SOC
Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

eISSN: 3023-7289
Creative Commons CC BY-NC-ND 4.0 International License.

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Original Article
Features of surgical line managements in Baku
Abstract
Aims: Central venous catheters (CVC) have become an acceptable form of permanent access in patients with limited access options. Proper management of this procedure is crucial for a successful treatment period. Therefore, we aim to demonstrate our insertion steps and discuss our findings with the literature, highlighting the successful outcomes we have achieved.
Methods: After the approval of the hospital directorate, central catheters were inserted into pediatric patients at a Children’s Hospital in Baku through a retrospective review of patient notes over the last two years. Experienced or inexperienced staff, operating theatre or ward, emergent or elective insertions, catheter diameters, catheter dimensions, selected models, number of lumens, reason for insertion, insertion method, fixation methods, dressings, and locations of catheter tips are evaluated. Also, companies that produce catheters are mentioned.
Results: Sixty-three CVC insertions were performed via CVC between 2021 and 2023. Forty-one catheters were inserted by senior staff. Sixty-one were inserted in the operating theatre. Fifty-four were emergent applications. Mainly, 6.5 and 7 French lines were used. Three different international companies supplied the catheters. Half of the catheters used were double-lumen. Oncology diseases were the most common reasons for insertions (n=40). Seldinger’s method was the main one chosen for insertions (n=59). Prolene sutures are mainly used to fix catheters. After insertions, iodine dressings (tegaderm®) are commonly used (n=48). The right atrium was the principal place for the lumen tip (n=39).
Conclusion: Our procedures for central venous catheterizations are similar to those in the literature. Nevertheless, the catheter might be positioned at the ending area of the superior vena cava. We observed no harm in the patients with the right atrium location. Also, fixation and trademarks might be matters of evaluation about the effectiveness of procedures.

Keywords : Children, central venous catheters, features

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Article available in :
Volume 1, Issue 4, 2024
Page : 75-78
https://doi.org/10.51271/SOC-0018
Article Information
Received : 30 Eyl 2024
Accepted : 18 Eki 2024
Published : 05 Ara 2024
Corresponding Author :

İlhama Jafarli: Department of Chelsea and Westminster Hospital, London, UK

[email protected]
Citation : Jafarli İ, Musayev A. Features of surgical line managements in Baku. Surg Child. 2024;1(4):75-78.

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