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Immediate complications of percutaneous central venous cannulation in children

Geetika Dheer1, Gurmeet Kaur Chaudhry, Tejinder Singh

  • 1Department of Pediatrics, Christian Medical College and Hospital, Ludhiana, Punjab, India.

Journal of Indian Association of Pediatric Surgeons
|November 29, 2011
PubMed

Insights

Immediate complications from percutaneous central venous catheterization were studied in 70 children. While complications occurred, particularly in neonates, the procedure is safe when performed by experienced clinicians.

Area of Science:

  • Pediatric critical care medicine
  • Vascular access procedures

Background:

  • Percutaneous central venous catheterization is a common procedure in pediatric critical care.
  • Understanding immediate complication rates is crucial for patient safety.

Purpose of the Study:

  • To determine the incidence of immediate complications during percutaneous central venous catheterization in children.
  • To identify risk factors associated with these complications.

Main Methods:

  • A prospective study involving 103 central venous catheter insertions in 70 pediatric patients over 18 months.
  • Data collected included patient demographics, procedure details, and immediate complications.
  • Statistical analysis performed using SPSS version 15.

Main Results:

  • 41 insertion-related immediate complications were observed in 70 children.
  • Neonates accounted for 75.6% of complications.
  • Higher risk factors included neonatal age, hemodynamic instability, and multiple catheterization attempts.

Conclusions:

  • Percutaneous central venous catheterization is a safe procedure in pediatric patients when performed by experienced healthcare professionals.
  • Complication rates decreased with increased operator familiarity and experience.
  • No mortality was directly attributed to the catheterization procedure.
Abstract

Keywords:
Central venous catheterizationimmediate complicationsneonatal age

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