A minimally painful, comfortable, and safe technique for hemodialysis catheter placement in children: Superficial cervical plexus block

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dc.contributor.authorCiftci, Taner
dc.contributor.authorDaskaya, Hayrettin
dc.contributor.authorYildirim, Mehmet B.
dc.contributor.authorSoylemez, Haluk
dc.date.accessioned2024-04-24T17:11:27Z
dc.date.available2024-04-24T17:11:27Z
dc.date.issued2014
dc.departmentDicle Üniversitesien_US
dc.description.abstractThe superficial cervical plexus block (SCPB) is utilized in pediatric patients to perform certain surgical procedures, but there is no evidence supporting its use in hemodialysis catheter placement. We evaluated the analgesic effectiveness, intraoperative complications, and patient satisfaction associated with SCPB for pediatric patients in renal failure undergoing emergent dialysis catheterization. A total of 52 patients ranging from 1 to 17 years old that required emergent dialysis catheter placement and received SCPB were included in this study. During the catheterization, intraoperative pain scores, requirement for additional analgesia, catheterization access site, and intraoperative complications were recorded. The Children's Hospital of Eastern Ontario Pain Scale (mCHEOPS) was used to determine pain ratings during skin puncture with the needle, skin dilatation, and securing the catheter with stitches. The patients had an average age of 8.46 +/- 5.3 years. The preferred catheterization entry site was through right internal jugular vein, which was achieved in 80.7% of patients. However, 19.3% of patients required access through the right subclavian vein. The average mCHEOPS score during skin puncture was 1.4 +/- 0.5, and the mean mCHEOPS score was 2.3 +/- 0.6 for skin dilatation. Finally, the average mCHEOPS score while securing the catheter with stitches was 1.3 +/- 0.4. No patient required fentanyl for additional analgesia. No intraoperative complications occurred. The benefits gained from using SCPB performed by an experienced anesthesiologist for hemodialysis catheter placement include providing sufficient analgesia and optimal surgical conditions while avoiding the complications associated with general anesthesia for pediatric patients with renal failure.en_US
dc.identifier.doi10.1111/hdi.12164
dc.identifier.endpage704en_US
dc.identifier.issn1492-7535
dc.identifier.issn1542-4758
dc.identifier.issue3en_US
dc.identifier.pmid24708342
dc.identifier.scopus2-s2.0-84904051781
dc.identifier.scopusqualityQ3
dc.identifier.startpage700en_US
dc.identifier.urihttps://doi.org/10.1111/hdi.12164
dc.identifier.urihttps://hdl.handle.net/11468/17533
dc.identifier.volume18en_US
dc.identifier.wosWOS:000339516600020
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofHemodialysis International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSuperficial Cervical Plexus Blocken_US
dc.subjectChildrenen_US
dc.subjectHemodialysisen_US
dc.subjectCatheter Placementen_US
dc.titleA minimally painful, comfortable, and safe technique for hemodialysis catheter placement in children: Superficial cervical plexus blocken_US
dc.titleA minimally painful, comfortable, and safe technique for hemodialysis catheter placement in children: Superficial cervical plexus block
dc.typeArticleen_US

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