Risk factors for development of complication following peripherally inserted central catheters: A retrospective analysis of 850 patients

Öz

Objectives: Peripherally inserted central venous catheters (PICCs) are inserted into central veins through the upper extremity veins. In this retrospective study, we aimed to evaluate PICC procedures, related complications, their causes and factors influencing the success of the procedure during anaesthesia Methods: ‘Central Venous Catheterization Forms\' filled out for 850 patients in whom a PICC was inserted by residents during general anaesthesia between November 2009 and March 2013 in the operating room of Uludag University Medical Faculty Hospital were retrospectively analysed. Results: A total of 1174 procedures were evaluated. The most preferred vein for the first attempt was the right basilic vein (32.7%). Difficulty (more than two attempts) with the PICC procedure was correlated with the patient\'s age (p

Anahtar Kelimeler

• Peripheral venous catheterization, complications, risk factors, incidence.

Periferik yerleştirilen santral venöz kateterleri takiben komplikasyon gelişmesi risk faktörleri: 850 hastanın retrospektif analizi

Öz

Amaç: Periferik yerleştirilen santral venöz kateterler (PYSK), üst ekstremite venleri kullanılarak kalbe dökülen büyük venlere ulaşılmasını sağlayan araçlardır. Bu çalışmada genel anestezi uygulamalarımız sırasında gerçekleştirdiğimiz PYSK girişimlerini retrospektif olarak inceleyerek, girişime bağlı komplikasyonları, bunların nedenlerini ayrıca girişimin başarısını etkileyen faktörleri belirlemeyi amaçladık. Yöntemler: Uludağ Üniversitesi Sağlık Uygulamaları Araştırma Merkezi Hastanesi ameliyathanesinde Kasım 2009 – Mart 2013 tarihleri arasında genel anestezi uygulamalarımız sırasında asistanlar tarafından PYSK uygulaması yapılan ve “Santral Venöz Kateterizasyon Formu” doldurulan 850 hastaya ait formlar retrospektif olarak incelendi. Bulgular: Hastalara toplam 1174 girişim yapıldığı ve ilk girişim için en çok sağ bazilik venin (%32,7) tercih edildiği görüldü. PYSK uygulamasının, zorluk (ikiden fazla deneme gereken) nedenleri incelendiğinde; hasta yaşı (p

Anahtar Kelimeler

• Periferik venöz kateterizasyon, komplikasyonlar, risk faktörler, insidans

Kaynakça

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