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Complications in pediatric enteral and vascular access
James S Farrelly1, David H Stitelman1
1Division of Pediatric General and Thoracic Surgery, Yale Children's Hospital, Yale University School of Medicine, PO Box 208062, New Haven, Connecticut 06520-8062.
Insights
Pediatric surgeons frequently perform procedures for reliable enteral and vascular access. This article reviews techniques and potential complications for both short- and long-term access in this patient group.
Area of Science:
- Pediatric Surgery
- Medical Devices
- Patient Care
Background:
- Establishing reliable enteral and vascular access is a critical task for pediatric surgeons.
- The pediatric surgical patient population is often complex, increasing the risk of complications.
- Various methods exist for achieving both short-term and long-term access.
Purpose of the Study:
- To comprehensively review techniques for pediatric enteral and vascular access.
- To discuss potential complications associated with these access methods.
- To provide guidance for managing access in pediatric patients.
Main Methods:
- Literature review of current techniques for enteral and vascular access in pediatric surgery.
- Analysis of complication rates and management strategies.
- Discussion of short-term versus long-term access considerations.
Main Results:
- Multiple surgical and non-surgical techniques are available for enteral and vascular access.
- Complications can arise from the access procedure itself or from long-term device use.
- Careful patient selection and technique are crucial for minimizing risks.
Conclusions:
- Optimizing enteral and vascular access is essential in pediatric surgery.
- Understanding available techniques and potential complications aids in successful patient management.
- Further research may focus on novel approaches to improve access reliability and reduce morbidity.
Abstract:
Obtaining reliable enteral and vascular access constitutes a significant fraction of a pediatric surgeon׳s job. Multiple approaches are available. Given the complicated nature of this patient population multiple complications can also occur. This article discusses the various techniques and potential complications associated with short- and long-term enteral and vascular access.
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