Central venous catheterization in pediatric burn patients: Six-year clinical outcomes in a single center experience


Keskin G., Akin M., Saydam S., Şenayli Y., Kurt D. T. , Özmert S., ...More

Anestezi Dergisi, vol.26, no.3, pp.175-179, 2018 (Refereed Journals of Other Institutions) identifier

  • Publication Type: Article / Article
  • Volume: 26 Issue: 3
  • Publication Date: 2018
  • Title of Journal : Anestezi Dergisi
  • Page Numbers: pp.175-179
  • Keywords: Burn, Central venous catheter, Pediatric patient

Abstract

© 2018 Anestezi Dergisi. All rights reserved.Objective: There is a limited number of studies in which the central venous catheterization practices in pediatric burn patients is discussed. The aim of this study is to share 6 years of experience of central venous catheterization practices performed by the department of anesthesia in a pediatric burn intensive care unit. Method: Anesthesia forms and laboratory records of 84 pediatric patients, who underwent central venous catheterization by the anesthesiologists in the pediatric burn intensive care unit of Ankara Child Health and Diseases Hematology-Oncology Training and Research Hospital between January 2009-December 2015, were retrospectively analyzed. Results: Between January 2009-December 2015, 122 central venous catheters were inserted in 84 pediatric burn patients aged between 15 days and 17 years. In 73 patients (59.8%) the internal jugular vein and in 49 patients (40.2%) femoral vein were preferred for catheterization. 63.9% of the patients were aged 4 years or under. No major complications were encountered during and after the catheterization. Acinetobacter species was the most isolated organism from the catheter cultures. Conclusion: Burn injury more than 40% of total burn surface area is responsible for the mortality regardless of the localization of the catheter and the cause of burn. Although not statistically significant, infection rates were high in the catheterization of the femoral vein.