Yenidoğan Bebeklerde Periferden Yerleştirilen Santral Kateter Deneyimlerimiz

Year 2019, Volume: 9 Issue: 3, 522 - 527, 16.09.2019

Mustafa Kara , Kadir Tekgündüz Naci Ceviz

https://doi.org/10.31832/smj.598278

Cited By: 1

Abstract

Amaç Preterm bebekler
yenidoğan yoğun bakım ünitelerinde (YYBÜ) uzun süre takip edilirler ve bu
nedenle uzun süreli damar yolu ihtiyaçları olur. Uzun süreli damar yolu
sağlamak amacıyla umbilikal ven kateterleri, santral venöz kateterler ve
periferik olarak yerleştirilmiş santral kateterler (PYSK) kullanılır. Bu
çalışmada PYSK uygulanan yeni doğan bebeklerin klinik özelliklerini
değerlendirmeyi amaçladık.

Gereç ve Yöntemler
Haziran 2016 - Haziran 2019 tarihleri arasında YYBÜ’de PYSK yerleştirilen
yenidoğan bebeklerin tıbbi kayıtları retrospektif olarak incelendi. Hastaların
demografik özellikleri, PYSK yerleştirilme nedenleri, bebeklerin PYSK
yerleştirme sırasındaki klinik özellikleri ve uygulama komplikasyonları
kaydedildi.

Bulgular 129 yenidoğan bebekte
yerleştirilen 151 PYSK’ya ait veriler toplandı. PYSK takılan 134 (% 88,7)
hastada enfeksiyon nedeniyle antibiyotik tedavisi gerekti. Sepsis bu vakaların
72'sinde (% 47.6) PYSK yerleştirilmeden önce, 
17'sinde (% 11.2) ise PYSK yerleştirildikten sonra tespit edildi. PYSK
yerleştirilen hastalarda vücudun üst bölge damarları, alt bölge damarları ve
sağ taraf damarları ve sol taraf damarları arasında tıkanma, sızıntı ve / veya
tromboflebit sıklığı açısından istatistiksel bir fark bulunmadı (p> 0.05).

Sonuç Sonuçlarımız PYSK
uygulamasının yenidoğan bebeklerde periferik damar yolu girişim sayısını önemli
ölçüde azalttığını, uzun süreli TPN ve antibiyotik uygulamasının mümkün
olduğunu, ayrıca üst veya alt ekstremite venlerinden ve sağ veya sol taraftaki
venlerden PYSK uygulanmasının komplikasyon sıklığını etkilemediğini
göstermektedir.

Keywords

periferden yerleştrilen santral kateter, infant, yenidoğan, yenidoğan yoğunbakım ünitesi, NICU, PICC

Our Experiences with Peripherally Inserted Central Catheters in Newborn Infants

Abstract

Objective Preterm babies are followed in neonatal intensive
care units (NICU)  for long times, so
they need long-term vascular access. For long-term vascular access umbilical
vein catheters, central venous catheters and peripherally inserted central
catheters (PICC) are used. In present study we aimed to evaluate the clinical
features of newborn infants in whom PICC was inserted.

Materials
and Methods The medical
records of the newborn infants in whom PICC had been inserted from June 2016 to
June 2019 are evaluated retrospectively. Demographic features of the patients,
reasons for PICC insertion, clinical features of the infants during PICC
insertion, and complications of the application are recorded.

Results The data of 151 PICC that were inserted in 129
newborn infants were collected. Antibiotic treatment was needed because of
infections in 134 (88.7%) PICCs. In 72 (47.6%) of them sepsis was present
before PICC insertion, and in 17 (11.2%) after PICC insertion.  No statistical difference was found in terms
of the frequency of occlusion, leak and/or thrombophlebitis between patients in
whom PICCs were inserted via the upper body veins and lower body veins, and
right veins and left veins (p>0.05).

Conclusion Our results indicate that
the PICC application significantly decreases the number of peripheral vascular
access attempts in newborn infants, long-term total parenteral nutrition (TPN) and antibiotic administration becomes possible and insertion from
upper or lower extremity veins and right or left side veins does not affect the
frequency of complications.

Keywords

peripherally inserted central catheter, infant, neonatal intensive care unit, NICU, PICC

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