Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report

Alkış, Neslihan; dindar, hüseyin; Kucuk, Gonul; Gollu, Gulnur; YILDIRIM GUCLU, CIGDEM; Meco, Basak Ceyda; alanoglu, zekeriyya

doi:10.5222/jarss.2020.30592

Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report

Çiğdem YILDIRIM GÜÇLÜ, (Ankara Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Ankara, Türkiye)

Gülnur GÖLLÜ, (Ankara Üniversitesi, Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Başak Ceyda MEÇO, (Ankara Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Ankara, Türkiye)

Gönül KÜÇÜK, (Ankara Üniversitesi, Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Zekeriya ALANOĞLU, (Ankara Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Ankara, Türkiye)

Hüseyin DİNDAR, (Ankara Üniversitesi, Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Neslihan ALKIŞ (Ankara Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Ankara, Türkiye)

Anestezi Dergisi

5 1

Yıl: 2020 Cilt: 28 Sayı: 1 Sayfa Aralığı: 26 - 31 Metin Dili: İngilizce DOI: 10.5222/jarss.2020.30592 İndeks Tarihi: 25-10-2020

Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report

Öz:

Objective: Central venous catheterization is a technically difficult procedure in pediatric patients.Ultrasound guidance is becoming popular during the procedure. This study is designed to examine the success rate of ultrasound guidance during internal jugular vein catheterization and factors influencing the success rate in pediatric patients.Methods: Pediatric patients who underwent central venous catheterization within a period of 12months were included in the study. After routine anesthesia induction and treatment, patientswere positioned for catheterization. Ultrasound-guided catheterization was performed. The performer specified the time to switch cutdown method for catheterization. The patients’ demographic characteristics, the performers’ experience, cannulation side, number of attempts andcomplications were recorded. Success was defined as accomplishment of ultrasound-guidedcatheterization.Results: In 144 out of 180 patients, cannulation was achieved at the first attempt. Only in 8catheterization procedures, more than one performer tried to realize the intervention. Ninepatients had cutdowns for cannulation, which meant that ultrasound guidance was successful incannulation of 171 (95%) patients. Seven cutdowns were performed by the attending physicians,and the other two by residents. Complications as arterial puncture, hemothorax, and pneumothorax were not seen during catheterization.Conclusion: Ultrasonografi is a very useful tool for catheterization in pediatric patients even ininexperienced hands. Experience is an important factor for improving the success.

Anahtar Kelime:

Ultrasonografi ile Deneyimsiz Ellerde Pediyatrik Santral Ven Kateterizasyonu: Ön Rapor

Öz:

Amaç: Santral venöz kateterizasyon pediyatrik hastalarda teknik olarak zor bir işlemdir. İşlem sırasında ultrason rehberliği popüler hale gelmektedir. Bu çalışma, pediyatrik hastalarda internal juguler ven kateterizasyonu sırasında ultrason rehberliğinin başarı oranını ve başarı oranını etkileyen faktörleri incelemek için tasarlanmıştır. Yöntem: 12 ay boyunca santral kateter yerleştirilen pediyatrik hastalar dahil edildi. Rutin anestezi indüksiyonu ve tedavisinden sonra hastalara kateterizasyon için pozisyon verildi. Kateterizasyon ultrason rehberliğinde yapıldı. Ne zaman cut-down’a dönüleceğine kateteri takan kişi karar verdi. Hastaların demografik özellikleri, uygulayıcı deneyimi, kanülasyon tarafı, deneme sayısı ve komplikasyonlar kaydedildi. Başarı, ultrason rehberliği ile kateterizasyon olarak tanımlandı. Bulgular: İlk girişimde 180 hastanın 144’ünde kanülasyon yapıldı. Yalnızca 8 kateterizasyon işleminde, birden fazla kişi deneme yaptı. Dokuz hastada kanülasyon için cut-down kullanıldı, bu da ultrason rehberliğinin 171 (%95) hastanın kanülasyonunda başarılı olduğu anlamına geliyor. Dokuz cut-downın 7’si asistanlar, 2’si uzmanlar tarafından gerçekleştirildi. Kateterizasyon sırasında arteriyel ponksiyon, hemotoraks ve pnömotoraks gibi komplikasyon görülmedi. Sonuç: Ultrasonografi, deneyimsiz ellerde bile pediyatrik hastalarda kateterizasyon için çok yararlı bir araçtır. Deneyim, başarının iyileştirilmesinde önemli bir faktördür.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	YILDIRIM GUCLU C, Gollu G, Meco B, Kucuk G, alanoglu z, dindar h, Alkış N (2020). Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report. , 26 - 31. 10.5222/jarss.2020.30592
Chicago	YILDIRIM GUCLU CIGDEM,Gollu Gulnur,Meco Basak Ceyda,Kucuk Gonul,alanoglu zekeriyya,dindar hüseyin,Alkış Neslihan Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report. (2020): 26 - 31. 10.5222/jarss.2020.30592
MLA	YILDIRIM GUCLU CIGDEM,Gollu Gulnur,Meco Basak Ceyda,Kucuk Gonul,alanoglu zekeriyya,dindar hüseyin,Alkış Neslihan Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report. , 2020, ss.26 - 31. 10.5222/jarss.2020.30592
AMA	YILDIRIM GUCLU C,Gollu G,Meco B,Kucuk G,alanoglu z,dindar h,Alkış N Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report. . 2020; 26 - 31. 10.5222/jarss.2020.30592
Vancouver	YILDIRIM GUCLU C,Gollu G,Meco B,Kucuk G,alanoglu z,dindar h,Alkış N Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report. . 2020; 26 - 31. 10.5222/jarss.2020.30592
IEEE	YILDIRIM GUCLU C,Gollu G,Meco B,Kucuk G,alanoglu z,dindar h,Alkış N "Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report." , ss.26 - 31, 2020. 10.5222/jarss.2020.30592
ISNAD	YILDIRIM GUCLU, CIGDEM vd. "Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report". (2020), 26-31. https://doi.org/10.5222/jarss.2020.30592

APA	YILDIRIM GUCLU C, Gollu G, Meco B, Kucuk G, alanoglu z, dindar h, Alkış N (2020). Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report. Anestezi Dergisi, 28(1), 26 - 31. 10.5222/jarss.2020.30592
Chicago	YILDIRIM GUCLU CIGDEM,Gollu Gulnur,Meco Basak Ceyda,Kucuk Gonul,alanoglu zekeriyya,dindar hüseyin,Alkış Neslihan Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report. Anestezi Dergisi 28, no.1 (2020): 26 - 31. 10.5222/jarss.2020.30592
MLA	YILDIRIM GUCLU CIGDEM,Gollu Gulnur,Meco Basak Ceyda,Kucuk Gonul,alanoglu zekeriyya,dindar hüseyin,Alkış Neslihan Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report. Anestezi Dergisi, vol.28, no.1, 2020, ss.26 - 31. 10.5222/jarss.2020.30592
AMA	YILDIRIM GUCLU C,Gollu G,Meco B,Kucuk G,alanoglu z,dindar h,Alkış N Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report. Anestezi Dergisi. 2020; 28(1): 26 - 31. 10.5222/jarss.2020.30592
Vancouver	YILDIRIM GUCLU C,Gollu G,Meco B,Kucuk G,alanoglu z,dindar h,Alkış N Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report. Anestezi Dergisi. 2020; 28(1): 26 - 31. 10.5222/jarss.2020.30592
IEEE	YILDIRIM GUCLU C,Gollu G,Meco B,Kucuk G,alanoglu z,dindar h,Alkış N "Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report." Anestezi Dergisi, 28, ss.26 - 31, 2020. 10.5222/jarss.2020.30592
ISNAD	YILDIRIM GUCLU, CIGDEM vd. "Ultrasonography for Pediatric Central Vein Catheterisation in Inexperienced Hands: A Preliminary Report". Anestezi Dergisi 28/1 (2020), 26-31. https://doi.org/10.5222/jarss.2020.30592