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[Percutaneous catheterization of jugular and subclavian vein (author's transl)]
Insights
Central venous catheterization in children using the internal jugular or subclavian veins is safe and effective. This study found low complication rates for central venous access in pediatric patients.
Area of Science:
- Pediatric Surgery
- Vascular Access
- Interventional Radiology
Context:
- Central venous catheterization is a common procedure in pediatric critical care.
- Percutaneous insertion via internal jugular or subclavian veins is frequently employed.
- Assessing safety and efficacy in a pediatric population is crucial.
Purpose:
- To evaluate the indications, techniques, and complication rates of central venous catheterization in children.
- To compare the outcomes of internal jugular versus subclavian vein catheterization.
- To highlight the advantages of central venous catheterization over traditional venisection.
Summary:
- A three-year study involved 83 pediatric patients undergoing central venous catheterization via internal jugular (62) or subclavian (21) veins.
- Internal jugular vein catheterization had a low complication rate (2/62, carotid artery puncture).
- Subclavian vein catheterization resulted in pneumothorax (1/21) and vein perforation (1/21).
Impact:
- Demonstrates the safety and efficacy of percutaneous central venous catheterization in pediatric patients.
- Provides valuable data for optimizing central venous access techniques in children.
- Supports the use of central venous catheterization as a superior alternative to venisection in pediatric care.
Abstract:
During a three-year period, central venous catheterization was performed in 83 children by percutaneous approach through internal jugular or and subclavian veins. Internal jugular vein was catheterized in 62 children, 40 of them were under one year old and 16 were within one to five years. Complications were seen only in two occasions: accidental punction of carotid artery. Subclavian vein was used in 21 patients: 7 or the children were under one year, 7 children were between one to five years and 7 children were over five years of age. A pneumothorax and a perforation of the subclavian vein were the complications of this last group. Indications, technics and complications of central venous catheterization--either internal jugular or subclavian--are described emphasizing the advantages that they offer as compared to traditional venisection.