Bedside placement of tunneled femorally inserted central catheters in pediatric patients on extracorporeal life support: A case series and discussion.
Intensive care
extracorporeal life support
pediatrics
techniques and procedures
vascular access
Journal
The journal of vascular access
ISSN: 1724-6032
Titre abrégé: J Vasc Access
Pays: United States
ID NLM: 100940729
Informations de publication
Date de publication:
20 Sep 2023
20 Sep 2023
Historique:
pubmed:
21
9
2023
medline:
21
9
2023
entrez:
21
9
2023
Statut:
aheadofprint
Résumé
Pediatric patients requiring extracorporeal life support (ECLS) often need central venous access for extended periods of time. In this population, the placement of an upper extremity peripherally inserted central catheter (PICC) can be challenging due to the location and size of the venous ECLS cannula. Bedside placement of a tunneled femorally inserted central catheters (T-FICC) can be a viable alternative to a traditional PICC. In this case series we present five children who were on ECLS and had a T-FICC placed at the bedside. In this series of five patients we successfully placed T-FICCs while the patients were on ECLS. The T-FICCs dwelled from 15 to 182 days. There were no events of central line associated blood stream infections or deep vein thrombosis. There was only one unintentional line dislodgement noted. The use of T-FICCs placed at the bedside is a safe and reliable alternative for secure long-term venous access in children who are on ECLS.
Sections du résumé
BACKGROUND
UNASSIGNED
Pediatric patients requiring extracorporeal life support (ECLS) often need central venous access for extended periods of time. In this population, the placement of an upper extremity peripherally inserted central catheter (PICC) can be challenging due to the location and size of the venous ECLS cannula. Bedside placement of a tunneled femorally inserted central catheters (T-FICC) can be a viable alternative to a traditional PICC.
METHODS
UNASSIGNED
In this case series we present five children who were on ECLS and had a T-FICC placed at the bedside.
RESULTS
UNASSIGNED
In this series of five patients we successfully placed T-FICCs while the patients were on ECLS. The T-FICCs dwelled from 15 to 182 days. There were no events of central line associated blood stream infections or deep vein thrombosis. There was only one unintentional line dislodgement noted.
CONCLUSION
UNASSIGNED
The use of T-FICCs placed at the bedside is a safe and reliable alternative for secure long-term venous access in children who are on ECLS.
Identifiants
pubmed: 37731355
doi: 10.1177/11297298231199117
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM