Ahmet ATICI, Mehmet Emin ÇELİKKAYA, Çiğdem EL, Bülent AKÇORA

Çocuklarda Kullanılan Yeni Bir Tespit Yönteminin Periferik Venöz Kateter Komplikasyonlarına Etkisi

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

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.

Keywords:

Peripheral intravenous catheter, catheter complications, catheter lifespan, children,

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