Ultrasonografi eşliğinde veya landmark yöntemiyle uygulanan, santral venöz kateter uygulamalarındaki başarı oranları ve oluşan komplikasyonların karşılaştırılması

Abstract

Amaç: Genellikle yoğun bakımda kullanılan USG (ultrasonografi) ve Landmark yöntemleri ile santral venöz kateterizasyonlarda ortaya çıkabilecek başarı oranlarını ve komplikasyonları karşılaştırmaktır.

Materyal ve Metot: Bu çalışma geriye dönük olarak 100 hastanın dosyasını tarayarak gerçekleştirildi. Hastalar Ultrasonografi (n = 49) ve Landmark (n = 51) olmak üzere iki gruba ayrıldı. Dosyalardan elde edilen bilgilerle kateter çaplarının gruplara göre dağılımı, gruplara göre operasyonun hangi damardan yapıldığı, cinsiyete göre dağılımı ve oluşan komplikasyonlar karşılaştırıldı.

Bulgular: Çalışmamızda SVK (Santral Venöz Katater)'ler için kullanılan kateterlerin kalınlıklarının dağılımı gruplara göre farklılık göstermedi. Gruplarda cinsiyet dağılımı açısından bir değişiklik olmadı. SVK USG yöntemiyle 1 hastaya yapılamadı. USG yöntemiyle IJV (İnternal Juguler Ven) kateterizasyonunda 1 çoklu işlem denendi ve bu yöntem ile başka komplikasyon yaşanmadı.

Sonuç: USG yöntemi, SVK (SKV (subklavyen ven dışında)) uygulaması için YBÜ'de güvenilir, pratik ve uygulanabilir bir yöntemdir.

Keywords

• Santral venöz kateterizasyon,Landmark yöntemi,ULTRASONOGRAFİ

A comparison of the rates of success and complications in the application of central venous catheters applied with ultrasonography or the landmark method

Abstract

Background: To compare the rates of success and the complications that can develop during the central venous catheterizations with ultrasonography and Landmark methods, usually used in the intensive care unit.

Methods: This study was conducted retrospectively by scanning the files of 100 patients. Patients were divided into two groups as Ultrasonography (n=49) and Landmark (n=51). The distribution of the catheter diameters with the information obtained from the files based on groups, from which artery the operation was made based on the groups, the distribution of gender based on the groups, and the complications that occurred were compared.

Results: In our study, the distribution of the thickness of the catheters used for CVCs did not vary by group, there was no variation in terms of gender distribution in the groups, the CVC was not entered with the USG method, 1 multiple-operation was tried in the IJV catheterization with the USG method, and no other complications were experienced.

Conclusions: USG method is a reliable, practical, and applicable method in ICU for CVC (excepted SCV(subclavian vein) ) application.

Keywords

• Central venous catheterization,Landmark method,Ultrasonography

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