Clinical experience of central venous catheterization in newborns
Gazi Medical Journal, cilt.14, sa.4, ss.153-157, 2003 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 14 Sayı: 4
- Basım Tarihi: 2003
- Dergi Adı: Gazi Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.153-157
- Anahtar Kelimeler: Catheter Complications, Central Catheters, Neonatal Intensive Care (Unit), Umbilical Catheters
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
Purpose: The use of central venous catheters (CVCs) is common practice in modern neonatal intensive care. We carried out a prospective study to investigate the success and complication rates of central venous catheterization in our neonatal intensive care unit. Methods: The results of all central venous catheter placements in our neonatal intensive care unit were documented and analyzed in the 1-year period between May 2003 and April 2004. Results: Forty-eight umbilical venous catheters (UVCs), 21 peripherally inserted central catheters (PICCs) and 4 central lines by a guide wire, of the subclavian vein were inserted during the study period. The insertion success rates for UVCs and PICCs were 89.6% and 77.7%, respectively. The mean catheter survival was 13.7 ± 5.8 days with a maximum of 26 days for PICC lines and 6.9 ± 3.4 days with a maximum of 14 days for UVCs. Complications included bleeding at the puncture site in 1 case (4.8%), and transient bradycardia in 1 case (4.8%). One (4.8%) of the PICC lines became occluded during the period of use. Four (19.1%) PICCs were confirmed to be infected based on blood and line-tip cultures. Pericardial effusion developed in 1 infant due to the UVC. Conclusion: The use of central venous catheters is feasible and safe in neonates in our experience. However, we suggest that every patient with a central venous catheter be followed up cautiously in case of any complication related to the catheter.