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- Title
Santral Venöz Kateterizasyon Yapılan IHastalarda Kateter Yerleştirme Lokalizasyonu Tercihi ve Kateter Malpozisyonlarının Retrospektif İncelenmesi.
- Authors
Özmen, Harun; Aydınlı, Bahar; Çitilcioğlu, Uğur Serkan; Özen, Alptuğ; Tekin, Kamuran
- Abstract
Objective: Central venous catheterization (CVC) is an invasive procedure used in intensive care units with various indications. Malposition of the catheter has been reported in the literature ranging from 3.6-14% in practice. In this study, we aimed to determine the preference of catheter placement and malposition rates in CVC applications performed by specialist physicians in our intensive care units without using ultrasonography. Method: After the approval of the ethics committee, medical files of 1710 patients who were applied to the Mersin City Training and Research Hospital in 2017-2019 were reviewed. Permanent port catheter, dialysis catheter and catheters placed in pediatric patients under 18 years of age were excluded from the study. All catheterization procedures were performed by a specialist physician using 7 F catheters with Seldinger technique without the use of ultrasound. Results: Of the 1463 patients included in the study, the catheters were inserted intointernal jugular vein in 842, subclavian vein in 467,and femoral vein in 154 patients. When femoral catheterization was excluded from assessments, malposition was found in 1309 patients with a rate of 1.68%. There were 14 malpositioned catheters in the right internal jugular vein, 6 in the right subclavian vein and 2 in the left subclavian vein. Conclusion: In conclusion, it has been reported that ultrasound-guided catheter placement may prevent malposition and reduced complication rate when performed by experienced clinicians. However,when the ultrasound is not available, we believe that performing the procedure by experienced clinicians and confirming the accuracy of the catheter position with lung x-ray after the procedure may reduce malposition rates.
- Subjects
CENTRAL venous catheterization; FEMORAL vein; SUBCLAVIAN veins; JUGULAR vein; INTENSIVE care units; DIALYSIS catheters
- Publication
Journal of the Society of Thoracic Carido-Vascular Anaesthesia & Intensive Care, 2020, Vol 26, Issue 2, p95
- ISSN
1305-5550
- Publication type
Article
- DOI
10.5222/GKDAD.2020.30301