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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

Is hand injection of central venous catheters for contrast-enhanced CT safe in children?

Lane F Donnelly1, Julie Dickerson, John M Racadio

  • 1Department of Radiology, Cincinnati Children's Hospital Medical Center, MLC 5031, 3333 Burnet Ave., Cincinnati, OH 45229-3039, USA. lane.donnelly@cchmc.org

AJR. American Journal of Roentgenology
|November 22, 2007
PubMed

Insights

Hand injecting contrast material via central venous catheters in children caused catheter damage in 0.3% of cases over six years. This highlights potential risks compared to power injection methods for CT scans.

Area of Science:

  • Pediatric radiology
  • Medical device safety
  • Interventional radiology

Background:

  • Central venous catheters are crucial for administering intravenous contrast material in pediatric CT scans.
  • Hand injection is a common method, but its safety profile requires evaluation.

Purpose of the Study:

  • To assess the safety and incidence of central venous catheter damage associated with hand injection of contrast material in pediatric patients.

Main Methods:

  • Retrospective review of pediatric patients undergoing CT scans with contrast material administered via central venous catheters.
  • Analysis of documented instances of central venous catheter damage during hand injection procedures.

Main Results:

  • Four cases of central venous catheter damage occurred over a 6-year period during hand injection.
  • This represents an incidence of 0.3% of all hand-injected central venous catheters during the study period.

Conclusions:

  • Hand injection of contrast material poses a risk of central venous catheter damage in pediatric patients.
  • The findings suggest that power injection may be a safer alternative, warranting consideration in institutional policies.
Abstract

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