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[Central venous access by the Seldinger technic in neonatology]
C Goñi Orayen1, A Pérez Martínez, R Ruiz Cano
1Sección de UCI Pediátrica y Neonatal, Complejo Hospitalario de Albacete.
Summary
The Seldinger technique offers a high success rate for central venous catheterization in neonates. Careful technique and material selection minimize complication risks in this pediatric population.
Area of Science:
- Pediatric Medicine
- Vascular Access
- Neonatal Care
Context:
- Central venous catheterization is crucial for neonatal intensive care.
- Limited data exists on the safety and efficacy of specific techniques in neonates.
- The Seldinger technique is a common method for vascular access.
Purpose:
- To evaluate the success rate and safety of the Seldinger technique for central venous catheterization in neonates.
- To identify potential complications associated with this procedure in a young patient population.
Summary:
- Eighteen central venous catheterizations were performed using the Seldinger technique in 17 neonates (3-148 days old).
- The overall successful catheterization rate was 94.5%.
- Complications were infrequent and included pneumothorax, femoral artery spasm, and femoral vein stenosis, with most requiring minimal intervention.
Impact:
- The Seldinger technique is a safe and effective approach for neonatal central venous catheterization.
- Low complication rates can be achieved with careful technique, experience, and appropriate material selection.
- This study supports the use of the Seldinger technique in neonatal populations requiring central venous access.