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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1. Burek AG, Bumgardner C, Liljestrom T, et al. Use of central venous access devices outside of the pediatric intensive care units.Pediatr Res. Published online June 27, 2024. doi:10.1038/s41390-024-03337-7
2. Belviranlı AK, Kesim Ç. Fifteen years of central catheter applications and outcomes in intensive care patients: a single-center pediatric experience.J Vasc Access. 2024;25(1):210-217. doi: 10.1177/11297298221075214
3. Kundavaram R, Rosilyn AA, Chaudhary NK, Tadepalli K, Malik S. Safety and utility of various intravenous access devices in a newly established paediatric hematology oncology unit in central india: is midline an acceptable option? Future Health. 2023;1(1):28-33.
4. Maki DG, Kluger DM, Crnich CJ. The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies. Mayo Clin Proc. 2006;81(9):1159-1171. doi: 10.4065/81.9.1159
5. Córdova JAC, Surian SGJ, de la Cruz MEC, Ruiz MAV, de la Cruz García C. Compliance with nursing interventions for central venous catheter maintenance in pediatric patients. Sanus. 2023;8:e327 doi:10.36789/revsanus.vi1.327
6. Misirlioglu M, Yildizdas D, Yavas DP, Ekinci F, Horoz OO, Yontem A. Central venous catheter insertion for vascular access: a 6-year single-center experience. Indian J Crit Care Med. 2023;10:748-753 doi:10.5005/jp-journals-10071-24536
7. Pittiruti M, Crocoli A, Zanaboni C, et al. The pediatric DAV-expert algorithm: a GAVeCeLT/GAVePed consensus for the choice of the most appropriate venous access device in children.J Vasc Access. Published online June 10, 2024. doi:10.1177/11297298241256999
8. Hanaki S, Katayama S, Nakada S. The effectiveness of pediatric central venous access device surveillance and rounding team: a single-center study. Cureus. 2024;16(4):e57855. DOI 10.7759/cureus.57855
9. Comber ER, Keogh S, Nguyen LN, Byrnes J, Ullman AJ. Implementation frameworks, strategies and outcomes in optimizing central venous access device practice in pediatrics: a scoping review. J Adv Nurs. 2024;19:1-13. doi:10.1111/Jan. 16268
10. O’Grady NP, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis. 2011 1;52(9):e162- e193.
11. Neumann C, Breil M, Schild A, Schenk A, Jakobs P, Mikus M et al. Central venous catheter tip positioning using ultrasound in pediatric patients-A prospective observational study. Pediatr Anesth. 2024;34(6):551-558.
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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