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

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