Çocuklarda Kullanılan Yeni Bir Tespit Yönteminin Periferik Venöz Kateter Komplikasyonlarına Etkisi

Yıl 2019, Cilt: 52 Sayı: 3, 214 - 217, 21.12.2019

Ahmet Atıcı , Mehmet Emin Çelikkaya Çiğdem El Bülent Akçora

Öz

Periferik venöz kateterizasyon (PVK) hastaneye
yatan çocukların %80’inden fazlasına en sık yapılan invaziv girişimdir. Masum
gibi görünen PVK’nin çocuklarda flebit, enfeksiyon, infiltrasyon,
ekstravazasyon gibi çok sayıda komplikasyona, hatta mortaliteye neden olduğu
bilinmektedir. Bu çalışmada, eklem lokalizasyonunda PVK takılan çocuk
hastalarda kullanılan yeni tespit tahtasının PVK ömrü ve komplikasyon oranına
etkisinin araştırılması amaçlanmıştır. Haziran-Temmuz 2018 tarihleri arasında
çocuk cerrahisi servisinde tedavi edilen ve eklem bölgesinde PVK takılan 49
hasta prospektif olarak takip edildi. Hastalar grup 1 tespit tahtası kullanılan
ve grup 2 hipoalerjenik elastik fiksasyon bandı kullanılan kontrol grubu olarak
ikiye ayrıldı. İki grup arasında yeni tespit tahtasının, intraket çapının ve
yaşın PVK yaşam süresi ve komplikasyon oranına etkisi incelendi. İki grup
arasında komplikasyon oranında önemli ölçüde azalma olmasına rağmen, PVK ömrü
ile ilgili anlamlı bir sonuç elde edilmedi.

Anahtar Kelimeler

Periferik venöz kateter, kateter komplikasyonları, kateter ömrü, çocuklar

Effects of a New Fixation Method in Children on the Complication Rates of Peripheral Venous Catheters

Öz

Peripheral intravenous catheter (PIVC)
insertion is the most frequently used invasive intervention that is
performed in more than 80% of hospitalized children. It is a known that
seemingly innocent PIVC may result in various morbidities such as
phlebitis, infection, extravasation, and may even lead to
mortality. In this study, we aimed to investigate the effect of a new fixation
board on PIVC lifespan and complications rates in pediatric patients undergoing
PIVC insertion in the joint area. A total of 49 patients who were treated in
the pediatric surgery ward between June and July 2018 and who underwent PIVC
insertion were prospectively followed. The patients were divided into the
following two groups: Group 1 in which a fixation boardwas used and Group 2,
which was allocated as the control group using Hypoallergenic Elastic Fixation
Tape. The effects of cannula fixation device, cannula gauge, and age on PIVC
lifespan and complication rates were comparatively evaluated between the two
groups. Although the complication rate in this study was significantly reduced,
no significant result was obtained regarding PIVC lifespan. 

Anahtar Kelimeler

Peripheral intravenous catheter, catheter complications, catheter lifespan, children

Kaynakça

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