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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
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Assessment of central venous catheterization and complications in a tertiary pediatric intensive care unit

İlknur Tolunay1, R Dinçer Yıldızdaş1, Hüseyin Elçi2

  • 1Intensive Care Unit, Çukurova University Faculty of Medicine, Adana, Turkey.

The Turkish Journal of Pediatrics
|August 14, 2018
PubMed

Insights

Central venous catheter (CVC) use in pediatric intensive care is associated with complications like bloodstream infections and thrombosis. Implementing precautions during CVC insertion and daily use can help reduce these risks in critically ill children.

Area of Science:

  • Pediatric Intensive Care Medicine
  • Infectious Diseases
  • Vascular Access

Background:

  • Central venous catheterization (CVC) is crucial for critical pediatric patients.
  • Understanding CVC-related complications is vital to reduce mortality and morbidity.
  • Tertiary pediatric intensive care units require specific data on CVC safety.

Purpose of the Study:

  • To evaluate the incidence and types of central venous catheter and catheter-related complications.
  • To analyze risk factors and outcomes associated with CVC use in a tertiary pediatric intensive care unit.
  • To inform best practices for CVC management in critically ill children.

Main Methods:

  • Prospective evaluation of 155 central venous and/or hemodialysis catheters in 106 pediatric patients.
  • Data collection included patient demographics, catheter insertion details, and complications.
  • Catheter dwell time and outcomes such as infection and thrombosis were recorded.

Main Results:

  • 14.2% of catheters were removed due to complications.
  • Catheter-related bloodstream infections occurred in 5.1% of patients.
  • Positive blood cultures were found in 14.2% of cases, with longer dwell times for these catheters.
  • Catheter thrombosis occurred in 3 patients, associated with infection/sepsis or neurological disease.

Conclusions:

  • Central venous catheter complications are multifactorial.
  • Proactive measures during catheter replacement and daily care are essential for complication reduction.
  • This study highlights the importance of vigilant monitoring and management of CVCs in pediatric intensive care settings.

Keywords:
central venous cathetercomplicationinfectionpediatric intensive carethrombosis

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