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center : Isfahan University of Medical Sciences
Document Type : Latin Dissertation
Language of Document : English
Record Number : 107701
Doc. No : T17128
Call number : WB365,M932i,2016
Main Entry : Mousavi, Abbas
Title & Author : Inserting Central Venous Catheter in Emergency conditions in coagulopathic patients in comparison to non-coagulopathic patients\ Abbas Mousavi
College : Schools, Medical
Date : , 2016
Degree : Speciality
field of study : Emergency Medicine
Page No : 16p.: diag, tab
Note : This is a research dissertation with project ID: 393723
: عباس موسوی
Abstract : Background: Current study was designed to compare the complications and adverse effects of central venous catheter (CVC) insertion under ultrasound guidance in patients with and without coagulopathy.Methods: In this clinical trial Fifty nine patients who needed CVC for various reasons were enrolled. Patients were divided to two groups of those with and without coagulopathy based on complete blood count (CBC), prothrombin time (PT), partial thromboplastin time (PTT) and international normalized ratio (INR) test results and then CVC was inserted with ultrasound guidance in both groups. The CVC inserting site was examined for hematoma and hemorrhage in four stages at different times.Results: There was no significant difference in the terms of demographic features, catheter lumen size (P=0.43) and number of attempting for CVC placement (odds ratio [OR] = 2.35, 95% confidence interval [CI] = 0.36 to 15.3, P=0.39) between two groups. Seven out of 59 patients suffered from complications (11.9%), that the complications in coagulopathic patients were oozing (5.7%) and superficial hematoma (8.6%), while in non-coagulopathic patients were 4.2% for both complications (OR = 0.54, 95% CI = 0.09 to 3.07, P=0.767)Conclusions: According to our results; it can be concluded that inserting central venous catheter with ultrasound guidance under emergency conditions causes no serious and life-threatening complications in coagulopathic patients.
Descriptor : Catheterization, Central Venous
: Catheters, Indwelling
: Emergency Medicine
: Blood Coagulation Disorders
: Ultrasonography
Added Entry : Nasr Isfahani, Mohamad, Thesis advisor
Translated Title Supplied by Cataloguer : بررسی عوارض و مشکلات ناشی از تعبیه کاتتر ورید مرکزی تحت گاید سونوگرافی در بیماران با اختلال انعقادی در مقایسه با بیماران بدون اختلال انعقادی در بیمارستان الزهرا سال 1393
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Inserting Central Venous Catheter in Emergency conditions...
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