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. 2007 Oct;9(4):1-8.

Central venous catheters in children and neonates - what is important?

U Trieschmann  1 , Udink Ten F Cate, N Sreeram
Affiliations

Central venous catheters in children and neonates - what is important?

U Trieschmann et al. Images Paediatr Cardiol. 2007 Oct.

Abstract

Central venous access is an essential part of perioperative management for infants and children undergoing cardiac surgery for congenital heart disease. In addition, a thorough knowledge of the techniues for cannulation and placement of venous lines from the various percutaneously accessible sites is an important aspect of cardiac catheterization in this patient population. In the first of a series of papers describing the various approaches to venous access, we describe percutaneous cannulation of the subclavian vein. The standard approach, as well as potential difficulties, and how to overcome them, are described, as also the complications associated with this approach.

Keywords: Catheterization, Central Venous/adverse effects/*methods; Subclavian Vein; Venous Thrombosis/*prevention & control.

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Figures

Fig. 1
Fig. 1
Sterile preparation
Fig. 2
Fig. 2
Landmarks for subclavian puncture. Yellow circles indicate puncture sites.
Fig. 3
Fig. 3
Positioning of the infant
Fig. 4
Fig. 4
Trendelenburg position
Fig. 5
Fig. 5
Drapes and palpation. A) finger in the sternal notch; B) finger on the clavicle
Fig. 6
Fig. 6
Puncture.
Fig. 7
Fig. 7
Incision
Fig. 8
Fig. 8
Dilator over guidewire
Fig. 9
Fig. 9
Catheter advancement
Fig. 10
Fig. 10
Fixation
See this image and copyright information in PMC

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