Acil Serviste Takılan Santral Venöz Kateterlerin Değerlendirilmesi

Abstract

Amaç Çalışmamızda Adnan Menderes Üniversitesi Acil Tıp Anabilim Dalı tarafından acil servis ve acil yoğun bakım ünitelerinde yapılan santral venöz kateter işlemlerini değerlendirdik. Antikoagülan veya antiplatelet ilaç kullanan hastalarda ultrason eşliğinde santral venöz kateter uygulaması yapmayı ve kanama komplikasyon oranlarını araştırmayı planladık. Gereç ve Yöntem 15.11.2018-15.10.2019 tarihleri arasında santral venöz kateter uygulaması yapılmış 18 yaş üstü ve gebe olmayan 178 olgu dahil edildi. Araştırma verileri SPSS 21.0 istatistik programı kullanılarak değerlendirilmiştir. Bulgular Hastaların %78,7'sine ultrason eşliğinde santral venöz kateter işlemi uygulandı. Hastaların %36.5'inde antikoagülan veya antitrombosit ilaç kullanım öyküsü vardı. Hastalarımızda en sık görülen komplikasyonlar ventriküler disritmi ve cilt altı hematomdu. Sonuç Sonuç olarak cinsiyet, antikoagülan ve/veya antitrombosit ilaç kullanımı, işlem sırasında tercih edilen damar ve ultrason kullanımı ile komplikasyon durumu arasındaki ilişkiye bakıldığında istatistiksel olarak anlamlı bir sonuç bulunamadı.

Keywords

• acil servis
• ultrason
• santral venöz katater

Evaluation of Central Venous Catheters Inserted in The Emergency Service

Abstract

Objective In our study, we evaluated central venous catheter procedures performed by Adnan Menderes University, Department of Emergency Medicine in the emergency room and emergency intensive care units. We planned to investigate performing central venous catheter application with ultrasound guidance and the rate of bleeding complications in patients using anticoagulants or antiplatelet. Material and Method Between 15.11.2018-15.10.2019, central venous catheter application was performed 178 cases over the age of 18 and non-pregnant were included. Research data were evaluated by using SPSS 21.0 statistics program. Results A Central venous catheter procedure was performed in 78.7% of the patients with ultrasound guidance. 36.5% of the patients had a history of anticoagulant or antiplatelet drug use. The most common complications in our patients were ventricular dysrhythmia and subcutaneous hematoma. Conclusion In conclusion, when looking at the relationship between gender, anticoagulant and/or antiplatelet drug use, preferred vein and ultrasound use during the procedure, and complication status, no statistically significant results were found.

Keywords

• Central Venous Catheter
• emergency medicine
• Ultrasound

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