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Original Research

Open Access

Use of central venous catheters in children

  • JULIJE MEŠTROVIĆ1
  • TANJA KOVAČEVIĆ2
  • IVANKA ERCEGOVIĆ1
  • TANJA KOVAČEVIĆ2
  • BRANKA POLIĆ1
  • LUKA STRIČEVIĆ1
  • ANTE OMAZIĆ1
  • VESNA ČAPKUN3

1,Department of Pediatrics Split University Hospital

2Department of Pediatrics, Split University Hospital

3Department for Nuclear medicine, Split University Hospital

DOI: 10.22514/SV11.102006.4 Vol.1,Issue 1,October 2006 pp.20-24

Published: 08 October 2006

*Corresponding Author(s): JULIJE MEŠTROVIĆ E-mail: julije.mestrovic@st.t-com.hr

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Abstract

The objective of this study was to evaluate the use of central venous catheters (CVCs) in the Pediatric intensive care unit (PICU) of Split University Hospital (SUH). We reviewed the records of all children that had CVCs and were hospitalized between January 2002 and March 2006. Patients were evaluated with respect to their age, gender, catheter type, indication for CVC insertion, site and side of the body of CVC insertion. The duration of catheter use and eventual complications were also taken into consideration. A total of 352 CVCs were inserted in 300 children. Patient age ranged from 0 to 18 years. The average catheter insertion time was 12.88 days. We noted 66 (18.8%) CVC-related complications. Complications related to CVCs insertion were malposition of catheter (5.4%) and pneumothorax (0.9%). Occlusion of CVCs (4.3%), catheter related-bloodstream infections (CRBI) (4.0%), dislodgment (3.7%) and catheter damage (0.6%) were complications associated with lenght of CVCs use. We conclude that central venous catheterization is a safe and efficient procedure with minimal complications in pediatric patients.

Keywords

central venous catheter, indications, complications, children.

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JULIJE MEŠTROVIĆ,TANJA KOVAČEVIĆ,IVANKA ERCEGOVIĆ,TANJA KOVAČEVIĆ,BRANKA POLIĆ,LUKA STRIČEVIĆ,ANTE OMAZIĆ,VESNA ČAPKUN. Use of central venous catheters in children. Signa Vitae. 2006. 1(1);20-24.

URL:

https://www.signavitae.com/articles/10.22514/SV11.102006.4

References

1. Johnson EM, Saltzman DA, Suh G, Dahms RA, Leonard AS. Complications and risks of central venous catheter placement in children. Surgery 1998;124:911-6.

2. Jacobs BR. Central venous catheter occlusion and thrombosis. Crit Care Clin 2003;19:489-514.

3. Polderman KH, Girbes AJ. Central venous catheter use. Part 1: mechanical complications. Intensive Care Med 2002;28:1-17.

4. Asch MR. Venous acces: options, approaches and issues. Can Assoc Radiol J 2001;52:153-64.

5. Veenstra DL, Saint S, Sullivan SD. Cost-effectiveness of antiseptic-impregnated central venous catheters for the prevention of catheterrelated bloodstream infection. JAMA 1999; 282:554-60.

6. Sovinz P, Urban C, Lackner H et al. Tunneled femoral central venous catheters in children with cancer. Pediatrics 2001;107:104-9.

7. Çitak A, Karaböcüoğlu M, Üçsel R, Uzel N. Central venous catheters in pediatric patients – subclavian venous approach as the first choice. Pediatr Int 2002;44:83-6.

8. Gauderer MW. Vascular access techniques and devices in the pediatric patient. Surg Clin North Am 1992;72:1267-84.

9. Stovroff M, Teague WG. Intravenous acces in infants and children. Pediatr Clin North Am 1998;45:1373-93.

10. Wardle SP, Kelsall AW, Yoxall CW, Subhedar NV. Percutaneous femoral arterial and venous catheterisation during neonatal intensive care. Arch Dis Child Fetal Neonatal ED 2001;85:F119-22.

11. Serrao PR, Jean-Louis J, Godoy J, et al. Inferior vena cava catheterization in the neonate by the percutaneous femoral vein method. J Pernatol 1996;16:129-32.

12. Racadio JM et al. Pediatric peripherally inserted central catheters: complication rates related to catheter tip location. Pediatrics 2001;107:E28.

13. Venkataraman ST, Thompson AE, Orr RA. Femoral vascular catheterization in critically ill infants and children. Clin Pediatr 1997;36:311-9.

14. Stenzel JP, et al. Percutaneous femoral venous catheterizations: a prospective study of complications. J Pediatr 1989;114:411-5.

15. McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med 2003;348:1123-33.

16. Benjamin DK Jr et al. Bacteriemia, central catheters, and neonates: when to pull the line. Pediatrics 2001;107:1272-6.

17. Thiagarajan RR, Ramamoorthy C, Gettmann T, Bratton SL. Survey of the use of peripherally inserted central venous catheters in children. Pediatrics 1997;99:E4.

18. O’Grady NP, Alexander M, Dellinger EP et al. Guidelines for the prevention of intravascular catheter-related infections. The Hospital Infection Control Practices Advisory Committee, Center for Disease Control and Prevention, u.s. Pediatrics 2002;110:E51.

19. Mahieu LM, De Dooy JJ, Lenaerts AE, Ieven MM, De Muynck AO. Catheter manipulations and the risk of catheter-associated bloodstream infection in neonatal intensive care unit patients. J Hosp Infect 2001;48:20-6.

20. Salzman MB, Rubin LG. Intravenous catheter-related infections. Adv Pediatr Infect Dis 1995;10:337-68.

21. Yeung C, May J, Hughes R. Infection rate for single lumen v triple lumen subclavian catheters. Infect Control Hosp Epidemiol 1988;9:154-8.

22. Soong WJ, Jeng MJ, Hwang B. The evaluation of percutaneous central venous catheters – a convenient technique in pediatric patients. Intensive Care Med 1995;21:759-65.

23. Menon G. Neonatal long lines. Arch Dis Child Fetal Neonatal Ed 2003;88:F260-2.

24. Darling JC, Newell SJ, Dear PRF. Placement of neonatal central venous catheter tips in the right atrium: a practice to be avoided? Arch Dis Child Fetal Neonatal Ed 2001;85:F146.

25. Krafte-Jacobs B, Sivit CJ, Mejia R, Pollack MM. Catheter-related thrombosis in critically ill children: Comparison of catheters with and without heparin bonding. J Pediatr 1995;126:50-4.

26. Kim JH, Lee YS, Kim SH, Lee SK, Lim MK, Kim HS. Does umbilical vein catheterisation lead to portal venous thrombosis? Prospective US evaluation in 100 neonates. Radiology 2001;219:645-50.

27. Savage AP, Picard M, Hopkins CC, Malt RA. Complications and survival of multilumen central venous catheters used for total parenteral nutrition. Br J Surg 1993;80:1287-90.

28. Johnson BH, Rypins EB. Single-lumen vs double-lumen catheters for total parenteral nutrition. A randomized, prospective trial. Arch Surg 1990;125:990-2.

29. Shah P, Shah V. Continuous heparin infusion to prevent thrombosis and catheter occlusion in neonates with peripherally placed percutaneous central venous catheters. Cochrane Database Syst Rev 2005;3: CD002772.

30. Crain MR, Horton MG, Mewissen MW. Fibrin sheaths complicating central venous catheters. AJR Am J Roentgenol 1998;171:341-6.

31. Koletzko B, Goulet O, Hunt J, Krohn K, Shamir R; Parenteral Nutrition Guidelines Working Group; European Society for Clinical Nutrition and Metabolism; European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN); European Society of Paediatric Research (ESPR).. Guidelines on Pediatric Parenteral Nutrition of the European Society of Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the European Society for Clinical Nutrition and Metabolism (ESPEN), Supported by the European Society of Pediatric Research (ESPR). J Pediatr Gastroenterol Nutr 2005; 41 Suppl 2:S1–S87.

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