Do not trust landmarks and your feelings while inserting pediatric central venous catheters
Abstract Background Central venous catheterization (CVC) is a commonly used procedure in pediatric surgery and intensive care units. For some reasons, catheterizations in children are technically more difficult in comparison to adult patients. The purpose of this study is to evaluate the CVC procedu...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-12-01
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| Series: | Ain Shams Journal of Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42077-022-00293-4 |
| _version_ | 1797977589527085056 |
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| author | Shahin Azizov Cengiz Sahutoglu Canan Bor Taner Balcioglu |
| author_facet | Shahin Azizov Cengiz Sahutoglu Canan Bor Taner Balcioglu |
| author_sort | Shahin Azizov |
| collection | DOAJ |
| description | Abstract Background Central venous catheterization (CVC) is a commonly used procedure in pediatric surgery and intensive care units. For some reasons, catheterizations in children are technically more difficult in comparison to adult patients. The purpose of this study is to evaluate the CVC procedures performed with the aid of anatomic landmarks by experienced (35, 14, 4 years of experience) anesthesiologists and the associated complications. A total of 498 cases under the age of 18 who underwent CVC (temporary, port, or Hickman) between the years 2014 and 2017 were included in this retrospective study. All catheters were inserted with the aid of anatomic landmarks. Results The mean age of the patients was 47.1 ± 59.2 months and 54.8% were male. By using anatomical landmarks, the average success rate in central venous catheterizations was calculated as 98.6%. Complications developed included arterial puncture in 8% (n 40), temporary arrhythmia in 6.2% (n 31) and pneumothorax in 1.4% (n 7) of the patients. Only using multiple punctures (p = 0.005) and catheterizations lasting more than 10 min (the time to blood return from the catheter, p = 0.017) were found to be associated with complications. The experience of the practitioner had no effect on the development of complications (p = 0.354). Conclusions In CVCs using anatomic landmarks, complications are seen more frequently in children. Even though a decrease in overall complication rates was detected in catheterizations performed by experienced hands, it is seen that experience does not eliminate complications in CVC insertions using anatomic landmarks. |
| first_indexed | 2024-04-11T05:09:28Z |
| format | Article |
| id | doaj.art-3b3b81b1b26b4daf8e5170d308a432c4 |
| institution | Directory Open Access Journal |
| issn | 2090-925X |
| language | English |
| last_indexed | 2024-04-11T05:09:28Z |
| publishDate | 2022-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Ain Shams Journal of Anesthesiology |
| spelling | doaj.art-3b3b81b1b26b4daf8e5170d308a432c42022-12-25T12:05:53ZengSpringerOpenAin Shams Journal of Anesthesiology2090-925X2022-12-011411610.1186/s42077-022-00293-4Do not trust landmarks and your feelings while inserting pediatric central venous cathetersShahin Azizov0Cengiz Sahutoglu1Canan Bor2Taner Balcioglu3Department of Anesthesiology and Reanimation, Ege University School of MedicineDepartment of Anesthesiology and Reanimation, Ege University School of MedicineDepartment of Anesthesiology and Reanimation, Ege University School of MedicineDepartment of Anesthesiology and Reanimation, Ege University School of MedicineAbstract Background Central venous catheterization (CVC) is a commonly used procedure in pediatric surgery and intensive care units. For some reasons, catheterizations in children are technically more difficult in comparison to adult patients. The purpose of this study is to evaluate the CVC procedures performed with the aid of anatomic landmarks by experienced (35, 14, 4 years of experience) anesthesiologists and the associated complications. A total of 498 cases under the age of 18 who underwent CVC (temporary, port, or Hickman) between the years 2014 and 2017 were included in this retrospective study. All catheters were inserted with the aid of anatomic landmarks. Results The mean age of the patients was 47.1 ± 59.2 months and 54.8% were male. By using anatomical landmarks, the average success rate in central venous catheterizations was calculated as 98.6%. Complications developed included arterial puncture in 8% (n 40), temporary arrhythmia in 6.2% (n 31) and pneumothorax in 1.4% (n 7) of the patients. Only using multiple punctures (p = 0.005) and catheterizations lasting more than 10 min (the time to blood return from the catheter, p = 0.017) were found to be associated with complications. The experience of the practitioner had no effect on the development of complications (p = 0.354). Conclusions In CVCs using anatomic landmarks, complications are seen more frequently in children. Even though a decrease in overall complication rates was detected in catheterizations performed by experienced hands, it is seen that experience does not eliminate complications in CVC insertions using anatomic landmarks.https://doi.org/10.1186/s42077-022-00293-4Central venous catheterChildrenComplicationsPediatric surgeryPneumothorax |
| spellingShingle | Shahin Azizov Cengiz Sahutoglu Canan Bor Taner Balcioglu Do not trust landmarks and your feelings while inserting pediatric central venous catheters Ain Shams Journal of Anesthesiology Central venous catheter Children Complications Pediatric surgery Pneumothorax |
| title | Do not trust landmarks and your feelings while inserting pediatric central venous catheters |
| title_full | Do not trust landmarks and your feelings while inserting pediatric central venous catheters |
| title_fullStr | Do not trust landmarks and your feelings while inserting pediatric central venous catheters |
| title_full_unstemmed | Do not trust landmarks and your feelings while inserting pediatric central venous catheters |
| title_short | Do not trust landmarks and your feelings while inserting pediatric central venous catheters |
| title_sort | do not trust landmarks and your feelings while inserting pediatric central venous catheters |
| topic | Central venous catheter Children Complications Pediatric surgery Pneumothorax |
| url | https://doi.org/10.1186/s42077-022-00293-4 |
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