Catheter Malpositions: A Seven Cases Report

Yıl 2011, Cilt: 1 Sayı: 3, 98 - 102, 01.09.2011

Habib Emre Yasemin Usul Soyoral Hüseyin Beğenik Mehmet Fatih Erdur Mehmet Naci Aldemir Reha Erkoç

https://doi.org/10.5505/sakaryamj.2011.81300

Öz

Central venous catheters are commonly used in renal failure for hemodialysis. One of the most common complications of central venous catheterization is catheter malposition. Before inserting a catheter procedure, risk factors that could cause malposition are well-identified and after inserting a catheter procedure chest radiograph should be perform to verify the location of the catheter. We wanted to attract attention to the catheter malpositions by presenting a seven cases with catheter malposition.

Anahtar Kelimeler

Hemodialysis, central venous catheter, catheter malposition

Kateter Malpozisyonları: Yedi Olgu Sunumu

Öz

Böbrek yetmezliğinde hemodiyaliz için santral venöz kateterler sıklıkla kullanılmaktadır. Santral venöz kateter uygulamasının sık karşılaşılan komplikasyonlarından biri kateter malpozisyonudur. Kateter takma işlemi öncesi malpozisyona neden olabilecek risk faktörleri iyi belirlenmeli ve işlem sonrası kateterin yerini doğrulamak için akciğer filmi çekilmelidir. Biz kateter malpozisyonlu yedi olguyu sunarak kateter malpozsiyonlarına dikkat çekmek istedik.

Anahtar Kelimeler

Hemodiyaliz, santral venöz kateter, kateter malpozisyonu

Kaynakça

• European Best Practice Guidelines Expert Group on Hemodialysis, European Renal Association. Section I: Measurement of renal function, when to refer and when to start dialysis. Nephrol Dial Transplant 2002;17:7-15.
• Ravani P, Marcelli D, Malberti F. Vascular access surgery managed by renal physicians: The choice of native arteriovenous fistulas for hemodialysis. Am J Kidney Dis 2002;40:1264-1276.
• Kusminsky RE. Complications of central venous catheterization. J Am Coll Surg 2007;204:681-696.
• Granata A, Figuera M, Castellino S, Logias F, Basile A. Azygos arch cannulation by central venous catheters for hemodialysis. J Vasc Access 2006;7:43-45.
• Guth AA. Routine X-rays after insertion of implantable long-term venous catheters:necessary or not? American Surgery 2001;67:26-29.
• Galloway S, Bodenham A. Long-term central venous access. Br J Anaesth. 2004;92:722-734.
• Pikwer A, Bååth L, Davidson B, Perstoft I, Akeson J. The incidence and risk of central venous catheter malpositioning: a prospective cohort study in 1619 patients. Anaesth Intensive Care 2008;36:30-7.
• Patel NH. Percutaneous translumbar placement of a Hickman catheter into the azygous vein. AJR 2000;175:1302-1304.
• Mansfield PF, Hohn DC, Fornage BD, Gregurich MA, Ota DM. Complications and failures of subclavian-vein catheterization. N Engl J Med. 1994;331:1735-1738.
• Lefrant JY, Muller L, De La Coussaye JE, Prudhomme M, Ripart J, Gouzes C et al. Risk factors and immediate complication of subclavian vein catheterization in critically ill patients. Intensive Care Med 2002;28:1036-1041.
• Geddes CC, Walbaum D, Fox JG, Mactier RA. Insertion of internal jug-ular temporary hemodialysis cannulae by direct ultrasound guidance-a prospective comparison of experienced and inexperienced operators. Clin Nephrol 1998;50:320-325.
• McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med 2003;348:1123-1133.
• Schummer W, Schummer C. Central venous catheter malposition in the azygos arch Eur J Anaesthesiol 2002;19:832-834.
• Bailey SH, Shapiro SB, Mone MC, Saffle JR, Morris SE, Barton RG.. Is immediate chest radiograph necessary after central venous catheter placement in a surgical intensive care unit? Am J Surg 2000;180:517-22.
• Gladwin MT, Slonim A, Landucci DL, Gutierrez DC, Cunnion RE. Cannulation of the internal jugular vein: is postprocedural chest radiography always necessary? Crit Care Med 1999;27:1819-23.
• III. NKF-DOQI Clinical Practice Guidelines for Vascular Access. Am J Kidney Dis 2001;37:137-181.