SavedAdd your journal

Journals / Türk Pediatri Arşivi / 2011 / Cilt: 46 - Sayı: 3

The evaluation of central venous catheterization complications in a pediatric intensive care unit

Çocuk yoğun bakım biriminde santral venöz kateterizasyon komplikasyonlarının değerlendirilmesi

Murat ANIL
Ayşe Berna ANIL
Alkan BAL
Önder YAVAŞCAN
Berat KANAR
Nejat AKSU
Mehmet HELVACI
Esin ALBUDAK
Pages
215–219
Publication Date
2022-11-05
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)

Conclusions: The placement of central venous catheters in pediatric intensive care unit is a safe procedure in experienced hands. (Turk Arch Ped 2011; 46: 215-9)

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Central venous catheter insertion is a procedure commonly used in intensive care units.
📊
Key Findings & Data:Material and Method: Between 07.01.2007-08.01.2009, in Izmir Training and Research Hospital, Clinics of Pediatrics, Pediatric Medical-Surgical Intensive Care Unit, 110 patients with central venous catheters (mean age: 46.9±54.5 months, median age: 21 months, range 1 month-228 months: 49 female / 61 males) were studied.
💡
Conclusion & Impact:Conclusions: The placement of central venous catheters in pediatric intensive care unit is a safe procedure in experienced hands. (Turk Arch Ped 2011; 46: 215-9)
🔬Design:Research Article
📍Scope:2007 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: Central venous catheter insertion is a procedure commonly used in intensive care units. In this study, the evaluation of complications related to central venous catheter is ation inserted in the pediatric intensive care unit and the risk factors associated with complications of central venous catheters are intended. Material and Method: Between 07.01.2007-08.01.2009, in Izmir Training and Research Hospital, Clinics of Pediatrics, Pediatric Medical-Surgical Intensive Care Unit, 110 patients with central venous catheters (mean age: 46.9±54.5 months, median age: 21 months, range 1 month-228 months: 49 female / 61 males) were studied. Results: A total of 128 catheters [femoral, subslavian and jugular catheters as 88 (68.8%), 37 (28.9%) and three (2.3%), respectively] were inserted in 110 patients. During catheter insertion, six insertion-related complications (4.7%) occured whereas 12 infections (9.4%), six thromboses (4.7%) and two (1.6%) accidental removals were observed during follow-up. No risk factors were observed for catheter insertion-related complications (p > 0.05). There was no significant difference in the risk of complications observed between the cases with subklavian and those with femoral catheterization (p>0.05). Conclusions: The placement of central venous catheters in pediatric intensive care unit is a safe procedure in experienced hands. (Turk Arch Ped 2011; 46: 215-9)

Özet

Amaç: Santral venöz kateter yerleştirilmesi yoğun bakım birimlerinde sık kullanılan bir yöntemdir. Bu çalışmada çocuk yoğun bakım biriminde santral venöz kateter yerleştirilmesi ile ilişkili komplikasyonların ve bu komplikasyonlara yol açabilecek risk etmenlerinin değerlendirilmeleri amaçlanmıştır. Gereç ve Yöntem: 01.07.2007-01.08.2009 tarihleri arasında İzmir Tepecik Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Klinikleri’nde Tıbbi-Cerrahi Çocuk Yoğun Bakım Birimi’ne yatan ve santral venöz kateter yerleştirilen 110 hasta (ortalama yaş: 46,9±54,5 ay; ortanca yaş: 21 ay; dağılım 228 ay-1 ay: 49 kız /61 erkek) çalışmaya alındı. Bulgular: Tüm olgulara toplam 128 [88 (%68,8) femoral, 37 (%28,9) subklaviyen ve üç (%2,3) juguler] kateter yerleştirilmişdi. Kateter yerleştirilmesi sırasında altı komplikasyon (%4,7), izlem sırasında ise 12 enfeksiyon (%9,4), altı tromboz (%4,7) ve iki (%1,6) kaza ile yerinden çıkma görülmüştür. Kateter yerleştirme işlemi sırasında görülen komplikasyonlarla ilişkili herhangi bir risk etmenine rastlanmamıştır (p>0,05). Femoral ve subklaviyen kateter yerleştirilen olgular arasında komplikasyonlar açısından bir fark bulunmamıştır (p>0,05). Çıkarımlar: Çocuk yoğun bakım birimlerinde santral venöz kateter yerleştirilmesi deneyimli ellerde güvenilir bir işlemdir. (Türk Ped Arfl 2011; 46:215-9)

🔖

Cite This Article

ANIL, M., ANIL, A. B., BAL, A., YAVAŞCAN, Ö., KANAR, B., AKSU, N., HELVACI, M., ALBUDAK, E. (2022). The evaluation of central venous catheterization complications in a pediatric intensive care unit. Türk Pediatri Arşivi, Cilt: 46 - Sayı: 3, 215–219. https://ajindex.com/articles/641451

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Karapınar B, Cura A. Complications of central venous catheterization in critically ill children. Pediatr Int 2007; 49: 593-9
  2. Çıtak A, Karaböcüoğlu M, Üçsel R, et al. Central venous catheters in pediatric patients - subclavian venous approach as the first choice. Pediatr Int 2002; 44: 83-6
  3. Randolph AG, Brun-Buisson C, Goldmann D. Identification of central venous catheter-related infections in infants and children. Pediatr Crit Care Med 2005; 6: 19-24
  4. Fernandez GF, Sweeney MF, Gren TP. Central venous catheters. In: Dieckman RA, Fiser DH, Selbst SE, (eds). Pediatric emergency critical care procedures. St Louis: Mosby 1997; 196-202
  5. Vane DW, Ong B, Rescorla FJ, et al. Complications of central venous access in children. Pediatr Surg Int 1990; 5: 174-8
  6. Venkataraman ST, Thompson AE, Orr RA. Femoral vascular catheterization in critically ill infants and children. Clin Pediatr 1997; 36: 311-9
  7. Crowley JJ, Pereira JK, Harris LS, et al. Peripherally inserted central catheters: experience in 523 children. Radiology 1997; 204: 617-21
  8. Rey C, Alvarez F, De La Rua V, et al. Mechanical complications during central venous cannulations in pediatric patients. Intensive Care Med 2009; 35: 1438-43
  9. Garsia-Teresa MA, Casado-Flores J, Dominguez MAD, et al. Infectious complications of percutaneous central venous catheterization in pediatric patients. Intensive Care Med 2007; 33: 466-76
  10. Cruzeiro PC, Camargos PA, Miranda ME. Central venous catheter placement in children: a prospective study of complications in Brazilian public hospital. Pediatr Surg Int 2006; 22: 536-40
  11. Johnson EM, Saltzman DA, Suh G, et al. Complications and risks of central venous catheter placement in children. Surgery 1998; 124: 911-6
  12. Casado-Flores J, Barja J, Martino R, et al. Complications of central venous catheterization in critically ill children. Pediatr Crit Care Med 2001; 2: 57-62
  13. Sheridan RL, Weber JM. 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 2006; 27: 713-8
  14. Alvarado-Diez MA, Marquez-Enriquez LM, Troconis-Trens G, et al. Experience in the use of central venous catheterization via subclavian puncture in a pediatric hospital. Bol Med Hosp Infant Mex 1993; 50: 394-8
  15. Mansfield PF, Hohn DC, Fornage BD, et al. Complications and failures of subclavian-vein catheterization. N Engl J Med 1994; 331:1735-8
  16. Sitzmann