GKD Anest Yoð Bak Dern Derg. 2018; 24(1): 29-34 | DOI: 10.5222/GKDAD.2018.029

Our experiences in central venous catheterization in intensive care unit: Retrospective Evaluation

Mehmet Salim Akdemir¹, Ebru Tarýkçý Kýlýç¹, Haluk Kýlýç², Seher Altýnel^3
1Ümraniye Reseach and Education Hospital, Anesthesiology And Reanimation
²Bayrampaþa State Hospital, Microbiology And Clinical Microbiology
³Ankara Oncology Reseach and Education Hospital, Anesthesiology And Reanimation

INTRODUCTION: The difficulty of accessing recurrent intravenous (IV) routes in intensive care unit (ICU) patients is a frequently encountered problem. Central venous catheterization has been increasingly used. The aim of this study was to evaluate retrospectively the successfull catheterization incidence and complications of juguler and subclavian central venous catheterization.
METHODS: We retrospectively reviewed the files of 211 ICU patients who underwent central venous catherisation between January 2010-March 2013. Patients demographic data, primary diagnoses, number of interventions, the frequency of complications, were recorded. Patients were evaluated as right internal jugular vein (Group J) and right subclavian vein (Group S) groups according to their entrance.
RESULTS: 72 patients (%34.1) were female and 139 (%65.9) were male. The ages ranged from 28-96 years and the mean age was 70.89 +11.32 years. %55.9 internal juguler catheterisations were performed and %44.1 subclavian catheterisations were performed. The complication seen in %13.7 (29) due to the infection %31 (n: 9), %24.2 (n: 7) pneumothorax, %44.8 (n: 13) haematoma.
DISCUSSION AND CONCLUSION: Central venous catheterization is an important issue both in follow-up and management period of the patients, but have some complications. Close observation of patients after catheterization is considerable for determining and management of complications.

Keywords: Central Venous Catheterisation, Intensive Care Unit, Central Venous Catheterisation Complications

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Yoðun Bakým Ünitesinde Santral Venöz Kateter Deneyimlerimiz: Retrospektif Deðerlendirme

Mehmet Salim Akdemir¹, Ebru Tarýkçý Kýlýç¹, Haluk Kýlýç², Seher Altýnel^3
1Ümraniye Eðitim Ve Araþtýrma Hastanesi, Anesteziyoloji Ve Reanimasyon
²Bayrampaþa Devlet Hastanesi, Mikrobiyoloji Ve Klinik Mikrobiyoloji
³Ankara Onkoloji Eðitim Ve Araþtýrma Hastanesi, Anesteziyoloji Ve Reanimasyon

GÝRÝÞ ve AMAÇ: Yoðun bakým ünitesinde yatan hastalarda yineleyen intravenöz (IV) yollara ulaþýmýn zorluðu çok sýk karþýlaþýlan bir sorundur. Santral venöz kateterizasyon (SVK) bu yüzden sýk kullanýlan bir yöntemdir. Çalýþmamýzýn amacý, hastanemizin yoðun bakým ünitesinde gerçekleþtirilen juguler ve subklavyen santral venöz kateter yerleþtirme iþlemlerimizdeki baþarý oraný ve komplikasyon sýklýðýný retrospektif olarak deðerlendirmektir.
YÖNTEM ve GEREÇLER: Çalýþmamýzda Ocak 2010 – Mart 2013 tarihleri arasýnda kliniðimizde santral venöz kateter uygulanan 211 hastanýn demografik verileri, primer tanýlarý, giriþim sayýsý, komplikasyon sýklýðý kaydedildi. Hastalar giriþ venlerine göre sað internal juguler ven (Grup J) ve sað subklavyen ven (Grup S) olarak deðerlendirildi.
BULGULAR: Hastalarýn 72’si (%34.1) kadýn 139’u (%65.9) erkekti. Hastalarýn yaþ aralýklarý 28-96, yaþ ortalamasý ise 70,89±11,32 yýldýr. Olgularýn %55,9’una (n=118) Juguler kateter, %44,1’ine (n=93) Subklavyen kateter uygulanmýþtýr. Komplikasyon %13,7’sinde (n=29) saptanmýþtýr. Bu olgularýn %31,0 (n=9) enfeksiyon, %24,2’sinde (n=7) pnömotorax ve %44,8’inde (n=13) hematom gözlenmiþtir.
TARTIÞMA ve SONUÇ: SVK oldukça sýk baþvurulan ve ciddi komplikasyon riski olan giriþimsel bir iþlemdir. SVK takýlmasý sonrasýnda olgularýn yakýn takibinin komplikasyonlarýn sýklýðýný azaltýp erken tanýnmasýna yol açacaðý düþüncesindeyiz.

Anahtar Kelimeler: Santral venöz kateterizasyon, yoðun bakým, santral venöz kateterizasyon komplikasyonlarý

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