The success rate and safety of internal jugular vein catheterization under ultrasound guidance in infants undergoing congenital heart surgery.
Journal
Turk gogus kalp damar cerrahisi dergisi
ISSN: 1301-5680
Titre abrégé: Turk Gogus Kalp Damar Cerrahisi Derg
Pays: Turkey
ID NLM: 100887967
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
08
03
2018
accepted:
05
10
2018
entrez:
22
2
2020
pubmed:
23
2
2020
medline:
23
2
2020
Statut:
epublish
Résumé
In this study, we aimed to investigate the effect of central venous catheterization under ultrasound guidance on the success and complication rates in low-weight infants (under 5 kg) undergoing surgery due to congenital heart disease. A total of 70 infants (38 boys, 32 girls; mean age of patients <1 month was 16.4±9.5 days [n=20; 28.6%]; 1-7.5 months was 126.3±47.8 [n=50; 71.4%]) who underwent ultrasound-guided internal jugular venous catheterization between October 2014 and October 2015 were retrospectively analyzed. All catheterizations were done under the guidance of ultrasound by two skilled anesthesiologists. Data including demographic characteristics of the patients, procedural success rate, catheter access time, number of attempts, and complications were recorded. The overall success rate of the procedure was 92.8% (n=65). In 82% of the patients (n=53), the insertion was successful at the first attempt. The mean catheter access time (time from the first puncture to the catheter insertion) was 214±0.48 sec. Complications were seen in five patients (7.14%), and the body weight of these patients was less than 2,500 g. There was no arterial puncture in any patients. One patient (1.42%) developed pneumothorax and four patients (5.7%) developed hematoma due to repeated attempts. Our study results suggest that ultrasound-guided central venous cannulation is a safe and effective technique in pediatric population weighing less than 5 kg undergoing congenital heart surgery.
Sections du résumé
BACKGROUND
BACKGROUND
In this study, we aimed to investigate the effect of central venous catheterization under ultrasound guidance on the success and complication rates in low-weight infants (under 5 kg) undergoing surgery due to congenital heart disease.
METHODS
METHODS
A total of 70 infants (38 boys, 32 girls; mean age of patients <1 month was 16.4±9.5 days [n=20; 28.6%]; 1-7.5 months was 126.3±47.8 [n=50; 71.4%]) who underwent ultrasound-guided internal jugular venous catheterization between October 2014 and October 2015 were retrospectively analyzed. All catheterizations were done under the guidance of ultrasound by two skilled anesthesiologists. Data including demographic characteristics of the patients, procedural success rate, catheter access time, number of attempts, and complications were recorded.
RESULTS
RESULTS
The overall success rate of the procedure was 92.8% (n=65). In 82% of the patients (n=53), the insertion was successful at the first attempt. The mean catheter access time (time from the first puncture to the catheter insertion) was 214±0.48 sec. Complications were seen in five patients (7.14%), and the body weight of these patients was less than 2,500 g. There was no arterial puncture in any patients. One patient (1.42%) developed pneumothorax and four patients (5.7%) developed hematoma due to repeated attempts.
CONCLUSION
CONCLUSIONS
Our study results suggest that ultrasound-guided central venous cannulation is a safe and effective technique in pediatric population weighing less than 5 kg undergoing congenital heart surgery.
Identifiants
pubmed: 32082823
doi: 10.5606/tgkdc.dergisi.2019.16185
pmc: PMC7021362
doi:
Types de publication
Journal Article
Langues
eng
Pagination
23-28Informations de copyright
Copyright © 2019, Turkish League Against Rheumatism.
Déclaration de conflit d'intérêts
Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
Références
Surg Gynecol Obstet. 1987 Sep;165(3):230-4
pubmed: 3306995
Br J Anaesth. 2004 Jun;92(6):827-30
pubmed: 15121722
Crit Care Med. 2009 Mar;37(3):1090-6
pubmed: 19237922
Anesth Analg. 1978 Jan-Feb;57(1):118
pubmed: 564628
Anesthesiology. 2004 Jun;100(6):1411-8
pubmed: 15166560
Anesthesiology. 1996 Jul;85(1):43-8
pubmed: 8694381
Pediatr Res. 2016 Aug;80(2):178-84
pubmed: 27057741
BMJ. 2003 Aug 16;327(7411):361
pubmed: 12919984
Anesthesiology. 1999 Jul;91(1):71-7
pubmed: 10422930
J Saudi Heart Assoc. 2014 Oct;26(4):199-203
pubmed: 25278721
Paediatr Anaesth. 2005 Nov;15(11):953-8
pubmed: 16238556
Saudi J Anaesth. 2012 Apr;6(2):120-4
pubmed: 22754436
Paediatr Anaesth. 2008 Aug;18(8):745-51
pubmed: 18544148
Br J Anaesth. 1993 Feb;70(2):145-8
pubmed: 8435256
Anesthesiology. 1984 May;60(5):481-2
pubmed: 6711857
Paediatr Anaesth. 1999;9(2):111-4
pubmed: 10189649
Clin Radiol. 2013 May;68(5):529-44
pubmed: 23415017