Abstract
Our experience in percutaneous central venous access in critically ill infants is presented. From July 1990 to August 1993, 56 catheters in 51 infants were placed. The peripherical vein was punctured with 19G needle and silicone catheter of 0.6mm, introduced into the vein. Catheter length range was 11 to 20cm. Mean patients weight was 1511.9g ± 848.05 (R=660-3750). Mean gestational age was 31.3 wks ± 4.30 (R=25-40) and mean postnatal age was 9.38 ds ± 9.2 (R=5-102). Success rate for catheterization was 85.2% (48/56) in the first attemp and 94.6% (53/56) in the second one. All central line ended in the subclavian, or superior vena cava. Median catheter duration was 10 days (R=1-57). Complications during catheter duration included: accidental remove (11.3%), sepsis (9.3%), obstruction (3.76%), arrhythmia (1.8%), phlebitis (1.8%). None of these complications contributed to the patients mortality. Peripherical venous approach is a valid route for central venous catheterization in ill infants.
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Anglada, A., Cravedi, V., Lupo, E. et al. PERCUTANEOUS CATHETERIZATION OF PERIPHERICAL VEINS IN CRITICALLY ILL NEWBORNS. Pediatr Res 36, 825 (1994). https://doi.org/10.1203/00006450-199412000-00035
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DOI: https://doi.org/10.1203/00006450-199412000-00035