THE ROLE OF NURSE IN A COMPLICATION OF CENTRAL VENOUS CATHETERIZATION: CASE REPORT

Yıl 2016, Cilt: 5 Sayı: 3, 135 - 137, 31.12.2016

Gülay İpek Çoban , Mustafa Kemal Çoban

Öz

Central venous catheterization has been increasing very rapidly in recent years. Pleural effusion due to central venous catheterization is a rare and serious complication. We present a rare complication pertinent to central venous catheter in a 64-year-old female patient in whom pleural effusion due to central venous catheterization. all drug applications parenteral nutrition that giving by central venous catheterization were stopped. Thoracentesis was performed to the patient and malpositioned catheter was removed in a controlled manner.

Anahtar Kelimeler

Nursing role, central venous catheter, nursing care, complication, case

SANTRAL VENÖZ KATETERE BAĞLI BİR KOMPLİKASYONDA HEMŞİRENİN ROLÜ: OLGU SUNUMU

Öz

Santral venöz kateter uygulama sıklığı son yıllarda hızla artış göstermektedir. Santral venöz katetere bağlı plevral efüzyon gelişmesi nadir ve ciddi bir komplikasyondur. Bu yazıda, çok ender gözlenen bir komplikasyon olan santral venöz kateter sonrası plevral efüzyon gelişen 64 yaşında bir kadın olgu sunuldu. Olgunun santral venöz kateterden uygulanan parenteral nütrisyon ve tüm ilaç uygulamaları durduruldu. Hastaya torasentez uygulandı ve malpoze kateter kontrollü olarak çıkartıldı.

Anahtar Kelimeler

Hemşirelik rolü, santral venöz kateter, hemşirelik bakımı, komplikasyon, olgu

Kaynakça

• 1. Morgan GE, Mikhail MS eds. Murray MJ. ClinicalAnesthesiology. New York: McGrawHillCompanies 2002:100-2.
• 2. Doğan N, Becit N, Kızılkaya M, Ünlü Y. Santral VenözKanülasyonuna Bağlı Nadir Bir Komplikasyon. Türk Göğüs Kalp Damar Cer Derg 2004;12:135-137.
• 3 Karayavuz A. Kateter Hemşireliği. http://www.thd.org.tr/thdData/userfiles/file/KATATER__KURS_14.pdf (Erişim tarihi:27.01.2016)
• 4 Paw HGW. Bilateral pleuraleffusions: Unexpected complication after left internal jugular venous catheterization for total parenteralnutrition. Br J Anaesth 2002;89:647-50.
• 5 Porcel JM. Unilateral pleural effusion secondary tobrachiocephalic venous trombosis: A rarecomplication of central vein catheterization. Respiration 2002;69:569.
• 6 Thomas CJ, Butler CS. Delayed pneumothorax and hydrothorax with central venous catheter migration. Anaesthesia 1999;54:987-90.
• 7 Schummer W, Schummer C, Fritz H. Perforation of the superior vena cava due to unrecognised stenosis. Case report of a lethal complication of central venous catheterization. Anaesthesist 2001;50:772-7.
• 8 Fangio P, Mourgeon E, Romelaer JP, Coriat P, Rouby JJ. Aortic injury and cardiac tamponade as a complication of subclavian venous catheterization. Anesthesiology 2002;96:1520-2.
• 9 Klotz HP, Schopke W, Kohler A, Pestalozzi B, Largiader F. Catheterfracture: A rarecomplication of totally implantable subclavian venous Access devices. J SurgOncol 1996;62:222-5.
• 10 Estfanous FG, Barash PG, Reven JG eds. Cardiac Anesthesia. Philadelphia: Lippincott Williams &Wilkins, 2001:199-200.
• 11 Karadağ A. Damar içi kateter uygulamalarında kullanılan pansuman materyalleri. C. Ü. Hemşirelik Yüksekokulu Dergisi;1999;3(2):35-39.
• 12 Wu X, Studer W, Skarvan K, Seeberger MD. High incidence of intravenous thrombi after short-term central venous catheterization of the internal jugular vein. J Clin Anesth 1999;11:482-5.