Üçüncü Basamak Hastanede Pediatrik Hastalarda Santral Venöz Kateter Uygulamalarının Retrospektif Değerlendirilmesi

Year 2024, Volume: 3 Issue: 3, 65 - 70, 28.12.2024

Ömer Doymuş , Osman Bagbanci , Mehmet Sercan Orbak , Abdullah Agah Kahramanlar , Fatma Akin , Zehra Bedir , Sevgi Topal , Servet Ergün , Pelin Aydın , İbrahim Hakkı Tör

https://doi.org/10.61745/jsmsau.1585055

Abstract

Amaç: Santral venöz kateterler esas olarak güvenli sıvı infüzyonu, total parenteral beslenme ve hemodinamik parametrelerin değerlendirilmesi için kullanılır. Santral venöz erişimle ilgili komplikasyonlar yerleştirme sırasında, yerleştirmeden sonra veya kateter bakımı sırasında ortaya çıkabilir. Bu çalışmanın amacı hastanemizde santral venöz kateterli pediatrik hastalarda demografik verileri ve kateterle ilişkili komplikasyonların varlığını araştırmaktır.
Yöntemler: Bu çalışmada 1 Haziran 2019 ile 28 Şubat 2023 tarihleri arasında hastanemizde santral venöz kateterli pediatrik hastalarda demografik veriler ve kateterle ilişkili komplikasyonların varlığı retrospektif olarak incelenmiştir.
Bulgular: Haziran 2020 ile Şubat 2023 tarihleri arasında hastanemizde santral venöz kateterizasyon uygulanan hastalar çalışmaya dahil edildi. Hastaların demografik verileri değerlendirildiğinde hastalarımızın 141'i (%57,8) erkek, 103'ü (%42,2) kadındı ve gruplar arasında istatistiksel olarak anlamlı bir fark yoktu. Femoral grupta, sağ femoral ven kateterizasyonu sol venden daha fazla tercih edildi (%72,2-%27,7), juguler-subklavian grubunda ise sağ internal juguler ven diğer bölgelere göre daha fazla tercih edildi. Enfeksiyon riski femoral grupta subklavian gruba göre istatistiksel olarak daha yüksekti.
Sonuç: Klinik pratikte, deneyimli personel tarafından asepsi/antisepsi koşullarına uyularak ve uygun görüntüleme cihazları kullanılarak pediatrik hastalarda santral venöz kateter uygulamalarında komplikasyon riskinin azaltılabileceğini düşünüyoruz.

Keywords

Santral venöz kateter, pediatrik, komplikasyon

Retrospective Evaluation of Central Venous Catheters Applications in Pediatric Patients in Tertiary Hospital

Abstract

Objective: Central venous catheters are mainly used for safe fluid infusion, total parenteral nutrition, and evaluation of hemodynamic parameters. Complications related to central venous access can occur during insertion, after insertion or during catheter maintenance. The aim of this study was to investigate the demographic data and the presence of catheter-related complications in pediatric patients with central venous catheters in our hospital.
Methods: This study retrospectively reviewed demographic data and the presence of catheter-related complications in pediatric patients with central venous catheters in our hospital from June 1, 2019, to February 28, 2023.
Results: Patients who underwent central venous catheterisation in our hospital between June 2020 and February 2023 were included in the study. When the demographic data of the patients were evaluated, 141 (57.8%) of our patients were male and 103 (42.2%) were female, and there was no statistically significant difference between the groups. In the femoral group, catheterisation of the right femoral vein was preferred more than the left vein (72.2%-27.7%), whereas in the jugular-subclavian group, the right internal jugular vein was preferred more than other sites. The risk of infection was statistically higher in the femoral group compared to the subclavian group.
Conclusion: In clinical practice, we think that the risk of complications can be reduced in central venous catheter applications in pediatric patients by experienced personnel by complying with asepsis/antisepsis conditions and using appropriate imaging devices.

Keywords

Central venous catheter, pediatric, complication

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