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[Central venous access: our experience with Hickman and Broviac catheter in children]

D Milanović, Z Krstić, V Vukadinović

    Srpski Arhiv Za Celokupno Lekarstvo
    |May 1, 1994
    PubMed

    Insights

    Hickman-Broviac catheters provide safe and effective vascular access in children for dialysis, plasmapheresis, and long-term intravenous needs. This study highlights their utility when conventional access is challenging, with fewer complications than reported elsewhere.

    Area of Science:

    • Pediatric Surgery
    • Vascular Access
    • Critical Care Medicine

    Context:

    • Hickman-Broviac double lumen silicone catheters are utilized for vascular access in pediatric patients.
    • The study encompasses a 4-year experience with 51 children requiring dialysis, plasmapheresis, or specialized care (burns, short gut syndrome).
    • Catheter insertion sites included the internal jugular vein (predominantly) and femoral vein, with open surgery into the right atrium.

    Purpose:

    • To evaluate the efficacy and safety of Hickman-Broviac catheters in a pediatric population over a 4-year period.
    • To assess the complication rates and clinical outcomes associated with these catheters in diverse pediatric patient groups.
    • To determine the suitability of Hickman-Broviac catheters as a primary vascular access method in challenging pediatric cases.

    Summary:

    • A total of 51 pediatric patients received Hickman-Broviac catheters for various indications, including dialysis, plasmapheresis, severe burns, and short gut syndrome.
    • The majority of catheters were placed via open surgery into the right atrium through the internal jugular vein.
    • Complication rates, excluding insufficient flow, were reported as lower and less severe compared to existing literature.

    Impact:

    • Hickman-Broviac catheters are recommended as the preferred method for immediate vascular access in children facing difficulties with conventional access.
    • The study supports the use of these catheters for essential long-term intravenous nutrition or medication delivery in pediatric patients.
    • Findings suggest improved patient outcomes and reduced complications in pediatric vascular access management through the use of these silicone catheters.

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