Static Ultrasonographic Assessment for Central Venous Catheterization Reduces Catheter Dysfunction in the Emergency Department
Journal of Diagnostic Medical Sonography, cilt.40, sa.6, ss.555-561, 2024 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 40 Sayı: 6
- Basım Tarihi: 2024
- Doi Numarası: 10.1177/87564793241252168
- Dergi Adı: Journal of Diagnostic Medical Sonography
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Biotechnology Research Abstracts, CINAHL
- Sayfa Sayıları: ss.555-561
- Anahtar Kelimeler: and vascular access, Central venous catheterization, emergency medicine, ultrasonography
- Çukurova Üniversitesi Adresli: Evet
Özet
Objective: This study aimed to investigate the effect of a static ultrasonographic (US) examination of the central venous structures before central venous catheterization (CVC) and the success of the procedure. Materials and Methods: In this prospective study, patients who underwent CVC, in an emergency department (ED), were divided into two groups: patients who underwent CVC using the anatomical landmark technique (n = 34) and patients who underwent CVC using a static US examination (n = 33). The procedure times, success rates, and number of catheters used were compared. Results: A total of 67 patients who underwent CVC were included in the study. Compared with the anatomical landmark technique, the static US examination had a higher procedural success rate (P =.001), fewer total interventions (P =.001), and fewer postprocedural catheter dysfunctions (P =.048). While there was no difference in the duration of the CVC between groups (P =.222), the total time spent was longer using a static US examination (P =.022). Conclusion: The static US examination was a practical, easy-to-apply method that could be used for CVC placement in an ED. This study demonstrated sonography had a high success rate in CVC procedures and contributed to a reduction in the number of interventions and catheters used.