Amaç: Küçük çaplı plevral kateterlerin uygulama alanlarının, komplikasyonlarının ve etkinliklerinin araştırılması. Yöntem: Kliniğimizce 2011–2013 yılları arasında küçük çaplı plevral kateter uygulanan 325 hastanın dosyaları retrospektif olarak değerlendirildi. Hastaların dosyalarından primer hastalıklarını, yoğun bakımda veya serviste takip edildiklerini, plevral effüzyonun transüda, eksüda ayrımını, ECOG (Eastern Cooperative Oncology Group) performans skorlarını, kateterin kalış süresini, ek analjezik ihtiyaçlarını, komplikasyonlarını, evde takip durumlarını inceledik. Bulgular: Hastaların %52.92’ si hastanemiz yoğun bakım ünitelerinde tedavi görmekte olan hastalardı. Eksuda / transüda oranı 0.86 idi. Hastalarda kateterin ortalama kalış süresi 7.59 gün (1-23 gün) idi. Olgulardan 15 tanesine (%4.6) operasyon sonrası gelişen komplikasyonlar nedeni ile büyük çaplı kateter torakostomi uygulandı. İki hastamızda kateter kırılarak intratorasik bölgede bir parçasının kalması (%0.6) gözlendi. Bu hastalarda tek porttan yapılan yaklaşık 10-12 dakikalık videotorakoskopi (VATS) işlemi ile intratorasik parça çıkarıldı. Sonuç: Küçük çaplı plevral kateter uygulaması iyi seçilmiş vakalarda güvenli bir şekilde uygulanabilir. Komplikasyon oranları standart tüp torakostomi değerleri ile karşılaştırıldığında anlamlı bir farklılık yoktur. Özellikle ECOG skalası yüksek yoğun bakımdaki hastalarda güvenli bir biçimde uygulanabileceği kanaatindeyiz.
Aim: To investigate application areas, complications and effectiveness of small-bore pleural catheters. Method: The records of 325 patients who underwent small pleural catheters between 2011 and 2013 were evaluated retrospectively. We retrospectively examined records of the patient files for the primary diseases of the patients', whether they were followed up in the intensive care unit or in the clinic, transudate and exudate separation of pleural effusion, ECOG (Eastern Cooperative Oncology Group) performance scores of patients, length of stay of the catheter, additional analgesic requirements, complications, and home follow-up. Results: 52.92% of the patients were treated in intensive care units of our hospital. The exudate/transudate ratio was 0.86. The mean length of catheter stay was 7.59 days (1-23 days). 15 patients (4.6%) underwent a large bore catheter thoracostomy due to postoperative complications. In two patients, the catheter was broken and a part of the catheter remained intrathoracically (0.6%). In these patients, intrathoracic fragments were removed by approximately 10-12 minutes long of a single port videothoracoscopy (VATS). Conclusion: Small bore pleural catheter application can be performed safely in well selected patients. There was no significant difference in complication rates compared to standard tube thoracostomy. We think that small bore pleural catheters can be safely applied in intensive care patients with high-ECOG scale scores.
Primary Language | Turkish |
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Subjects | Health Care Administration |
Journal Section | Articles |
Authors | |
Publication Date | April 30, 2020 |
Submission Date | November 26, 2019 |
Acceptance Date | February 24, 2020 |
Published in Issue | Year 2020 Volume: 13 Issue: 1 |
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
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