Yanık yoğun bakım ünitesinde santral venöz kateterizasyon deneyimlerimiz

Amaç: Yanık yoğun bakım ünitesinde 2 yıldır uygulanan santral venöz kateterizasyon girişimlerini, endikasyon ve komplikasyon yönünden retrospektif olarak değerlendirmeyi amaçladık. Materyal ve Metot: Üç farklı teknikle uyguladığımız girişimlerde komplikasyon oranımızın karşılaştırdığımız literatür bilgilerine göre daha düşük olduğunu gözledik. Sonuç: Komplikasyon oranlarımızın düşüklüğünü sıklıkla tercih ettiğimiz subklavian venöz kateterizasyondaki deneyimlerimize bağladık.

Our experiences of central venous catheterisation at the burn intensive care unit

Objective: The aim of this study was to analyse retrospectively the indications and complications of central venous catheter insertions practised at our burn intensive care unit in a two year period. Material and Method: We found that the complication rate of the procedures which we have been performed in three different methods were lower than that was reported in the literature. Conclusion: We explained the low complication rate with our experience in subclavian central catheterization.

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1. Frankel A. Temporary accessand central venous catheters. Eur J Vsc Endovasc Surg 2006;31:417-22.
2. McGee DC, Gould MK. Preventing complications of central venous catheterization. New Engl J Med 2003;348(12):1123-33.
3. Ruesch S, Walder B, Tramer MR. Complications of central venous catheters: internal juguler versus subclavian access- a systematic review. Crit Care Med 2002;30(2):454-60.
4. Deshpande KS, Hatem C, Ulrich HL, Currie BP, Aldrich TK, Bryan- Brown CW, Kvetan V. The incidence of infectious complications of central venous catheters at the subclavian, internal jugular, and femoral sites in an intensive care unit population. Crit Care Med 2005;33:234-5.
5. Merrer J, De Jounghe B, Galliot F, Lefrant JY, Raffy B, Barre E, et al. Complications of femoral and subclavian venous catheterization in critically ill patients: A randomized controlled trial. JAMA 2001;286: 700-7.
6. Vanherweghen Jl, Yasinse T, Goldman M, et al. Subclavian vein thrombosis: a frequent complication of subclavian vein cannulation for hemodialysis. Clin Nephrol 1986;26: 235-8.
7. Paw HG. Bilateral plevral effusions: unexpected complication of internal juguler venous catheterization for total parenteral nutrition. Br J Anaesth 2002;89: 647-50.
8. Taşoğlu İ, Özgül H, İmren Y, Gökgöz L. Santral venöz kateterizasyon sonrası nadir bir komplikasyon: Subklavyan vende bırakılan kılavuz tel. Türk Göğüs Kalp Damar Cerrahisi Dergisi 2007;15: 174-5.
9. Fearonce G, Faraklas I, Saffle JR, Cochran A. Peripherally inserted central venous catheters and central venous catheters in burn patients: a comparative review. J Burn Care Res 2010;31:31-5.
10. 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.
11. Sheridan RL, Weber JM. Mechanical and infectious complications of central venous cannulation in children: lessons learned from a 10-year experience placing more than 1000 catheters. J Burn Care Res 2006;27: 713-8.
12. Murr MM, Rosenquist MD, Lewis RW 2nd, Heinle JA, Kealey GP. A prospective safety study of femoral vein versus nonfemoral vein catheterization in patients with burns. J Burn Care Rehabil 1991;12:576-8.