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Peripherally inserted central venous catheters: US-guided vascular access in pediatric patients
J S Donaldson1, F P Morello, J J Junewick
1Department of Radiology, Children's Memorial Hospital, Chicago, IL 60614, USA.
Radiology
|November 1, 1995
Summary
Ultrasound-guided peripheral venipuncture enables successful central venous catheter placement in children. This technique achieved a 98% success rate with a low 5% complication rate in pediatric patients.
Area of Science:
- Pediatric Medicine
- Medical Imaging
- Interventional Procedures
Background:
- Central venous catheters are crucial in pediatric care.
- Peripheral insertion can be challenging in children.
- Ultrasound guidance is increasingly used in vascular access.
Purpose of the Study:
- To evaluate the efficacy of ultrasound-guided peripheral venipuncture for central venous catheter insertion in children.
- To determine the success and complication rates of this technique.
Main Methods:
- Prospective study involving 222 pediatric patients over 12 months.
- Ultrasound guidance was used for peripheral venipuncture.
- Central venous catheters were inserted peripherally.
Main Results:
- Initial placement success rate was 98% (218/222 patients).
- Four cases required a second attempt the following day.
- The overall complication rate was 5%.
Conclusions:
- Ultrasound guidance is an effective method for peripheral central venous catheter insertion in children.
- The technique demonstrates high success and low complication rates.
- US guidance facilitates successful venipuncture in pediatric patients.