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Venous access in children: state of the art

Martin Jöhr1, Thomas M Berger

  • 1aPediatric Anesthesia, Department of Anesthesia, Luzerner Kantonsspital bNeonatal and Pediatric Intensive Care Unit, Children's Hospital, Luzern, Switzerland.

Current Opinion in Anaesthesiology
|April 2, 2015
PubMed

Insights

Recent advancements in vascular access technology, including near-infrared vein visualization and ultrasound guidance, aid practitioners. However, successful venous puncture still relies heavily on operator skill, emphasizing careful patient assessment and judicious vein selection.

Area of Science:

  • Medical Devices
  • Vascular Access
  • Pediatric Care

Background:

  • Venous access is crucial in pediatric care.
  • Judicious use of limited venous sites is essential.
  • Complications include infection and thrombosis.

Purpose of the Study:

  • Review recent developments in vascular access technology.
  • Highlight technologies relevant to clinical practice.
  • Discuss implications for practitioners.

Main Methods:

  • Literature review of recent advancements in vascular access.
  • Analysis of the utility and impact of new technologies.
  • Focus on clinical relevance for practitioners.

Main Results:

  • Near-infrared devices improve vein visualization but not necessarily puncture success.
  • Ultrasound is standard for central venous access, popularizing specific techniques.
  • Increased focus on infectious and thrombotic complications.

Conclusions:

  • Despite technological progress, operator skill remains paramount for successful venous puncture.
  • Effective vascular access requires a combination of technology and expertise.
  • Careful assessment and technique are critical for patient safety.
Abstract

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