Comparison of Central Venous Catheterization Sites in Infants
| Autor: | YS Park, Won Ho Kim, Jae-Hyon Bahk, C Lim, SH Han, CS Kim, SD Kim |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Catheterization
Central Venous Left subclavian medicine.medical_specialty Left internal jugular vein Venous catheterization business.industry Biochemistry (medical) Infant Newborn Infant Cell Biology General Medicine Subclavian Vein Biochemistry Surgery Catheter Right Internal Jugular Anesthesia medicine Humans Jugular Veins Catheter placement business Internal jugular vein Subclavian vein |
| Zdroj: | Journal of International Medical Research. 32:563-569 |
| ISSN: | 1473-2300 0300-0605 |
| DOI: | 10.1177/147323000403200601 |
| Popis: | This study aimed to compare the rates of success and complications between different sites of central venous catheterization in infants. A total of 272 infants were randomized to four groups: right subclavian group (G-RSCV), right internal jugular group (G-RIJV), left subclavian group (G-LSCV) and left internal jugular vein group (G-LIJV). In 77.2% of the patients, we successfully introduced a catheter at the first attempt. The rate of successful catheter placement was highest in the RIJV (RIJV 89.7%, LIJV 79.4%, RSCV 66.2% and LSCV 55.9%). With regard to complications, the rate of arterial puncture, guide wire advancement failure and malpositioning of the catheter were all significantly more frequent during SCV catheterization (SCV versus IJV: 10.1% versus 2.1%, 12.4% versus 0% and 13.4% versus 0.6%, respectively). Our results imply that IJV, especially RIJV, should be the first choice for central venous catheterization in infants. |
| Databáze: | OpenAIRE |
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