Santral Damar Yolu Kateterizasyonu İlkeleri
Özet
Santral damar yolu kateterizasyonu, halen acil servis ve yoğun bakım hastalarının resüsitasyonu ve bakımında önemli bir rol oynamaktadır. İleri hemodinamik monitörizasyon, hızlı sıvı akışı sağlanması, venöz pacemaker yerleştirilmesi gibi işlemler güvenilir bir santral venöz yola ihtiyaç duyar. Subklavian ven, internal juguler ven ve femoral ven güvenilir, tanımlanabilir anatomik noktaları olan, kolay erişilebilir bir girişim sağlar. Son yıllarda yatak başı ultrasonografinin kolay ulaşılabilir olması ve eğitimlerin artması ultrasonografi eşliğinde periferik ve santral damar yolu kateterizasyonda standart bir yaklaşım haline gelmiş, işlem süresi azalmış, başarı oranı yükselmiş, komplikasyon oranını azalmıştır.
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