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    E-ISSN: 2717-9206
    Central Venous Catheretization in Pediatric Intensive Care Unit: a four-years experience
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    Original Research
    VOLUME: 1 ISSUE: 1
    P: 31-38
    August 2014

    Central Venous Catheretization in Pediatric Intensive Care Unit: a four-years experience

    J Pediatr Emerg Intensive Care Med 2014;1(1):31-38
    DOI: 10.5505/cayb.2014.22932
    Rana İşgüder 1
    Gamze Gülfidan 2
    Hasan Agin 1
    İlker Devrim 3
    Utku Karaarslan 1
    Nurettin Ünal 1
    1. Dr. Behçet Uz Çocuk Sagligi Ve Hastaliklari Egitim Ve Arastirma Hastanesi, Çocuk Sagligi Ve Hastaliklari Klinigi, Çocuk Yogun Bakim Ünitesi, Izmir, Türkiye
    2. Dr. Behçet Uz Çocuk Sagligi Ve Hastaliklari Egitim Ve Arastirma Hastanesi, Mikrobiyoloji Laboratuvari, Izmir, Türkiye
    3. Dr. Behçet Uz Çocuk Sagligi Ve Hastaliklari Egitim Ve Arastirma Hastanesi, Çocuk Sagligi Ve Hastaliklari Klinigi, Çocuk Enfeksiyon Hastaliklari Klinigi, Izmir, Türkiye
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    ABSTRACT

    Introduction:

    Central venous catheterization is one of the most important interventions for the treatment and monitorization of the critically ill children. In this study; we aim to review the indications; complications and our success rate of central venous catheterization in our hospital.

    Material and Methods:

    In the present study; the patients who were admitted to Pediatric Intensive Care Unit during the period of January 2008-December 2011 were retrospectively analyzed. The data including age, gender, hospitalization duration, indication for catheterization; the localization of catheterization; duration of catheterization and complications due to catheterization were recorded.

    Results:

    In this period; 1699 patients were admitted to our intensive care unit and a total of 120 catheters were inserted into 100 patients and success rate was found to be 95,2 %. The most preferred site for catheterization was subclavian vein (88%); followed by femoral (8%) and jugular vein (%4). Four events of complications associated with catheterization was observed (3,3%) (2 pneumothorax; 2 artery injury). No catheter related thrombosis nor insertion related infections were observed while; catheter related blood stream infections were found to be 4,6 catheter days per 1000 catheterization days. Infection rate was found to increase with increased duration of catheterization and hospitalization (p<0,01; p=0,003).

    Conclusion:

    Central venous catheterization in pediatric intensive care unit is a safe and uncomplicated procedure in experienced hands. However strategies for decreasing infection related complications should be developed in every intensive care units.

    Keywords: Central venous catheterization, critically ill child, pediatric intensive care unit

    References

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