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Isfahan University of Medical Sciences
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| Document Type
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Latin Dissertation
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| Language of Document
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English
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| Record Number
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107701
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| Doc. No
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T17128
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WB365,M932i,2016
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| Main Entry
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Mousavi, Abbas
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| Title & Author
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Inserting Central Venous Catheter in Emergency conditions in coagulopathic patients in comparison to non-coagulopathic patients\ Abbas Mousavi
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| College
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Schools, Medical
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| Date
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, 2016
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| Degree
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Speciality
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| field of study
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Emergency Medicine
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| Page No
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16p.: diag, tab
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| Note
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This is a research dissertation with project ID: 393723
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عباس موسوی
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| Abstract
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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.
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| Descriptor
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Catheterization, Central Venous
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Catheters, Indwelling
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Emergency Medicine
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Blood Coagulation Disorders
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Ultrasonography
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| Added Entry
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Nasr Isfahani, Mohamad, Thesis advisor
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| Translated Title Supplied by Cataloguer
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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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http://elib.mui.ac.ir/site/catalogue/107701
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