Central Venous Catheter related Complications in Pediatric Intensive Care Unit (PICU) | ||
| Sohag Medical Journal | ||
| Article 33, Volume 22, Issue 2, July 2018, Pages 269-278 PDF (106.92 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/smj.2018.40808 | ||
| Authors | ||
| Nagwa A Mohammed1; Mostfa Ashry Mohamed2; Alzahraa Alsayed Ahmed3 | ||
| 1Demonstrator of Pediatrics, Sohag University Hospital. | ||
| 2Department of Pediatrics ,Faculty of Medicine, Sohag University, Sohag, Egypt. | ||
| 3Department, of Pediatrics,Sohag University Hospital. | ||
| Abstract | ||
| thy objective of this study was to evaluate the use of central venous catheters (CVCs) in the Pediatric intensive care unit (PICU) of Sohag University Hospital . We reviewed the records of all children that had CVCs and were hospitalized between 1st of January 2016 to the end of December 2016. Patients were evaluated with respect to their age, gender, catheter type, indication for CVC insertion, site and side of the body of CVC insertion. The duration of catheter use and eventual complications were also taken into consideration. A total of 115 CVCs were inserted in 100 children. Patient age ranged from 1 month to 16 years. The average catheter insertion time was 12 days. We noted 80 (80%) CVC-related complications. Complications related to CVCs insertion were infection(40%),occlusion(10%),local edema(8%),hematoma(5%), pneumothorax(4%),catheter displacement(4%),hemothorax(4%),thrombosis(3%),air embolism(2%) were complications associated with lenght of CVCs use. We conclude that central venous catheterization is a safe and efficient procedure with many complications in pediatric patients. | ||
| Keywords | ||
| Central venous catheter; indications; Complications; children | ||
|
Supplementary Files
|
||
| References | ||
|
1•Jacobs BR. Central venous catheter occlusion and thrombosis. Crit Care Clin 2003;19:489-514.
2. Polderman KH, Girbes AJ. Central venous catheter use. Part 1: mechanical complications. Intensive Care Med 2002;28:1-17.
3. Çitak A, Karaböcüoğlu M, Üçsel R, Uzel N. Central venous catheters in pediatric patients – subclavian venous approach as thefirst choice. Pediatr Int 2002;44:83-6.
4• Kaur R, Mathai AS, Abraham J. Mechanical and infectious complications of central venous catheterizations in a tertiary-level intensive care unit in northern India. Indian J Anaesth 2012;56:376-81.
5• Ayşe Berna Anıl, Murat Anıl, Berat Kanar, Önder Yavaşcan, Alkan Bal, Esin Albudak, Mehmet Helvacı, Nejat Aksu : Central venous catheterization complications, Turk Arch Ped 2011 ; 46: 207-11.
6• Julije meštrović, Tanja kovačević, Ivanka ercegović, Branka polić, Luka stričević, Ante omazić,Vesna čapkun : Use of central venous catheters in children, Signa vitae2006 ; 1(1): 20 – 24.
7• Sheridan RL, Weber JM. Mechanical and infectious complications ofcentral venous cannulation in children: lessons learned from a 10-yearexperience placing more than 1000 catheters. J Burn Care Res 2006;27: 713-8..
8• Curtis R. Catheter-related bloodstream infection in the intensive care unit. J Intensive Care Soc 2009;10:102-8
9• Venkataraman ST, Thompson AE, Orr RA. Femoral vascular catheterization in critically ill infants and children. Clin Pediatr1997;36:311-9.
10• Ashita Mowar, H S Nanda, R K Goyal : Incidence of Infectious Complications in Central Venous Catheterization: Internal Jugular versus Subclavian Route; Int J Sci Stud 2016 ;3(12):255-260.
11• Thiagarajan RR, Ramamoorthy C, Gettmann T, Bratton SL. : Survey of the use of peripherally inserted central venous catheters in children1997, 99:E4.
12• Jijeh A, Shaath G, Kabbani M, Elbarbary M, Ismaila S. 2014: Ultrasound guided vascular access in pediatric cardiac critical care. J Saudi Heart Assoc 26:199–20.
13• Paiva BSR, Fioretto JR, Paiva CE, Bonatto RC, Carpi MF, Ricchetti SMQ, et al. 2006: Cateterização venosa central em crianças internadas em Unidade de Terapia Intensiva Pediátrica: complicações. Rev Paul Pediatr. , 24(1):35- 41.
14. Salzman MB, Rubin LG. Intravenous catheter-related infections. Adv Pediatr Infect Dis 1995;10:337-68. 26
15• Kim JH, Lee YS, Kim SH, Lee SK, Lim MK, Kim HS. Does umbilical vein catheterisation lead to portal venous thrombosis? Prospective US evaluation in 100 neonates. Radiology 2001;219:645-50.
16• Karapinar, B., & Cura, A.: Complications of central venous catheterization in critically ill children. Pediatrics Internationa 2007l, 49(5), 593- 599.
17• Shefler, A., Gillis, J., Lam, A., O'connell, A. J., Schell, D., & Lammi, A. : Inferior vena cava thrombosis as a complication of femoral vein catheterisation. Archives of disease in childhood 1995, 72(4), 343-345.
18• Koletzko, B., Goulet, O., Hunt, J., Krohn, K., Shamir, R., & Parenteral Nutrition Guidelines Working Group: Guidelines on paediatric parenteral nutrition of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the European Society for Clinical Nutrition and Metabolism (ESPEN), supported by the European Society of Paediatric Research (ESPR). Journal of pediatric gastroenterology and nutrition 2005, 41, S1-S4.
19• Mesiano, E. R. A. B., & Merchán-Hamann, E. : Bloodstream infections among patients using central venous catheters in intensive care units. Revista latino-americana de enfermagem 2007, 15(3), 453-459.
20• O'grady, N. P., Alexander, M., Dellinger, E. P., Gerberding, J. L., Heard, S. O., Maki, D. G., & Raad, I. I. : Guidelines for the prevention of intravascular catheter–related infections. Clinical infectious diseases 2002, 35(11), 1281-1307.
21• Araujo, C. C., Lima, M. C., & Falbo, G. H. : Percutaneous subclavian central venous catheterization in children and adolescents: success, complications and related factors. Jornal de pediatria 2007, 83(1), 64-70. | ||
|
Statistics Article View: 661 PDF Download: 312 |
||
