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

سال انتشار: 1397
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 296

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شناسه ملی سند علمی:

JR_INTJMI-7-2_004

تاریخ نمایه سازی: 15 مهر 1398

چکیده مقاله:

Introduction: This study compares Complications and the Rate of Success on the catheterization byultrasound and Conventional method in emergency department.Methods: This is a descriptive and analytical study. The statistical population of the study is all patientswho referred to the Emergency Department of Imam Khomeini Hospital in Sari and require centralvenous catheter placement through internal jugular vein.Findings: The patients participated in the study consisted of 200 cases, 100 patients in the ultrasoundgroup and 100 cases in the conventional group who underwent intravenous catheterization. There was nosignificant difference between the two groups in terms of gender and age. The most common reasons forcatheterization were shock, MT and ESRD. The number of attempts to catheterize by ultrasound wassignificantly lower than the conventional method (P <0.0001). The mean pain intensity in the ultrasoundgroup was significantly lower than the control group (P = 0.006). Statistical analysis indicated that thelikelihood 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 theconventional 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 ofultrasound during catheterization is significantly reduced, and the number of attempts to catheterize andthe patient s pain are reduced, which increases the patient s satisfaction.

نویسندگان

Seyyed Hosein Montazar

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

Fatemeh Jahanian

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

Seyed Mohammad Hosseininejad

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

Hamed Amini Ahidashti

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