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Related Experiment Videos

Subclavian venous catheterization in children.

M S Hüttel, P Christensen, A S Olesen

    Acta Anaesthesiologica Scandinavica
    |October 1, 1985
    PubMed
    Summary

    Subclavian vein catheterization is a safe and effective procedure for children, even newborns. With experienced practitioners, age or size should not limit its use in pediatric patients.

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    Area of Science:

    • Pediatric Medicine
    • Vascular Access
    • Interventional Procedures

    Background:

    • Subclavian vein catheterization is a common procedure for vascular access in pediatric patients.
    • The safety and efficacy in very young children require further investigation.

    Purpose of the Study:

    • To evaluate the success rate and complication profile of infraclavicular subclavian catheterization in children.
    • To determine if there are age or size limitations for this procedure in pediatric populations.

    Main Methods:

    • A retrospective review of 77 infraclavicular subclavian catheterizations in 54 children over 12 months.
    • Utilized the Seldinger technique, with general anesthesia in most cases.

    Main Results:

    • Successful catheterization in 96% of cases (74 out of 77 attempts).
    • Initial catheter tip position was satisfactory in 81% of cases.
    • Catheters remained in situ for a median of 7 days with few complications.

    Conclusions:

    • Infraclavicular subclavian catheterization is highly successful and safe in children of all ages, including newborns.
    • Extensive experience in adult subclavian venous cannulation suggests no minimal age or size restriction for pediatric use.

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