Çocuklara Anatomik Tanımlama ve ID Ultrasonografi Eşliğinde Perkütan Santral Venöz Kateter Takılması Yöntemlerinin Karşılaştırılması - Tek Merkez Deneyimi.

Objective: With the widespread use of ultrasound by the pediatric cardiac anesthesiologist, the number of successful interventions with time and material saving increased and complications decreased. In this study, we compared the methods of percutaneous central venous catheter (CVC). Insertion using two different methods namely anatomic definition (AD) and ultrasonography (US). Method: A total of 293 cases, under 10 kg, randomly, and retrospectively divided into two groups as AD (n=151) and US (n=142). The CVC was inserted into the right/left internal jugular vein (IJ), the right/left femoral vein (FV), and the right/left subclavian vein (SCV). Parameters such as demographic characteristics of the patients, catheter insertion sites, procedures, and their durations, number of surgical catheter insertions and complications were compared between groups.. Results: Demographic data of the groups were compared:, and age (1 day-4.5 years), weight (560 gr-10 kg), height (23-103 cm) and gender of the patients did not differ between groups (p≥0.05). Rates (%) of CVC insertion into right/left IJ, right/left FV, right SCV, surgical femoral vein/right atrium were 82, 6, 6, 2, 2, and 2% in the AD, and 89, 9, 1, 0, 0, and 0% in the US groups, respectively (p<0,05). The number of CVC interventions ranged between 1-26 (6.7±17.7) times in the AD and 1-4 times (1.23±0.5) in the US groups (p<0.05). The duration (minute) of CVC insertion ranged between 16-231 (45.2±47.5) mins in the AD and 11-82 (16.1±13.8) mins in the US group (p<0.05). Rates of complications encountered were bleeding, hematoma, circulatory disorder, nerve damage, prolonged hospitalization,and mortality (AD 11, 9, 7, 3, 4, 1%, and US 1, 2, 0, 0, 0, 0%, respectively (p<0.05). Conclusion: Catheterization in pediatric cardiac anesthesia can be done by anatomical description or via ultrasonographic guidance. We believe that it causes a decrease in the complications while leading to an improvement in time and successful intervention. [ABSTRACT FROM AUTHOR]