.M., 2006. Mechanical and infectious complications of central venous cannulation in children: lessons learned from a 10-year experience placing more than 1000 catheters. J Burn Care Res. 27, 713-718.

Yıl 2013, Cilt: 30 Sayı: 4, 345 - 348, 05.02.2014

Yılmaz Zengin Mustafa İçer Ercan Gündüz Recep Dursun Hasan Durgun Cahfer Güloğlu

Öz

Kaynakça

  • Akyıldız, B., Kondolot, M., Akçakuş, M., Poyrazoğlu, H., Tunç, A., Hafızoğlu, D., et al. 2009. Çocuk yoğun bakım ünitesinde santral venöz kateterizasyon uygulanan hastalarımızın değerlendirilmesi: iki yıllık deneyimlerimiz. Çocuk Sağlığı ve Hastalıkları Dergisi. 52, 63-67. Anıl, A., Anıl, M., Kanar, B., Yavaşcan, Ö., Bal, A., Albudak, E. et al., 2011. Çocuk yoğun bakım biriminde santral venöz kateterizasyon komplikasyonlarının değerlendirilmesi. Türk Pediatri Arşivi. 46, 215-219.
  • Bhatt, S., Dahat, A., Jain, N., Nayak, U., Patel, V., 2012. Indications and Complications of Central Venous Catheterization in Critically ill Children in Intensive Care Unit. National Journal of Medical Research. 2, 85-88.
  • Cruzeiro, P.C., Camargos, P.A., Miranda, M.E., 2006. Central venous catheter placement in children: A prospective study of complications in Brazilian public hospital. Pediatr Surg Int. 22, 536-540.
  • Çitak, A., Karaböcüoglu, M., Üçsel, R., Uzel, N., 2002. Central venous catheters in pediatric patients-subclavian venous approach as the first choice. Pediatr Int. 44, 83-86.
  • Dheer, G., Chaudhry, G.K., Singh, T., 2011. Immediate complications of percutaneous central venous cannulation in children. J Indian Assoc Pediatr Surg. 16, 145-147.
  • Karapınar, B., Cura, A., 2007. Complications of central venous catheterization in critically ill children. Pediatr Int. 49, 593-599.
  • Moral, A.R., Uyar, M., 2005. Santral venöz kataterizasyon. In: Ertekin C, Taviloğlu K, Güloğlu R, et al. editors. Travma. 1st. ed. İstanbul: İstanbul Medikal Yayıncılık. p: 274-277.
  • Polderman, K.H., Girbes, A.J., 2002. Central venous catheter use. Part I. Mechanical complications. Intensive Care Med. 28, 1-17.
  • Randolph, A.G., Brun-Buisson, C., Goldmann, D., 2005. Identification of central venous catheter-related infections in infants and children. Pediatr Crit Care Med. 6, 19-24.
  • Rey, C., Alvarez, F., De La Rua, V., et al., 2009. Mechanical complications during central venous cannulations in pediatric patients. Intensive Care Med. 35, 1438-1443.
  • Seldinger, S.I.. 1953. Catheter replacement of the needle in percutaneous arteriography. Acta Radiol. 39, 368-376.
  • Sheridan, R.L., Weber, J.M., 2006. Mechanical and infectious complications of central venous cannulation in children: lessons learned from a 10-year experience placing more than 1000 catheters. J Burn Care Res. 27, 713-718.
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Internal Medical Sciences
Yazarlar

Yılmaz Zengin

Mustafa İçer Bu kişi benim

Ercan Gündüz Bu kişi benim

Recep Dursun

Hasan Durgun Bu kişi benim

Cahfer Güloğlu Bu kişi benim

Yayımlanma Tarihi 5 Şubat 2014
Gönderilme Tarihi 11 Ekim 2013
Yayımlandığı Sayı Yıl 2013 Cilt: 30 Sayı: 4

Kaynak Göster

APA Zengin, Y., İçer, M., Gündüz, E., Dursun, R., vd. (2014). Assessment of central venous catheters applied in pediatric patients at emergency department. Journal of Experimental and Clinical Medicine, 30(4), 345-348. https://doi.org/10.5835/jecm.omu.30.04.013
AMA Zengin Y, İçer M, Gündüz E, Dursun R, Durgun H, Güloğlu C. Assessment of central venous catheters applied in pediatric patients at emergency department. J. Exp. Clin. Med. Şubat 2014;30(4):345-348. doi:10.5835/jecm.omu.30.04.013
Chicago Zengin, Yılmaz, Mustafa İçer, Ercan Gündüz, Recep Dursun, Hasan Durgun, ve Cahfer Güloğlu. “Assessment of Central Venous Catheters Applied in Pediatric Patients at Emergency Department”. Journal of Experimental and Clinical Medicine 30, sy. 4 (Şubat 2014): 345-48. https://doi.org/10.5835/jecm.omu.30.04.013.
EndNote Zengin Y, İçer M, Gündüz E, Dursun R, Durgun H, Güloğlu C (01 Şubat 2014) Assessment of central venous catheters applied in pediatric patients at emergency department. Journal of Experimental and Clinical Medicine 30 4 345–348.
IEEE Y. Zengin, M. İçer, E. Gündüz, R. Dursun, H. Durgun, ve C. Güloğlu, “Assessment of central venous catheters applied in pediatric patients at emergency department”, J. Exp. Clin. Med., c. 30, sy. 4, ss. 345–348, 2014, doi: 10.5835/jecm.omu.30.04.013.
ISNAD Zengin, Yılmaz vd. “Assessment of Central Venous Catheters Applied in Pediatric Patients at Emergency Department”. Journal of Experimental and Clinical Medicine 30/4 (Şubat 2014), 345-348. https://doi.org/10.5835/jecm.omu.30.04.013.
JAMA Zengin Y, İçer M, Gündüz E, Dursun R, Durgun H, Güloğlu C. Assessment of central venous catheters applied in pediatric patients at emergency department. J. Exp. Clin. Med. 2014;30:345–348.
MLA Zengin, Yılmaz vd. “Assessment of Central Venous Catheters Applied in Pediatric Patients at Emergency Department”. Journal of Experimental and Clinical Medicine, c. 30, sy. 4, 2014, ss. 345-8, doi:10.5835/jecm.omu.30.04.013.
Vancouver Zengin Y, İçer M, Gündüz E, Dursun R, Durgun H, Güloğlu C. Assessment of central venous catheters applied in pediatric patients at emergency department. J. Exp. Clin. Med. 2014;30(4):345-8.
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