Acil serviste santral venöz kateter uygulamaları; geriye dönük bir çalışma
Küçük Resim Yok
Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
GİRİŞ: Çalışma, bir yıl boyunca hastanemiz acil servisinde yapılan santral ven uygulamalarımızın geriye dönük analizini içermektedir. GEREÇ-YÖNTEM: Bu çalışmada, 2006 yılı boyunca acil serviste santral venöz kateter uygulanan 195 hastanın dosyaları, geriye dönük olarak incelendi. Hastalar acil cerrahi, dahili olgular ile hemodiyaliz kateteri takılan hastalar olmak üzere üç grupta incelendi. BULGULAR: Santral venöz kateterizasyon için en sık internal juguler ven kullanıldı (% 78.9). Hastaların büyük çoğunluğunda kateterizasyon endikasyonu mayi replasmanı ve santral venöz basınç ölçümü idi (% 55.3). Cerrahi acil olgularda en sık acile başvuru nedeni trafik kazası (% 17,4), dahili olgularda ise serebrovasküler hastalıklar (% 10.7) idi. İnternal juguler kateterizasyonda % 14,9, subklavian kateterizasyonda % 25, femoral kateterizasyonda ise % 28.5 komplikasyon gelişti. En sık görülen komplikasyonlar internal juguler yolda arter kateterizasyonu (% 7.7), femoral yolda enfeksiyon (% 14.2), subklavyan yolda ise kateter disfonksiyonu idi (% 20). SONUÇ: Acil servisler, santral venöz kateter uygulamasının sıklıkla yapıldığı kliniklerdir. Komplikasyon azlığı nedeniyle internal juguler venin kateterize edilmesi, öncelikli olarak tercih edilebilir.
INTRODUCTION: In this study, for one year ıt was analyzed that our central venous catheter interventions in emergency department retrospectively. MATERIALS-METHODS: In this study, in 2006 for twenty months we interventioned 195 patients inserted central venous catheter in emergency department retrospectively. RESULTS: Internal jugular vein was frequently used for central venous catheterization (% 78.9). In the unit of patients indication of catheterization was fluid replacement and measurement of central venous pressure (55.3 %). The most freuquent rension of urgent admission was traffic accident in surgical emergency cases (17,4 %), and cerebrovascular disease in internal emergency cases (10.7 %). The complication developed in internal jugular vein catheterization (14,9 %), subclavian vein catheterization (25 %), and femoral vein catheterization (28.5 %), respectively. The most frequent complications were arterial catheterization in internal juguler road (7.7 %), femoral infections in femoral vein (14.2 %), and catheter disfunctions in subclavian vein (20 %). CONCLUSION: Central venous catheter intervention is crucial especially in emergency department. Internal jugular vein is prefential road owing to less complication.
INTRODUCTION: In this study, for one year ıt was analyzed that our central venous catheter interventions in emergency department retrospectively. MATERIALS-METHODS: In this study, in 2006 for twenty months we interventioned 195 patients inserted central venous catheter in emergency department retrospectively. RESULTS: Internal jugular vein was frequently used for central venous catheterization (% 78.9). In the unit of patients indication of catheterization was fluid replacement and measurement of central venous pressure (55.3 %). The most freuquent rension of urgent admission was traffic accident in surgical emergency cases (17,4 %), and cerebrovascular disease in internal emergency cases (10.7 %). The complication developed in internal jugular vein catheterization (14,9 %), subclavian vein catheterization (25 %), and femoral vein catheterization (28.5 %), respectively. The most frequent complications were arterial catheterization in internal juguler road (7.7 %), femoral infections in femoral vein (14.2 %), and catheter disfunctions in subclavian vein (20 %). CONCLUSION: Central venous catheter intervention is crucial especially in emergency department. Internal jugular vein is prefential road owing to less complication.
Açıklama
Anahtar Kelimeler
Acil Tıp
Kaynak
Akademik Acil Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
8
Sayı
1
