Ateş Ufuk, Derme Turan, Yılmaz Yavuz, Özkan-Ulu Hülya, Canpolat Fuat Emre
Department of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey.
Neonatal Intensive Care Unit, Zekai Tahir Burak Woman Health Training and Research Hospital, Ankara, Turkey.
Turk J Pediatr. 2018;60(5):478-481. doi: 10.24953/turkjped.2018.05.002.
Ateş U, Derme T, Yılmaz Y, Özkan-Ulu H, Canpolat FE. Ultrasound guided percutaneous central venous catheters in neonatal intensive care unit. Turk J Pediatr 2018; 60: 478-481. Central venous catheters can be life-saving, especially in very low birth weight and sick newborns for whom peripheral access is difficult. However, the placement of a central venous catheter is technically difficult, especially in premature and newborn infants. To demonstrate the efficacy of placement of central venous catheters under guidance of ultrasonography (US) in neonatal intensive care units. The patients who were hospitalized in newborn intensive care unit and central venous catheters were placed into the internal jugular vein under the guidance of US were analyzed retrospectively. Successful cannulation rate was 90.9% in patients. The rate of success at first attempt was 68.1% in patients. The rate of three and more attempts was 9.1% in patients. The rate of complication was 9.1% in patients. The average intervention time was 8 minutes in patients. Central venous cannulation under the guidance of two-dimensional US is an effective method which can be easily and safely applied to low birth weight premature and newborn infants in newborn intensive care units.
阿泰什·U、德尔梅·T、伊尔马兹·Y、厄兹坎 - 乌鲁·H、坎波拉特·FE。新生儿重症监护病房中超声引导下经皮中心静脉置管。《土耳其儿科学杂志》2018年；60: 478 - 481。中心静脉置管可能挽救生命，尤其是对于极低出生体重和病情较重、外周血管穿刺困难的新生儿。然而，中心静脉置管操作在技术上具有难度，尤其是在早产儿和新生儿中。目的是证明在新生儿重症监护病房中超声引导下放置中心静脉导管的有效性。对在新生儿重症监护病房住院且在超声引导下将中心静脉导管置入颈内静脉的患者进行回顾性分析。患者的成功置管率为90.9%。患者首次尝试的成功率为68.1%。患者三次及以上尝试的比例为9.1%。患者的并发症发生率为9.1%。患者的平均干预时间为8分钟。二维超声引导下的中心静脉置管是一种有效的方法，可轻松、安全地应用于新生儿重症监护病房中的低出生体重早产儿和新生儿。
