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[Percutaneous catheterization of internal jugular vein]
1Department of Pediatrics, Kuang Tien General Hospital, Taichung, Taiwan, R.O.C.
Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|March 1, 1992
Summary
Percutaneous internal jugular vein catheterization is a safe and effective procedure for venous access, especially in emergencies when peripheral veins are inaccessible. This technique proved highly successful in pediatric patients, including infants, with no major complications observed.
Area of Science:
- Vascular Surgery
- Pediatric Critical Care
- Interventional Radiology
Context:
- Central venous access is crucial for monitoring and infusion in critically ill patients.
- Internal jugular vein catheterization offers a reliable route for venous access.
- Pediatric patients, particularly infants, often present challenges for peripheral venous access.
Purpose:
- To evaluate the safety and efficacy of percutaneous internal jugular vein catheterization in a pediatric population.
- To assess the success rate and complication profile of this procedure in emergency settings.
- To determine the utility of internal jugular vein catheterization when peripheral venous access is difficult.
Summary:
- A total of 32 percutaneous internal jugular vein catheterizations were performed on 27 pediatric patients (10 days to 13 years old) over 19 months.
- The procedure achieved an 87.5% success rate, with 68.7% performed under emergency conditions due to inaccessible peripheral venous routes.
- No significant complications such as pneumothorax, hematoma, or air embolization were reported.
Impact:
- Percutaneous internal jugular vein catheterization is a valuable and safe method for establishing venous access in pediatric patients with difficult peripheral venous access.
- The procedure is particularly useful in emergency situations, offering a high success rate and minimal complications.
- This technique provides a reliable solution for both short-term and long-term intravenous needs in challenging pediatric cases.