Journals / Haydarpaşa Numune Medical Journal / 2021 / Cilt: 61 - Sayı: 1

Evaluating the Efficacy of Ultrasonography Guidance in Pediatric Intensive Care Unit Patients with Central Vein Catheter

Pages
117–121
Publication Date
2022-10-19
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

No statisti- cally significant difference was detected between patients for whom implantation was performed with and without USG considering age, gender, body weight, PRISM (Pediatric Risk of Mortality) score, intensive care unit hospitalization duration, mechanical ventilator use, catheter use duration (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: Central venous catheterization (CVC) is a substantial, commonly used approach in the treatment and fol- low-up of critically ill patients.
📊
Key Findings & Data:Methods: The records of 51 patients hospitalized in the Pediatric Intensive Care Unit between 01 May 2017 and 01 May 2018 and were implanted with CVC for various reasons were retrospectively examined.
💡
Conclusion & Impact:No statisti- cally significant difference was detected between patients for whom implantation was performed with and without USG considering age, gender, body weight, PRISM (Pediatric Risk of Mortality) score, intensive care unit hospitalization duration, mechanical ventilator use, catheter use duration (p
🔬Design:Review & Systematic Survey
📍Scope:2017 Verileri
⚙️Variables:Domain Parameters

Abstract

Introduction: Central venous catheterization (CVC) is a substantial, commonly used approach in the treatment and fol- low-up of critically ill patients. This study aims to review the use of central catheters in pediatric intensive care unit and evaluate the efficacy of venous access procedures performed under ultrasonography (USG) guidance. Methods: The records of 51 patients hospitalized in the Pediatric Intensive Care Unit between 01 May 2017 and 01 May 2018 and were implanted with CVC for various reasons were retrospectively examined. In this study, the data on age, body weight, diagnosis, CVC implantation region, indication, USG use, number of punctures during the procedure, procedure duration, implantation duration, prognosis, and complications that occurred during patient monitoring were recorded. Shapiro-Wilk test was used for evaluating the agreement of the parameters with a normal distribution, and for the quantitative data comparison, the Student t-test was used for comparing two groups for parameters with a normal distribution, while the Mann-Whitney U test was used for comparing two groups for parameters without normal distribution. For qualitative data comparison, Fisher's Exact test and Continuity (Yates) Correction were used. Results: In this study, 51 patients implanted with CVC (28 (54.9%) female and 23 (45.1%) male) were included. No statisti- cally significant difference was detected between patients for whom implantation was performed with and without USG considering age, gender, body weight, PRISM (Pediatric Risk of Mortality) score, intensive care unit hospitalization duration, mechanical ventilator use, catheter use duration (p

🔖

Cite This Article

ŞAHİN, C., ERDOĞAN, S., ARPACIK, M. (2022). Evaluating the Efficacy of Ultrasonography Guidance in Pediatric Intensive Care Unit Patients with Central Vein Catheter. Haydarpaşa Numune Medical Journal, Cilt: 61 - Sayı: 1, 117–121. https://ajindex.com/articles/535905

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Turker G, Kaya FN, Gurbet A, Aksu H, Erdogan C, Atlas A. Inter- nal jugular vein cannulation: an ultrasound-guided technique versus a landmark-guided technique. Clinics (Sao Paulo) 2009;64:989–92
  2. Prabhu MV, Juneja D, Gopal PB, Sathyanarayanan M, Subhra- manyam S, Gandhe S, et al. Ultrasound-guided femoral dialy- sis access placement: a single-center randomized trial. Clin J Am Soc Nephrol 2010;5:235–9
  3. Soni NJ, Reyes LF, Keyt H, Arango A, Gelfond JA, Peters JI, et al. Use of ultrasound guidance for central venous catheteriza- tion: a national survey of intensivists and hospitalists. J Crit Care 2016;36:277–83
  4. Shamir MY, Bruce LJ. Central venous catheter-induced car - diac tamponade: a preventable complication. Anesth Analg 2011;112:1280–2
  5. Kua JS, Tan IK. Airway obstruction following internal jugular vein cannulation. Anaesthesia 1997;52:776–80
  6. Malik IA, Adams RG. Tracheal cuff puncture: a complication of percutaneous internal jugular vein cannulation. Am J Med 2003;115:590–1
  7. Fernandez EG, Sweeney MF, Green TP. Central venous cathe- ters. In: Deckman RA, Fiser DH, Selbst SM (editors). Pediatric Emergency and Critical Care Procedures. St Louis: Mosby-Year Book; 1997. p. 196–202
  8. Johnson EM, Saltzman DA, Suh G, Dahms RA, Leonard AS. Complications and risks of central venous catheter placement in children. Surgery 1998;124:911–6
  9. Miller AH, Roth BA, Mills TJ, Woody JR, Longmoor CE, Foster B. Ultrasound guidance versus the landmark technique for the placement of central venous catheters in the emergency de- partment. Acad Emerg Med 2002;9:800–5
  10. Cook D, Randolph A, Kernerman P, Cupido C, King D, Souk- up C, Brun-Buisson C. Central venous catheter replacement strategies: a systematic review of the literature. Crit Care Med 1997;25:1417–24
  11. Sznajder JI, Zveibil FR, Bitterman H, Weiner P, Bursztein S. Central vein catheterization. Failure and complication rates by three percutaneous approaches. Arch Intern Med 1986;146:259–61
  12. Lefrant JY, Muller L, De La Coussaye JE, Prudhomme M, Ripart J, Gouzes C, et al. Risk factors of failure and immediate com- plication of subclavian vein catheterization in critically ill pa- tients. Intensive Care Med 2002;28:1036–41
  13. Mickley V. Central venous catheters: many questions, few an- swers. Nephrol Dial Transplant 2002;17:1368–73
  14. Ruesch S, Walder B, Tramèr MR. Complications of central ve- nous catheters: internal jugular versus subclavian access--a systematic review. Crit Care M