Çocuk Sağlığı ve Hastalıkları Dergisi
2013 , Vol 56 , Num 1
Comparing the complications of ultrasound-guided versus percutaneously inserted central venous catheters in newborn infants in the neonatal intensive care unit
Başkent Üniversitesi Tıp Fakültesi 1Pediatri Yardımcı Doçenti, 2Pediatri Uzmanı, 3Radyoloji Yardımcı Doçenti, 4 Pediatri
Doçenti, 5 Pediatri Profesörü
We compared the complications of ultrasound (US)-guided versus
percutaneously inserted central venous catheters in newborn infants in the
Neonatal Intensive Care Unit (NICU). We retrospectively reviewed the records
of full-term and preterm neonates who needed US-guided and percutaneously
inserted central venous catheters (PICCs). They were divided into two
groups. Newborn infants in the first group had US-guided catheters, while
the second group had PICCs. We compared catheter complications between
the two patient groups. Sixty-six patients were enrolled, with 36 patients in
Group 1 and 30 patients in Group 2. Mean gestational age was 30.3 weeks
in Group 1 and 27.9 weeks in Group 2. Mean birth weight was 1653.72
g in Group 1 and 945.67 g in Group 2. There was a significant difference
(p<0.001) between the two groups. Duration of indwelling catheter (mean)
was 21.61 days in Group 1 and 8.36 days in Group 2, and there was a
significant difference (p<0.001) between the two groups. Catheter-related
infection was found in 9 patients in Group 1 and in 1 patient in Group 2.
There were no differences between the two groups regarding respiratory arrest
in attempts at insertion of catheter and bleeding from catheter. We compared
the complications of US–guided central venous catheters and peripherally
inserted central venous catheters in newborn infants who were observed in
the NICU. This retrospective study showed that US–guided central venous
catheters used in high-risk hospitalized patients were associated with a much
higher rate of catheter-related bloodstream infections (25% versus 0.3%) than
with peripherally inserted central venous catheters.
Anahtar Kelimeler :
yenidoğan bebek, ultrasonografi, santral kateter, periferik santral
kateter, katetere bağlı enfeksiyon