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master's thesis
Rane i kasne komplikacije ugradnje trajnog intravenskog katetera
Zagreb: University of Zagreb, School of Medicine, 2019. urn:nbn:hr:105:780060
Lovreković, Bruno
University of Zagreb
School of Medicine
Department of Internal Medicine

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Lovreković, B. (2019). Rane i kasne komplikacije ugradnje trajnog intravenskog katetera (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:780060

Lovreković, Bruno. "Rane i kasne komplikacije ugradnje trajnog intravenskog katetera." Master's thesis, University of Zagreb, School of Medicine, 2019. https://urn.nsk.hr/urn:nbn:hr:105:780060

Lovreković, Bruno. "Rane i kasne komplikacije ugradnje trajnog intravenskog katetera." Master's thesis, University of Zagreb, School of Medicine, 2019. https://urn.nsk.hr/urn:nbn:hr:105:780060

Lovreković, B. (2019). 'Rane i kasne komplikacije ugradnje trajnog intravenskog katetera', Master's thesis, University of Zagreb, School of Medicine, accessed 08 November 2024, https://urn.nsk.hr/urn:nbn:hr:105:780060

Lovreković B. Rane i kasne komplikacije ugradnje trajnog intravenskog katetera [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2019 [cited 2024 November 08] Available at: https://urn.nsk.hr/urn:nbn:hr:105:780060

B. Lovreković, "Rane i kasne komplikacije ugradnje trajnog intravenskog katetera", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2019. Available at: https://urn.nsk.hr/urn:nbn:hr:105:780060

Metadata
TitleRane i kasne komplikacije ugradnje trajnog intravenskog katetera
Title (english)Early and late complications of permanent venous catheter insertion
AuthorBruno Lovreković
MentorTomislav Letilović (mentor)
Committee memberSlobodanka Ostojić-Kolonić (predsjednik povjerenstva)
Committee memberJasenka Markeljević (član povjerenstva)
Committee memberTomislav Letilović (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Internal Medicine)
Zagreb
Defense date and country2019-07-12, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract
UVOD: Trajni intravenski port kateteri su centralni venski uređaji korišteni za dugotrajno intravensko liječenje onkoloških bolesnika. Usprkos brojnim prednostima, njihova uporaba može biti povezana s brojnim komplikacijama. Svrha ove studije je odrediti koje su moguće rane i kasne komplikacije ugradnje ovih uređaja. ----- METODE: Ova retrospektivna studija provedena je na 94 onkološka pacijenta kojima su intravenski port kateteri ugrađeni u periodu između studenog 2013. i svibnja 2018. Procedura je obavljena pod lokalnom anestezijom te fluoroskopijom putem desne vene subklavije. Rane komplikacije su bile one koje su se dogodile unutar 30 dana, a kasne sve preko 30. dana od ugradnje. ----- REZULTATI: Komplikacije su opažene kod 26 (26.8%) pacijenata. Bilo je 8 (8.2%) ranih i 18 (18.5%) kasnih komplikacija. Pneumotoraks je opažen kod 2 (2.1%) pacijenta, rane infekcije su se pojavile kod 5 (5.1%) pacijenata. Jedan (1.03%) pacijent imao je poremećaj cijeljenja rane te je bilo potrebito ukloniti kateter. Najčešće kasne komplikacije su bile infekcije te su opažene kod 17 (17.5%) pacijenata. Jedna (1.03%) je bila infekcija džepa, a 16 (16.5%) infekcija krvotoka. Dogodila se samo jedna (1.03%) kasna venska tromboza povezana s uporabom katetera. ----- ZAKLJUČAK: Ugradnja i uporaba trajnih intravenskih port katetera je vrlo vrijedna metoda u tretiranju onkoloških pacijenata no postoji potreba za reduciranjem komplikacija povezanih s njihovom uporabom pomoću bolje edukacije i prakse ugradnje.
Abstract (english)
INTRODUCTION: Totally implantable venous access ports(TIVAPs) are central venous devices for the long term intravenous treatment of oncology patients. Despite many benefits, their usage can be associated with severe complications. The purpose of this study is to determine early and late complications of TIVAPs insertion. ----- METHODS: We performed a retrospective study on 94 patients that had their catheters inserted in period between November 2013 and May 2018. The procedure was performed under fluoroscopy via right subclavian vein in a local anesthesia.. Early complications occured in the first 30 days and late beyond 30 days of insertion. ----- RESULTS: Complications occured in 26 (26.8%) patients with 8 (8.2%) early and 18 (18.5%) late complications. Two patients had pneumothorax (2,1%) and 5 (5,1%) had early infections. One patient (1,03%) had wound healing problem and catheter was removed. Infections as most common late complications were found in 17 patients (17,5%). There was one (1,03%) port pocket infection and 16 (16,5%) bloodstream infections. We had only one (1,03%) late catheter related venous thrombosis. ----- CONCLUSION: The implantation and usage of TIVAPs is a valuable method in the treatment of oncology patients but there is a need to reduce the catheter related complications through better education and insertion practice.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:780060
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2020-02-10 17:25:42