Catheter malplacement during central venous cannulation through arm veins in pediatric patients.

摘要: For successful catheter placement, central venous cannulation (CVC) through internal jugular vein and subclavian has been recommended in both adult pediatric patients. But it carries a risk of serious complications, such as pneumothorax, carotid, or artery puncture, which can be life-threatening, particularly critically ill children. So prospective study was carried out to determine the success rate correct tip placement during CVC antecubital veins neurosurgical A total 200 patients (age 1-15 years) either sex were studied. Basilic cephalic arm selected. All cannulated operation room under general anesthesia. Single lumen, proper size catheters (with stillete) used for cannulation. The inserted supine position with abducted at right angle body neck turned ipsilaterally. length insertion determined from cubital fossa second intercostal space. exact confirmed radiologically ICU. Correct achieved 98 (49%) Multivariate logistic regression analysis data shows that there no statistically significant difference among incorrect relation factors including sex, side (left right), type (basilic cephalic). age showed highest children group 6 10 years (60.2%) followed by 30.6% 11 15 year group. lowest only 9.2% observed younger 1 5 years, is (P = 0.001). Of 102 placements reported, 37% versus placements. most common unsatisfactory ipsilateral (N 38, 37.2%) 27, 26.4%). In crossed over opposite vein, 16 tips found axillary each atrium ventricle. No major complication following observed. To conclude, using single orifice easy perform, but highly unreliable, age.