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Single Center Experience of Ultrasonography-guided Bedside Procedures for Surgical Patients
J Surg Ultrasound 2018;5:61-65
Published online November 30, 2018
© 2018 The Korean Surgical Ultrasound Society

Dooreh Kim, Dae Hyun Cho1, Yun Tae Jung2, Jae Gil Lee

Department of Surgery, Yonsei University College of Medicine, Seoul, 1Department of Trauma Surgery, The Catholic University of Korea, Uijeongbu St. Mary’s Hospital, Uijeongbu, 2Department of Surgery, Ajou University Hospital, Ajou University College of Medicine, Suwon, Korea
Correspondence to: Jae Gil Lee
Department of Surgery, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea
Tel: +82-2-2228-2127
Fax: +82-2-2228-2100
E-mail: jakii@yuhs.ac
Received May 25, 2018; Revised August 10, 2018; Accepted August 10, 2018.
Journal of Surgical Ultrasound is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: Ultrasound guidance for bedside procedures reduces the risk of complications. This e aim of this study is to stateexamined the experiences of the ultrasonography-guided bedside procedures performed by surgeons in the intensive care unit.
Methods: Patients who underwent ultrasonography-guided bedside procedures from October 2016 to October 2017 were reviewed retrospectively. The baseline characteristics of the population, procedures performed, occurrence of complications, and coagulation-related parameters were obtained from the electronic medical records.
Results: A total 113 procedures were collected and analyzed. The most frequently performed procedure was ultrasonography-guided central venous catheterization (CVC) (75 cases, 66.4%), followed by thoracentesis (41 cases, 36.3%) and paracentesis (7 cases, 6.2%). A total of five complications (4.4%) occurred after the procedures, three events after CVC insertion, and two events after thoracentesis. After CVC, two pneumothorax and one hemothorax occurred, which were managed by chest tube insertion. Two events after thoracentesis were a pneumothorax, which required chest tube insertion, and a combined tension-pneumothorax with a hemothorax, which required thoracoscopic surgery for bleeder ligation.
Conclusion: Ultrasonography-guided bedside procedures are a simple and fast modality available for surgeons. Despite the safety of ultrasonography-guided procedure, there is some concern regarding the development of complications.
Keywords : Ultrasonography, Procedure, Complication


November 2018, 5 (2)