Edaigbini Sunday Adoga, Aminu Muhammad Balarabe, Delia Ibrahim Zira, Bosan Istifanus Bala, Orogade Adeola Abosede, Anumenechi Ndubuisi
Division of Cardiothoracic Surgery, ABU, Zaria, Nigeria.
Department of Medicine, ABU, Zaria, Nigeria.
Niger Med J. 2019 May-Jun;60(3):138-143. doi: 10.4103/nmj.NMJ_238_16.
Central venous catheterization is an uncommon procedure in most hospitals in the West African subregion. This article presents our initial experience with central line insertion.
Catheter sizes ranged from 5 fr for children and 7 fr for adult for intravenous therapy, while size 7 fr polyurethane catheters were used for children requiring hemodialysis and sizes 12-14 fr silicone catheters for adolescents and adults requiring hemodialysis'. Data were collected prospectively using a structured pro forma over a 2-year period (June 2010-May 2012) and analyzed with SPSS 15.
A total of 77 lines were inserted four as tunneled lines and 73 as nontunneled lines. Forty-seven (61.0%) patients were male, 30 (39.0%) were female, with age range of 1-80 years. The success rate was 97.4%. The overall complication rate was 16.9%.
Our initial experience with the use of central venous lines, was marked by a high success rate, few manageable complications and no mortality over the study period. Majority of insertions were done by the bedside under local anesthesia lending credence to the assertion that it is a relatively safe procedure that can be done by any adequately trained doctor and should, therefore, be encouraged in our hospitals.
在西非次区域的大多数医院，中心静脉置管是一种不常见的操作。本文介绍了我们进行中心静脉置管的初步经验。
用于静脉治疗的导管尺寸，儿童为5F，成人为7F；需要血液透析的儿童使用7F聚氨酯导管，需要血液透析的青少年和成人使用12 - 14F硅胶导管。在2年期间（2010年6月至2012年5月），使用结构化表格前瞻性收集数据，并使用SPSS 15进行分析。
共插入77根导管，其中4根为隧道式导管，73根为非隧道式导管。47例（61.0%）患者为男性，30例（39.0%）为女性，年龄范围为1至80岁。成功率为97.4%。总体并发症发生率为16.9%。
我们使用中心静脉导管的初步经验表明，在研究期间成功率高，并发症易于处理，且无死亡病例。大多数置管是在局部麻醉下于床边进行的，这支持了以下观点：这是一种相对安全的操作，任何经过充分培训的医生都可以进行，因此应在我们的医院中鼓励开展。
