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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
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Central venous catheters in children and neonates - what is important?

U Trieschmann1, Udink Ten F Cate, N Sreeram

  • 1Department of Intensive and Emergency Care, University Hospital of Cologne, Germany.

Images in Paediatric Cardiology
|February 28, 2012
PubMed

Insights

This paper details the subclavian vein cannulation technique for central venous access in pediatric cardiac surgery patients. It covers the standard approach, challenges, and potential complications for improved patient management.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Vascular Access

Background:

  • Central venous access is critical for infants and children undergoing cardiac surgery for congenital heart disease.
  • Knowledge of percutaneous venous line cannulation is vital for cardiac catheterization in this population.

Purpose of the Study:

  • To describe the percutaneous cannulation technique for subclavian vein access.
  • To outline potential difficulties and strategies for overcoming them.
  • To detail complications associated with the subclavian venous approach.

Main Methods:

  • Description of the standard percutaneous subclavian vein cannulation procedure.
  • Identification and discussion of potential technical challenges.
  • Review of associated complications.

Main Results:

  • The subclavian vein approach is a feasible method for central venous access in pediatric cardiac patients.
  • Potential difficulties include anatomical variations and vessel manipulation.
  • Complications can range from bleeding to pneumothorax.

Conclusions:

  • Percutaneous subclavian vein cannulation is an important technique for pediatric cardiac surgery.
  • Understanding potential difficulties and complications is crucial for safe implementation.
  • This paper serves as a foundational guide for venous access in this patient group.

Keywords:
Catheterization, Central Venous/adverse effects/*methodsSubclavian VeinVenous Thrombosis/*prevention & control

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