CATHETER COMPLICATIONS IN PARENTERAL NUTRITION
AHMET DİNÇÇAĞ, SELÇUK MERCAN, Y ŞERBETÇİOĞLU, ALP BOZBORA, SELÇUK ÖZARMAĞAN, DEMİR BUDAK
İstanbul Üniversitesi Tıp Fakültesi, Genel Cerrahi A.B.D./Çapa/İSTANBUL
Abstract
In the Department of Surgery of İstanbul Medical Faculty we performed parenteral nutrition to 156 patients between years 1985-1991.
Silastic catheters were placed percutaneously into subclavien vein in 59 patients, into cephalic vein by open incision in 44 patients and percutaneously into jugular vein in 53 patients.
Complications, such as haemopneumothorax was seen in 6 (3.8%) cases, catheter infection in 9 (5.7%) cases, catheter obstruction in 14 (8.9%) cases, haematoma in 4 (2.5%) cases, lymphangitis in 19 (12%) cases, sepsis in 2 (1.2%) cases, and rupture of innominate vein in 1 (0.6%) case.
We conclude that in order to minimize above complications (here should be a team of doctors who can use knowledge and experience at the exact time, with maximum sterilization conditions, during venous access applications.