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Ultrasound-guided internal jugular vein catheterization in critically ill pediatric patients

Eu Jeen Yang1, Hyeong Seok Ha1, Young Hwa Kong1

  • 1Department of Pediatrics, Chonbuk National University Medical School, Jeonju, Korea.

Korean Journal of Pediatrics
|May 2, 2015
PubMed

Insights

Ultrasound-guided internal jugular vein catheterization is a feasible and safe procedure for critically ill children, with a high success rate and minimal serious complications. This technique is recommended for pediatric intensive care units.

Area of Science:

  • Pediatric Critical Care Medicine
  • Medical Ultrasound Applications
  • Vascular Access Procedures

Background:

  • Continuous intravenous access is crucial for managing critically ill pediatric patients.
  • Internal jugular vein (IJV) catheterization is a common but challenging procedure in this population.
  • Ultrasound guidance has the potential to improve the safety and efficacy of IJV catheterization.

Purpose of the Study:

  • To evaluate the feasibility and safety of ultrasound-guided internal jugular vein (IJV) catheterization in critically ill pediatric patients.
  • To assess key procedural outcomes including success rate, cannulation time, and complication rates.

Main Methods:

  • A prospective study involving pediatric patients admitted to the intensive care unit between February 2011 and September 2012.
  • Central venous catheters were inserted into the IJV under ultrasound guidance by attending house staff.
  • Outcome measures included successful catheter insertion, cannulation time, number of attempts, and complications.

Main Results:

  • Successful IJV catheterization was achieved in 93.2% of 44 pediatric patients.
  • The mean cannulation time was 14.07 minutes with an average of 1.57 attempts.
  • Complications were infrequent, with the most serious being one case of catheter-related sepsis (2.3%).

Conclusions:

  • Ultrasound-guided IJV catheterization is a safe and effective procedure in critically ill pediatric patients, even when performed by less experienced staff.
  • The technique demonstrates a high success rate and a low incidence of serious complications.
  • This method is strongly recommended for improving vascular access in pediatric intensive care settings.
Abstract

Keywords:
CatheterizationChildJugular veinsUltrasonography

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