The effect of ultrasound-guided central venous catheterization on complications and success rate in critically ıll children: a multicenter study

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dc.authoridAyhan Yaman /0000-0002-5651-1286
dc.authoridSerhat Emeksiz /0000-0002-8951-4774
dc.authoridTanıl Kendirli /0000-0001-9458-2803
dc.authoridDinçer Yıldızdaş /0000-0003-0739-5108
dc.authoridÇağlar Ödek /0000-0002-2521-3411
dc.authoridMehmet Boşnak /0000-0002-8390-5109
dc.authoridSüleyman Bayraktar /0000-0002-8080-2438
dc.authoridHasan Ağın /0000-0003-3306-8899
dc.authoridAyşe Berna Anıl /0000-0003-3670-3771
dc.authoridNurettin Onur Kutlu /0000-0002-3306-6570
dc.authoridGazi Arslan /0000-0002-8616-3761
dc.authoridBenan Bayrakçı /0000-0003-3307-0948
dc.authoridGökhan Kalkan /0000-0003-1878-9866
dc.authoridOğuz Dursun /0000-0001-5482-3780
dc.authoridEsra Sevketoglu /0000-0002-8330-2877
dc.authoridEbru Azapağası /0000-0002-0684-8219
dc.authoridOktay Perk /0000-0002-2586-5954
dc.authoridHayri Yılmaz /0000-0003-0873-9814
dc.authorscopusidAyhan Yaman /55697653700
dc.authorwosidAyhan Yaman /AAO-2530-2020
dc.contributor.authorYaman, Ayhan
dc.contributor.authorEmeksiz, Serhat
dc.contributor.authorYıldızdaş, Dinçer
dc.contributor.authorKendirli, Tanıl
dc.contributor.authorÖdek, Çağlar
dc.contributor.authorBoşnak, Mehmet
dc.contributor.authorBayraktar, Süleyman
dc.contributor.authorAğın, Hasan
dc.contributor.authorAnıl, Ayşe Berna
dc.contributor.authorKutlu, Nurettin Onur
dc.contributor.authorArslan, Gazi
dc.contributor.authorBayrakçı, Benan
dc.contributor.authorKalkan, Gökhan
dc.contributor.authorDursun, Oğuz
dc.contributor.authorSevketoglu, Esra
dc.contributor.authorAzapağası, Ebru
dc.contributor.authorPerk, Oktay
dc.contributor.authorYılmaz, Hayri
dc.date.accessioned2025-04-17T07:14:30Z
dc.date.available2025-04-17T07:14:30Z
dc.date.issued24 Eylül 2024
dc.departmentİstinye Üniversitesi, Sağlık Hizmetleri Meslek Yüksekokulu, Çocuk Gelişimi Programı
dc.description.abstractObjective: The aims of this study were to compare the results of ultrasound (US) guidance and the landmark (LM) technique for central venous catheter (CVC) placement in pediatric intensive care units (PICUs) as performed by clinicians. Material and Methods: The patients were divided into two groups according to the technique used: an LM group (459 patients) and a US-guided group (200 patients). We evaluated the success rate, the number of attempts, and the complication rates based on each patient’s age and weight. Results: The time required for the successful placement of the CVC was significantly different between the two groups: 10.9±10.8 min in the LM group and 8.1±7.6 min in the US-guided group (p=0.012). Additionally, the average number of attempts for successful catheterization was 1.8±0.8 in the US-guided group; and 2.5 ± 1.4 in the LM group (p=0.024). A total of 115 (17.3%) complications were noted: 24 (3.6%) in the US-guided group and 91 (13.7%) in the LM group (p=0.014). The frequency of complications decreased as the age and weight of the patients increased. When the inserted catheters used by ultrasound were evaluated, 59.5% of them were placed by clinicians who had ultrasound training while 40.5% were inserted by clinicians who did not have ultrasound training. There was no significant difference in the complication rate, number of punctures, and success rates between the ultrasound-trained and untrained clinicians (p=0.476). Conclusion: This is the largest multicenter study comparing the US-guided vs. LM technique for CVC placement in children. We believe that the US-guided CVC procedure is more safe and takes less time than the LM technique. Also, point-of-care ultrasound is useful, beneficial, and easily available for pediatric intensivists.
dc.identifier.citationEmeksiz, S., Kendirli, T., Yıldızdaş, D., Yaman, A., et al. (2024). The Effect of Ultrasound-guided Central Venous Catheterization on Complications and Success Rate in Critically Ill Children: A Multicenter Study. Türkiye Çocuk Hastalıkları Dergisi, 18(5), 281-288. https://doi.org/10.12956/tchd.1442586
dc.identifier.doi10.12956/tchd.1442586
dc.identifier.endpage288
dc.identifier.issn1307-4490
dc.identifier.issue5
dc.identifier.startpage281
dc.identifier.urihttps://doi.org/10.12956/tchd.1442586
dc.identifier.urihttps://dergipark.org.tr/en/pub/tchd/issue/86961/1442586
dc.identifier.urihttps://hdl.handle.net/20.500.12713/6111
dc.identifier.volume18
dc.institutionauthorYaman, Ayhan
dc.institutionauthoridAyhan Yaman /0000-0002-5651-1286
dc.language.isoen
dc.publisherT.C. Sağlık Bakanlığı Ankara Şehir Hastanesi
dc.relation.ispartofTürkiye Çocuk Hastalıkları Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCentral venous catheter
dc.subjectultrasound
dc.subjectpediatric intensive care
dc.titleThe effect of ultrasound-guided central venous catheterization on complications and success rate in critically ıll children: a multicenter study
dc.title.alternativeKritik hasta çocuklarda ultrason eşliğinde santral venöz kateterizasyonun komplikasyonlar ve başarı oranına etkisi: çok merkezli çalışma
dc.typeArticle

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