A summary of cases of central venous catheterization in infants; [Infantlarda santral venöz kateterizasyon deneyimlerimiz]
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Date
2007
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Abstract
Objective: The purpose of this study is to analyze the features of central venous catheterization (CVC) procedures, retrospective evaluation of the problems observed during catheter insertion up until its withdrawal of them and discuss the results according to the literature in infant cases. Method: Between March 2004 and May 2005, central venous catheters administered to 27 infants by consultant anesthesiologists for follow-up in non-cardiac surgery and Pediatric Intensive Care Unit were evaluated retrospectively with demographic data, primary disease, the place of catheterization and complications. Results: Thirteen of the cases (48.1 %) were younger than 6 months and the rest (51.9%) were older than 6 Months. Sixteen of the infants (59.3%) were female and 11 (40.7%) were male. Fifteen CVC (55.6%) were administered into the internal jugular vein and 12 (44.4%) into the subclavian vein. The mean catheterization time was 5.9±52 days. Arterial punctures during catheterization were observed in 3 of the cases (11.1 %). There was no relationship between arterial puncture and the place of catheterization or the age of infants. Blood could be aspirated in 15 (55.6%) of the infants. There was no relationship between administration site and blood aspiration (p>0.05). Conclusion: In pediatric patients, the complications of CVCs are closely related to age, body size and the experience of the anesthesiologist. The optimum administration place depends on the experience of the anesthesiologist and the clinical condition of the case.