TO COMPARE CENTRAL VENOUS CATHETER AND PERIPHERAL INTRAVENOUS CATHETER IN PATIENTS OF LAPAROTOMY: AN OBSERVATIONAL COMPARATIVE STUDY

Abstract

Background: The laparotomy is one of the major surgery require ample amount of intravenous fluids administration, blood transfusion ,and sometime parental nutrition, repeated blood sampling to monitor patients condition. These all things fulfilled by either use of peripheral intravenous catheter or central venous catheter. Both of these intravenous catheters are compared on basis of their life span, hospital stay of the patient, and their complications to evaluate the efficacy of both in patients undergoing laparotomy.

Methods: An observational comparative study was conducted among 50 patients of laparotomy in the department of general surgery, sir t hospital Bhavnagar. All patients were randomly assigned to two groups A and B. Patients of group A were subjected to central venous catheter and patients of group b were subjected to peripheral intravenous catheter. Results: The mean of hospital stay of patients in group a was 20.4 (± 4.9) and group b was 15.4 (± 6.12) . The mean life span of catheter was 18.8 ± 4.25 days in group A and 6.04 ± 1.947 days in group B. Rate of major complication in group A was 12% as compare to group B having 40% complication rate. Rate of intermediate complication in group A was 20% as compare to group B having 72% complication rate. . Rate of minor complication in group A was 8% as compare to group B having 56% complication rate. Rate of overall complication in group A was 28% as compare to group B having 72% complication rate.

Conclusion: Life span of central venous catheter is greater as compare to the peripheral intravenous catheter and rate of complications is more in patients with peripheral intravenous catheter.

Keywords:  Central Venous Catheter, Peripheral Intravenous Catheter, Laparotomy