Toraks Cerrahisi Hastalarında Santral Venöz Kateter Malpozisyonlarının Retrospektif İncelenmesi.

Objectives: Central venous catheter (CVC) placement is a common procedure performed in thoracic surgery practice and in the early postoperative period, a chest X-ray is a routine procedure. The aim of this study was to investigate the prevalence of CVC tip malpositions in thoracic surgery patients. Methods: Chest radiographs of patients who were operated on by thoracic surgeons for 5 years were examined. The region between the lower superior vena cava and the atriocaval junction was assigned as “Position 1,” the middle-upper superior vena cava region was assigned as “Position 2,” the right atrium was assigned as “Position 3,” and the regions outside of these were assigned as “Position 4.” Position 1 was evaluated as “no malposition.” Positions 2, 3, and 4 were evaluated as “there is malposition.” Results: The data of 392 patients were evaluated. Catheters inserted in the left internal jugular vein had the most malposition (73.9%), followed by the catheters inserted in the left subclavian vein (62.2%). A number of 50.2% of catheters were evaluated to be in the right positions. According to the CVC tip positions, there was a statistically significant difference between CVC insertion sites (p<0.001). Malpositions of catheters placed from the left were found to be in Position 2, whereas malpositions of catheters placed from the right were found to be in Position 3. Conclusion: The prevalence of CVC tips outside of the recommended location is a common that is often overlooked. Understanding the factors that may lead to malposition and implementing appropriate measures, we believe and will lessen the risk of malposition. [ABSTRACT FROM AUTHOR]