0.05). Giriş yeri belirleme süresi Grup US'de Grup İN'ye göre anlamlı olarak uzun bulundu (Grup IN 6.2 ± 5.6 sn ve GrupUS 26.16 ± 12.1 sn, p=0.001).Sonuç: Açık kalp cerrahisi uygulanacak pediyatrik hastaların subklavyan ven kateterizasyonunda gerçek zamanlı US kullanımıişaret noktası yöntemiyle karşılaştırıldığında ilk giriş başarısını artırmamaktadır This study evaluated the first attempt success rate with real-time US-guided subclavian vein catheterization whencompared with classical landmark technique for pediatric patients undergoing open heart surgery. Method: After the approval of Baskent University Clinical Research and Ethics Committee, 72 children, under the age of 10who are undergoing cardiac surgery were included in the study. Patients were classified into 2 groups: SV catheterization wasaccomplished with classical landmark technique in Group IN (n=36) and with real-time US-guided technique in Group US(n=36). Result: Both groups were similar with respect to demographic features and ASA classification. Aspirating blood from lumenby catheter was defined as "catheterization success" by the physician. There was no significant difference between the two groupsregarding catheterization success (Group IN %94.7, Group US %91.7, p=0.63) and first attempt success (Group IN %58.3,Group US %66.7, p=0.46). Mechanical complicaton rates and catheterization times were similar in both groups (p>0.05). The timetaken to visualize puncture site was significantly longer in Group US when compared with Group IN (Group IN: 6.2 ± 5.6 sec veGroup US 26.7 ± 12.1 sec, p=0.001).Conclusion: The success rate at the first attempt can not be increased with real-time US-guided SV catheterization whencompared with classical landmark technique for pediatric patients undergoing open heart surgery">
Selim KUŞÇU, Aynur CAMKIRAN FIRAT, Pınar ZEYNELOLU, Arash PİRAT, MURAT ÖZKAN, Gülnaz ARSLAN
BAHATTİN TUNCALI, Yonca Özvardar PEKCAN, Erkan EFİKİ
KONJENİTAL AĞRI DUYARSIZLIĞI OLAN BİR OLGUDA ANESTEZİ YÖNETİMİ
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FİLİZ ÜZÜMCÜGİL, Canan KÜÇÜK, Hülya ORAL, Ayflen HERGÜNER, Salim ERKAYA
Meltem BUZ, Şennur UZUN, Ülkü AYPAR
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