Cargando…
Central Venous Catheter Insertion for Vascular Access: A 6-year Single-center Experience
BACKGROUND: Central venous catheterization is performed for such reasons as hemodynamic monitoring, parenteral nutrition, drug and fluid administration, and extracorporeal treatment. This study aimed to retrospectively review the indications for central venous catheter (CVC) insertion for vascular a...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Jaypee Brothers Medical Publishers
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10613870/ https://www.ncbi.nlm.nih.gov/pubmed/37908424 http://dx.doi.org/10.5005/jp-journals-10071-24536 |
_version_ | 1785128920148869120 |
---|---|
author | Misirlioglu, Merve Yildizdas, Dincer Yavas, Damla Pinar Ekinci, Faruk Horoz, Ozden Ozgur Yontem, Ahmet |
author_facet | Misirlioglu, Merve Yildizdas, Dincer Yavas, Damla Pinar Ekinci, Faruk Horoz, Ozden Ozgur Yontem, Ahmet |
author_sort | Misirlioglu, Merve |
collection | PubMed |
description | BACKGROUND: Central venous catheterization is performed for such reasons as hemodynamic monitoring, parenteral nutrition, drug and fluid administration, and extracorporeal treatment. This study aimed to retrospectively review the indications for central venous catheter (CVC) insertion for vascular access and removal by pediatric intensive care unit (PICU) physicians, catheter types, and catheter-associated complications. MATERIALS AND METHODS: The indications for CVC insertion and removal, catheter insertion site, types of catheters, catheter-associated complications, whether or not insertion was ultrasonographically guided, catheter-associated infections, and duration of use of 1200 catheters used by PICU physicians between 2015 and 2020 were retrospectively reviewed. RESULTS: In all, 315 (26.3%) hemodialysis catheters and 885 (73.8%) CVCs were inserted. Mean duration of catheter use was 12.33 ± 7.28 days. CVCs were inserted most commonly (28.4% [n = 341]) based on the indication of multiple drug infusions. In total, 44.8% of the CVCs were inserted under ultrasonographic guidance. The most common reason for the removal of catheters was that they were no longer needed (76.8% [n = 921]). Catheter-associated bloodstream infection occurred at the rate of 5.5 days per 1000 catheter days. CONCLUSION: Central venous catheterization is becoming more widespread because of the benefits it provides during the follow-up and treatment of children. As central venous catheterization is a more invasive procedure than peripheral localization and is associated with severe complications, especially in pediatric patients, it should be carefully performed under sterile conditions and by experienced personnel based on appropriate indications. Central venous catheters should be removed as soon as the need disappears. HOW TO CITE THIS ARTICLE: Misirlioglu M, Yildizdas D, Yavas DP, Ekinci F, Horoz OO, Yontem A. Central Venous Catheter Insertion for Vascular Access: A 6-year Single-center Experience. Indian J Crit Care Med 2023;27(10):748–753. |
format | Online Article Text |
id | pubmed-10613870 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Jaypee Brothers Medical Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-106138702023-10-31 Central Venous Catheter Insertion for Vascular Access: A 6-year Single-center Experience Misirlioglu, Merve Yildizdas, Dincer Yavas, Damla Pinar Ekinci, Faruk Horoz, Ozden Ozgur Yontem, Ahmet Indian J Crit Care Med Original Article BACKGROUND: Central venous catheterization is performed for such reasons as hemodynamic monitoring, parenteral nutrition, drug and fluid administration, and extracorporeal treatment. This study aimed to retrospectively review the indications for central venous catheter (CVC) insertion for vascular access and removal by pediatric intensive care unit (PICU) physicians, catheter types, and catheter-associated complications. MATERIALS AND METHODS: The indications for CVC insertion and removal, catheter insertion site, types of catheters, catheter-associated complications, whether or not insertion was ultrasonographically guided, catheter-associated infections, and duration of use of 1200 catheters used by PICU physicians between 2015 and 2020 were retrospectively reviewed. RESULTS: In all, 315 (26.3%) hemodialysis catheters and 885 (73.8%) CVCs were inserted. Mean duration of catheter use was 12.33 ± 7.28 days. CVCs were inserted most commonly (28.4% [n = 341]) based on the indication of multiple drug infusions. In total, 44.8% of the CVCs were inserted under ultrasonographic guidance. The most common reason for the removal of catheters was that they were no longer needed (76.8% [n = 921]). Catheter-associated bloodstream infection occurred at the rate of 5.5 days per 1000 catheter days. CONCLUSION: Central venous catheterization is becoming more widespread because of the benefits it provides during the follow-up and treatment of children. As central venous catheterization is a more invasive procedure than peripheral localization and is associated with severe complications, especially in pediatric patients, it should be carefully performed under sterile conditions and by experienced personnel based on appropriate indications. Central venous catheters should be removed as soon as the need disappears. HOW TO CITE THIS ARTICLE: Misirlioglu M, Yildizdas D, Yavas DP, Ekinci F, Horoz OO, Yontem A. Central Venous Catheter Insertion for Vascular Access: A 6-year Single-center Experience. Indian J Crit Care Med 2023;27(10):748–753. Jaypee Brothers Medical Publishers 2023-10 /pmc/articles/PMC10613870/ /pubmed/37908424 http://dx.doi.org/10.5005/jp-journals-10071-24536 Text en Copyright © 2023; The Author(s). https://creativecommons.org/licenses/by-nc/4.0/© The Author(s). 2023 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Original Article Misirlioglu, Merve Yildizdas, Dincer Yavas, Damla Pinar Ekinci, Faruk Horoz, Ozden Ozgur Yontem, Ahmet Central Venous Catheter Insertion for Vascular Access: A 6-year Single-center Experience |
title | Central Venous Catheter Insertion for Vascular Access: A 6-year Single-center Experience |
title_full | Central Venous Catheter Insertion for Vascular Access: A 6-year Single-center Experience |
title_fullStr | Central Venous Catheter Insertion for Vascular Access: A 6-year Single-center Experience |
title_full_unstemmed | Central Venous Catheter Insertion for Vascular Access: A 6-year Single-center Experience |
title_short | Central Venous Catheter Insertion for Vascular Access: A 6-year Single-center Experience |
title_sort | central venous catheter insertion for vascular access: a 6-year single-center experience |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10613870/ https://www.ncbi.nlm.nih.gov/pubmed/37908424 http://dx.doi.org/10.5005/jp-journals-10071-24536 |
work_keys_str_mv | AT misirlioglumerve centralvenouscatheterinsertionforvascularaccessa6yearsinglecenterexperience AT yildizdasdincer centralvenouscatheterinsertionforvascularaccessa6yearsinglecenterexperience AT yavasdamlapinar centralvenouscatheterinsertionforvascularaccessa6yearsinglecenterexperience AT ekincifaruk centralvenouscatheterinsertionforvascularaccessa6yearsinglecenterexperience AT horozozdenozgur centralvenouscatheterinsertionforvascularaccessa6yearsinglecenterexperience AT yontemahmet centralvenouscatheterinsertionforvascularaccessa6yearsinglecenterexperience |