Internal Jugular Vein Catheterization by Cardiac Anesthesia Flow after Six Months of Training by Landmark Anatomical Method in Children Undergoing Congenital Cardiac Surgery
Central venous catheterization is an important procedure for children undergoing heart surgery. The aim of this study was to evaluate the effect of anatomical landmark technique by the Cardiac Anesthesia Fellowship after six months of training on internal jugular vein access in children under 6 years of age undergoing congenital heart surgery
A total of 70 children under 6 years of age who underwent heart surgery were prospectively analyzed with internal jugular vein catheterization. All catheterizations were performed by cardiac anesthesia fellowship assistants (who were trained for 6 months). Information including demographic characteristics, success rate, and catheter-related adverse events was recorded
The success rate of catheter placement in the right internal jugular vein in the first attempt was 68.5% (48 cases). The success rate in the second and more attempts was 21.5% (15 cases) and the failure rate (catheter insertion from another central femoral vein or subclavian vein) was 10% (7 cases). In the first successful attempt, the most uncomplicated cases were 48.5% (34 cases) and in the second and subsequent successful cases (maximum 4 times), arrhythmic complication was predominant and arterial puncture was observed in a total of 51.5% (36 cases) .
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