External jugular cannulation in infants and children

Area of Science:

• Pediatric vascular access
• Vascular surgery
• Medical device placement

Background:

• Peripherally inserted central catheters (PICCs) are crucial for pediatric medication, hydration, and nutrition.
• Repeated vascular access can lead to vein depletion in children.
• Alternative insertion sites are necessary for sustained patient care.

Purpose of the Study:

• To discuss the use of the external jugular vein for PICC placement in infants and children.
• To highlight the external jugular vein as an increasingly popular alternative site.
• To provide a comprehensive overview of the procedure.

Main Methods:

• Review of anatomical considerations for external jugular vein access.
• Discussion of patient selection criteria for this specific approach.
• Outline of preparation, insertion, and maintenance protocols for external jugular vein PICCs.

Main Results:

• The external jugular vein has a documented history of successful PICC insertion.
• This site is gaining popularity among practitioners for pediatric vascular access.
• The technique offers a solution to vein depletion from repeated device use.

Conclusions:

• PICC placement via the external jugular vein is a feasible and increasingly utilized option for pediatric patients.
• This method effectively addresses the challenges of vein depletion in children requiring prolonged vascular access.
• Detailed understanding of anatomy and procedural steps is essential for successful implementation.