Related Experiment Video

Updated: Aug 10, 2026

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

Central venous catheterization related complications in Pediatric Intensive Care Unit at Queen Sirikit National

Panida Srisan, Sangravee Juhong, Wiboon Kanjanapatanakul

    Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
    |November 14, 2014
    PubMed

    Insights

    Central venous catheterization (CVC) complications in pediatric patients are common. High BMI, internal jugular access, and longer insertion times increase mechanical risks, while femoral access raises infection rates.

    Area of Science:

    • Pediatric critical care medicine
    • Vascular access procedures
    • Patient safety in intensive care

    Background:

    • Central venous catheterization (CVC) is vital for critically ill pediatric patients.
    • Complications associated with CVC include mechanical issues and infections.
    • Understanding these risks is crucial for optimizing patient care.

    Purpose of the Study:

    • To investigate the types and incidence of CVC-related complications in pediatric patients.
    • To identify risk factors associated with these complications.
    • To inform strategies for reducing CVC-related adverse events.

    Main Methods:

    • A prospective observational study was conducted in a pediatric intensive care unit (PICU).
    • Data were collected over a 1-year period for all patients undergoing CVC.
    • Complications, indwell times, and patient demographics were recorded.

    Main Results:

    • 137 pediatric patients underwent 204 CVC procedures with a total indwell time of 2,002 days.
    • Mechanical complication rate was 19%, including catheter malposition and pneumothorax.
    • Catheter-related bloodstream infection (CRBSI) incidence density was 7.5/1,000 catheter-days, with femoral access showing higher rates.

    Conclusions:

    • CVC complications in this pediatric cohort are comparable to existing literature.
    • High BMI, internal jugular catheterization, and prolonged insertion time are linked to mechanical complications.
    • Femoral venous catheterization emerged as a significant risk factor for CRBSI.
    Abstract

    More Related Videos

    Hickman Catheter Use for Long-Term Vascular Access in a Preclinical Swine Model08:51

    Hickman Catheter Use for Long-Term Vascular Access in a Preclinical Swine Model

    Published on: March 31, 2023

    Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein05:51

    Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein

    Published on: January 13, 2026

    Related Concept Videos

    Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

    Parentral Nutrition: Centeral and Peripheral Parental Nutrition

    Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
    PN can be administered through two primary routes:
    1. Central Parenteral Nutrition (CPN):
    CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
    Cardiac Catheterization I: Pre-Procedure Overview01:28

    Cardiac Catheterization I: Pre-Procedure Overview

    Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
    Cardiac Catheterization II: Right Heart Catheterization01:21

    Cardiac Catheterization II: Right Heart Catheterization

    Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
    Cardiac Catheterization IV: Nursing Management01:26

    Cardiac Catheterization IV: Nursing Management

    Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
    Endocarditis IV: Nursing Management01:29

    Endocarditis IV: Nursing Management

    Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
    Venous Thrombosis III: Interprofessional Care01:29

    Venous Thrombosis III: Interprofessional Care

    Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...