Öz
Central venous catheterization is an interventional technique which is frequently used in intensive care unit for diagnosis and treatment. Central venous cannulation may lead to complications that arterial punction. vasculer erosion, thrombozis, malposition and infection. In this article we aimed to evaluate catheter malposition in central catheter placed two patients. We placed central catheters with different indications to two patients who were 19 and 72 years old. We did not experienced any complications while inserting catheters. After the procedure we have seen like the catheters was misplaced on the control PA graphies. We aimed to emphasize radiologic screaning after catheterization in detecting catheter malposition. However ultrasound quided central venous catheterization can prevent this kind of malpositions and decrease complication ratios
Anahtar Kelimeler
Kaynakça
- Morgan GE Jr, Mikhail MS, Murray MJ. Patient monitors. In: Morgan GE Jr, Mikhail MS, Murray MJ, editors. Clinical anesthesiology. 4th ed. New York: McGraw-Hill Companies Inc; 2006 p. 100-2.
- Ruesch S, Walder B, Tramer MR. Complications of central venous catheters: internal jugular versus subclavian access –a systematic review. Crit Care Med 2002;30:454-60.
- Bailey SH, Shapiro SB, Mone MC, et al. Is immediate chest radiograph necessary after central venous catheter placement in a surgical intensive care unit? Am J Surg 2000;180:517-22.
- Guth AA. Routine X-rays after insertion of implantable long-term venous catheters: necessary or not? American Surgery 2001;67:26-9.
- Paoletti F, Ripani U, Antonelli M, Nicoletta G. Central venous catheters. Observations on the implantation technique and its complications. Minerva Anestesiol 2005;71:555-60.
- Turan S, Ayık İ, Aydınlı B, Güçlü Ç, Kazancı D, Taş M, Ökten S, Erdemli Ö. Inadvertent vertebral vein catheterisation during transjugular vein cannulation: a rare complication. Türk Göğüs Kalp Damar Cerrahisi Dergisi 2013;21:776-8.
- Batra RK, Guleria S, Mandal S. Unusual complication of internal jugular vein cannulation. Indian J Chest Dis Allied Sci 2002;44:137-9.
- Wicky S, Meuwly JY, Doenz F et al. Lifethreatening vascular complications after central venous catheter placement. Eur Radiol 2002;12:901-7.
- Hohlrieder M, Schubert HM, Biebl M, Kolbitsch C, Moser PL, Lorenz IH. Successful aspiration of blood does not exclude malposition of a large-bore central venous catheter. Can J Anaesth 2004;51:89-90.
- Rando K, Castelli J, Pratt JP, Scavino M, Rey G, Rocca ME, Zunini G. Ultrasound-guided internal jugular vein catheterization: a randomized controlled Trial. Heart Lung Vessel. 2014;6:13-23.
Öz
Santral venöz kateterizasyon yoğun bakımda tanı ve tedavi için sıklıkla kullanılan girişimsel bir tekniktir. Santral venöz kateterizasyon arter ponksiyonu, damar erozyonu, tromboz, malpozisyon ve enfeksiyon gibi komplikasyonlara neden olabilir. Biz bu makalede santral kateter yerleştirilen iki hastadaki kateter malpozisyonunu değerlendirmeyi amaçladık. 19 ve 72 yaşlarında iki hastamıza farklı iki endikasyonla santral venöz kateter yerleştirdik. Her iki hastada işlem sırasında herhangi bir komplikasyon gelişmedi. Ancak işlem sonrasında çekilen akciğer grafisinde kateter malpozisyonlarını tespit ettik. Kateter malpozisyonlarının belirlenmesinde işlem sonrası radyolojik görüntülemenin önemini vurgulamayı amaçladık. Ayrıca ultrason eşliğinde santral venöz kateterizasyon bu tür malpozisyonları önleyebilir ve komplikasyon oranlarını azaltabilir
Anahtar Kelimeler
Kaynakça
- Morgan GE Jr, Mikhail MS, Murray MJ. Patient monitors. In: Morgan GE Jr, Mikhail MS, Murray MJ, editors. Clinical anesthesiology. 4th ed. New York: McGraw-Hill Companies Inc; 2006 p. 100-2.
- Ruesch S, Walder B, Tramer MR. Complications of central venous catheters: internal jugular versus subclavian access –a systematic review. Crit Care Med 2002;30:454-60.
- Bailey SH, Shapiro SB, Mone MC, et al. Is immediate chest radiograph necessary after central venous catheter placement in a surgical intensive care unit? Am J Surg 2000;180:517-22.
- Guth AA. Routine X-rays after insertion of implantable long-term venous catheters: necessary or not? American Surgery 2001;67:26-9.
- Paoletti F, Ripani U, Antonelli M, Nicoletta G. Central venous catheters. Observations on the implantation technique and its complications. Minerva Anestesiol 2005;71:555-60.
- Turan S, Ayık İ, Aydınlı B, Güçlü Ç, Kazancı D, Taş M, Ökten S, Erdemli Ö. Inadvertent vertebral vein catheterisation during transjugular vein cannulation: a rare complication. Türk Göğüs Kalp Damar Cerrahisi Dergisi 2013;21:776-8.
- Batra RK, Guleria S, Mandal S. Unusual complication of internal jugular vein cannulation. Indian J Chest Dis Allied Sci 2002;44:137-9.
- Wicky S, Meuwly JY, Doenz F et al. Lifethreatening vascular complications after central venous catheter placement. Eur Radiol 2002;12:901-7.
- Hohlrieder M, Schubert HM, Biebl M, Kolbitsch C, Moser PL, Lorenz IH. Successful aspiration of blood does not exclude malposition of a large-bore central venous catheter. Can J Anaesth 2004;51:89-90.
- Rando K, Castelli J, Pratt JP, Scavino M, Rey G, Rocca ME, Zunini G. Ultrasound-guided internal jugular vein catheterization: a randomized controlled Trial. Heart Lung Vessel. 2014;6:13-23.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Haziran 2015 |
| Yayımlandığı Sayı | Yıl 2015Sayı: 2 |