Comparison of Complications and the Rate of Success of Central Venous Catheters with Ultrasound Guidance or Conventional Methods in Emergency Department

Montazar, Seyyed Hosein; Jahanian, Fatemeh; Hosseininejad, Seyed Mohammad; Amini Ahidashti, Hamed; Bozorgi, Farzad; Goli Khatir, Iraj; Omrani, Hamid Reza

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Volume 7, Issue 2 (6-2018)

Int J Med Invest 2018, 7(2): 21-29

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Comparison of Complications and the Rate of Success of Central Venous Catheters with Ultrasound Guidance or Conventional Methods in Emergency Department

Seyyed Hosein Montazar

, Fatemeh Jahanian

, Seyed Mohammad Hosseininejad

, Hamed Amini Ahidashti

, Farzad Bozorgi ^*

, Iraj Goli Khatir

, Hamid Reza Omrani

Departemant of Emergency Medicine, Mazandaran University of Medical Sciences, Sari, Iran

Abstract: (6336 Views)

Introduction: This study compares Complications and the Rate of Success on the catheterization by ultrasound and Conventional method in emergency department. Methods: This is a descriptive and analytical study. The statistical population of the study is all patients who referred to the Emergency Department of Imam Khomeini Hospital in Sari and require central venous catheter placement through internal jugular vein. Findings: The patients participated in the study consisted of 200 cases, 100 patients in the ultrasound group and 100 cases in the conventional group who underwent intravenous catheterization. There was no significant difference between the two groups in terms of gender and age. The most common reasons for catheterization were shock, MT and ESRD. The number of attempts to catheterize by ultrasound was significantly lower than the conventional method (P <0.0001). The mean pain intensity in the ultrasound group was significantly lower than the control group (P = 0.006). Statistical analysis indicated that the likelihood of complications in the conventional method is 2.91 times that of ultrasound (OR: 2.91, 95% CI: 1.63-5.17, P <0.0001). Although the success rate in ultrasound was approximately 4.26 times the conventional method, this difference was not statistically significant (OR: 4.26, 95% CI: 0.88-20.59, P = 0.052). Conclusion: As suggested by the results of the study, the incidence of complications in the use of ultrasound during catheterization is significantly reduced, and the number of attempts to catheterize and the patient's pain are reduced, which increases the patient's satisfaction.

Keywords: Central Venous Catheterization, Ultrasound, Complications.

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Type of Study: Research | Subject: General

References

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Montazar S H, Jahanian F, Hosseininejad S M, Amini Ahidashti H, Bozorgi F, Goli Khatir I et al . Comparison of Complications and the Rate of Success of Central Venous Catheters with Ultrasound Guidance or Conventional Methods in Emergency Department. Int J Med Invest 2018; 7 (2) :21-29
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