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Subclavian vein catheterisation for cardiac surgery in children
Anaesthesia and Intensive Care
|February 1, 1980
Insights
Infraclavicular subclavian vein catheterization is a safe and effective method for central venous pressure monitoring and infusion line placement in pediatric open heart surgery patients. This procedure demonstrated a high success rate with no reported complications in young patients.
Area of Science:
- Pediatric Cardiac Surgery
- Vascular Access Techniques
- Critical Care Medicine
Background:
- Central venous access is crucial for hemodynamic monitoring and fluid management in pediatric patients undergoing complex cardiac procedures.
- Traditional methods may carry risks or be technically challenging in this population.
Purpose of the Study:
- To evaluate the efficacy and safety of infraclavicular subclavian vein catheterization in children requiring open heart surgery.
- To assess its utility for central venous pressure measurement and central infusion line establishment.
Main Methods:
- A prospective study involving 48 pediatric patients (15 months to 13 years) undergoing open heart surgery.
- Infraclavicular subclavian vein catheterization was performed to establish central venous access.
Main Results:
- The procedure achieved a high success rate in all 48 patients.
- No instances of morbidity or complications were observed during or after catheterization.
Conclusions:
- Infraclavicular subclavian vein catheterization is a highly successful and safe technique for pediatric cardiac surgery.
- It provides reliable central venous access for monitoring and infusion, with a favorable safety profile in this age group.
Abstract:
Infraclavicular subclavian vein catheterisation is a useful means of measuring central venous pressure and establishing a central infusion line in children undergoing open heart surgery. In 48 children ranging in age from 15 months to 13 years, there was a high success rate and no morbidity.