Ultrasound-Guided Central Vein Catheterization in Pediatrics
https://doi.org/10.23934/2223-9022-2022-11-1-59-66
Abstract
ABSTRACT In this article the most relevant methods of subclavian vein catheterization were considered in order to find the optimal technique that can be used in routine clinical practice by pediatric intensive care physicians.
OBJECTIVE To compare the efficiency and safety of subclavian vein catheterization by supraclavicular access under ultrasound control and subclavian access by anatomical landmarks in children.
RESULTS The number of attempts for successful catheterization was statistically lower in ultrasound-control group compared to the anatomical landmarks group (1.2±0.4 vs. 2.6±1.3, p<0.0001); in the anatomical landmarks group such complications as catheter malposition (14% vs. 0), arterial puncture (5% vs. 1%) and pneumothorax (10% vs. 0) were observed more often than in the ultrasound group.
CONCLUSIONS We recommend catheterization of the subclavian vein by supraclavicular access under ultrasound control to be commonly used in clinical practice due to its high efficiency and safety.
Keywords
central vein catheterization,
catheterization of the subclavian vein,
central venous catheter,
ultrasound guidance,
supraclavicular access,
pediatrics
Supporting agencies: The study has no sponsorship
About the Authors
M. A. Leontiev
Morozov Children’s Municipal Clinical Hospital of the Moscow City Health Department
Russian Federation
Russian Federation
Mikhail A. Leontiev - Candidate of Medical Sciences, anesthesiologist-resuscitator.
1/9, 4th Dobryninsky lane, Moscow, 119049
S. V. Kravchuk
Morozov Children’s Municipal Clinical Hospital of the Moscow City Health Department
Russian Federation
Russian Federation
Sergey V. Kravchuk - Head, Department of Anesthesiology and Resuscitation, anesthesiologist-resuscitator.
1/9, 4th Dobryninsky lane, Moscow, 119049
A. V. Vodova
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Anastasia V. Vodova – Student.
1 Ostrovityanova St., Moscow, 117997
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For citations:
Leontiev M.A., Kravchuk S.V., Vodova A.V. Ultrasound-Guided Central Vein Catheterization in Pediatrics. Russian Sklifosovsky Journal "Emergency Medical Care". 2022;11(1):59-66. https://doi.org/10.23934/2223-9022-2022-11-1-59-66
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