subclavian vein cannulation success rate in neonates and children

نویسندگان

reza aminnejad department of anesthesiology, mofid hospital, shahid beheshti university of medical sciences, tehran, iran

seyed sajjad razavi department of anesthesiology, mofid hospital, shahid beheshti university of medical sciences, tehran, iran

seyed amir mohajerani department of anesthesiology, mofid hospital, shahid beheshti university of medical sciences, tehran, iran

seyed alireza mahdavi department of anesthesiology, mofid hospital, shahid beheshti university of medical sciences, tehran, iran; department of anesthesiology, mofid hospital, shahid beheshti university of medical sciences, tehran, iran. tel/fax: +98-2122908383

چکیده

conclusions the cannulation of the central vein in neonates and children in a skilled hand would be performed with great success rate and low complications. results there were 1340 newborn patients (first 28 days of life) in our study population. in these newborns, only 55 cannulations failed; one patient was complicated with pneumothorax; guide wires malfunctioned in 21 cases; and first- attempt cannulation success was reported in only 981 cases. in the remaining 1924 patients, between one month and 8 years old, only 14 attempts at the cannulation of the subclavian vein failed and 1655 cases had first-attempt cannulation success. objectives the aim of our study was to delineate some aspects of this procedure as well as its success rate and relative risk in pediatrics. patients and methods totally, 3264 subclavian vein cannulations in neonates and children were analyzed regarding successful catheterization attempts and early complication rates after the procedure retrospectively in mofid hospital (tehran, iran). background central vein cannulation allows the administration of large volumes of fluids in short times and at high osmolarities for rehydration, volume replacement, chemotherapy, and parenteral nutrition. percutaneous central venous line insertion has replaced peripheral venous cut-down as the primary mode of short-term venous access in children.

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منابع مشابه

Subclavian Vein Cannulation Success Rate in Neonates and Children

BACKGROUND Central vein cannulation allows the administration of large volumes of fluids in short times and at high osmolarities for rehydration, volume replacement, chemotherapy, and parenteral nutrition. Percutaneous central venous line insertion has replaced peripheral venous cut-down as the primary mode of short-term venous access in children. OBJECTIVES The aim of our study was to deline...

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Haemothorax after subclavian vein cannulation.

A patient in whom pulmonary arterial bleeding occurred during percutaneous supraclavicular puncture of the subclavian vein is described. A retrospective survey of over 600 subclavian venepunctures disclosed seven patients in whom serious traumatic complications occurred, six of them in the hands of inexperienced operators.

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Pneumothorax and hydrothorax after subclavian vein cannulation.

A patient is described who developed a right pneumothorax and a left hydrothorax following percutaneous subclavian vein cannulation. The prevention, diagnosis and treatment of this complication are discussed.

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Acute haemothorax--a hazard of subclavian vein cannulation.

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عنوان ژورنال:
anesthesiology and pain medicine

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