Cateterización de la vena subclavia en pacientes pediátricos menores de 10 kg de peso

Franco Díaz R., Alejandro Donoso F., Jorge Camacho A., Pablo Cruces R., José León B.

Resultado de la investigación: Article

Resumen

Background: Central venous access are often required in Pediatric Intensive Care Units for hemodynamic monitorization and treatment. The subclavian vein catheterization is unfrequently used in critically ill children. Objective: To demonstrate that subclavian vein catheterization performed by pediatric staff is a safe and successful access in children with body weight less than 10 kg. Method: Prospective and observational study that lasts 34 months and includes children with body weight less than 10 kg. A subclavian central venous access was attempted by infraclavicular approach with Seldinger technique. The demographic and anthropometric characteristics of the patients and their relevant clinical conditions were registered. The technical variables of the procedure (insertion side, number of attempts) and related complications were listed. Group analysis was made according to weight (< 5 kg or > 5 kg). Results: 73 catheter insertions were performed in 51 patients; 59% male with age between 8 days and 18 months, weight between 2,3-9,6 kg (median 5 kg). 62% were placed in the right side. 78% cases required mechanical ventilation. 70 out of 73 attempts (96%) were successful (64% first attempt), 97% belonging to the group with weight < 5 kg and 95% to the ones with body weight > 5 kg. 9 (12%) complications occurred. There were no differences between both groups in terms of success and procedure related complications. Conclusions: Percutaneous subclavian vein catheterization is safe in children with body weight less than 10 kg and it presents low risk of complications. This procedure must be considered as an alternative in critically ill children.

Idioma originalSpanish
Páginas (desde-hasta)473-480
Número de páginas8
PublicaciónRevista Chilena de Pediatria
Volumen77
N.º5
EstadoPublished - oct 2006

Huella dactilar

Subclavian Vein
Catheterization
Weights and Measures
Body Weight
Critical Illness
Pediatric Intensive Care Units
Artificial Respiration
Observational Studies
Catheters
Hemodynamics
Demography
Prospective Studies
Pediatrics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Citar esto

Díaz R., F., Donoso F., A., Camacho A., J., Cruces R., P., & León B., J. (2006). Cateterización de la vena subclavia en pacientes pediátricos menores de 10 kg de peso. Revista Chilena de Pediatria, 77(5), 473-480.
Díaz R., Franco ; Donoso F., Alejandro ; Camacho A., Jorge ; Cruces R., Pablo ; León B., José. / Cateterización de la vena subclavia en pacientes pediátricos menores de 10 kg de peso. En: Revista Chilena de Pediatria. 2006 ; Vol. 77, N.º 5. pp. 473-480.
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title = "Cateterizaci{\'o}n de la vena subclavia en pacientes pedi{\'a}tricos menores de 10 kg de peso",
abstract = "Background: Central venous access are often required in Pediatric Intensive Care Units for hemodynamic monitorization and treatment. The subclavian vein catheterization is unfrequently used in critically ill children. Objective: To demonstrate that subclavian vein catheterization performed by pediatric staff is a safe and successful access in children with body weight less than 10 kg. Method: Prospective and observational study that lasts 34 months and includes children with body weight less than 10 kg. A subclavian central venous access was attempted by infraclavicular approach with Seldinger technique. The demographic and anthropometric characteristics of the patients and their relevant clinical conditions were registered. The technical variables of the procedure (insertion side, number of attempts) and related complications were listed. Group analysis was made according to weight (< 5 kg or > 5 kg). Results: 73 catheter insertions were performed in 51 patients; 59{\%} male with age between 8 days and 18 months, weight between 2,3-9,6 kg (median 5 kg). 62{\%} were placed in the right side. 78{\%} cases required mechanical ventilation. 70 out of 73 attempts (96{\%}) were successful (64{\%} first attempt), 97{\%} belonging to the group with weight < 5 kg and 95{\%} to the ones with body weight > 5 kg. 9 (12{\%}) complications occurred. There were no differences between both groups in terms of success and procedure related complications. Conclusions: Percutaneous subclavian vein catheterization is safe in children with body weight less than 10 kg and it presents low risk of complications. This procedure must be considered as an alternative in critically ill children.",
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year = "2006",
month = "10",
language = "Spanish",
volume = "77",
pages = "473--480",
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Díaz R., F, Donoso F., A, Camacho A., J, Cruces R., P & León B., J 2006, 'Cateterización de la vena subclavia en pacientes pediátricos menores de 10 kg de peso', Revista Chilena de Pediatria, vol. 77, n.º 5, pp. 473-480.

Cateterización de la vena subclavia en pacientes pediátricos menores de 10 kg de peso. / Díaz R., Franco; Donoso F., Alejandro; Camacho A., Jorge; Cruces R., Pablo; León B., José.

En: Revista Chilena de Pediatria, Vol. 77, N.º 5, 10.2006, p. 473-480.

Resultado de la investigación: Article

TY - JOUR

T1 - Cateterización de la vena subclavia en pacientes pediátricos menores de 10 kg de peso

AU - Díaz R., Franco

AU - Donoso F., Alejandro

AU - Camacho A., Jorge

AU - Cruces R., Pablo

AU - León B., José

PY - 2006/10

Y1 - 2006/10

N2 - Background: Central venous access are often required in Pediatric Intensive Care Units for hemodynamic monitorization and treatment. The subclavian vein catheterization is unfrequently used in critically ill children. Objective: To demonstrate that subclavian vein catheterization performed by pediatric staff is a safe and successful access in children with body weight less than 10 kg. Method: Prospective and observational study that lasts 34 months and includes children with body weight less than 10 kg. A subclavian central venous access was attempted by infraclavicular approach with Seldinger technique. The demographic and anthropometric characteristics of the patients and their relevant clinical conditions were registered. The technical variables of the procedure (insertion side, number of attempts) and related complications were listed. Group analysis was made according to weight (< 5 kg or > 5 kg). Results: 73 catheter insertions were performed in 51 patients; 59% male with age between 8 days and 18 months, weight between 2,3-9,6 kg (median 5 kg). 62% were placed in the right side. 78% cases required mechanical ventilation. 70 out of 73 attempts (96%) were successful (64% first attempt), 97% belonging to the group with weight < 5 kg and 95% to the ones with body weight > 5 kg. 9 (12%) complications occurred. There were no differences between both groups in terms of success and procedure related complications. Conclusions: Percutaneous subclavian vein catheterization is safe in children with body weight less than 10 kg and it presents low risk of complications. This procedure must be considered as an alternative in critically ill children.

AB - Background: Central venous access are often required in Pediatric Intensive Care Units for hemodynamic monitorization and treatment. The subclavian vein catheterization is unfrequently used in critically ill children. Objective: To demonstrate that subclavian vein catheterization performed by pediatric staff is a safe and successful access in children with body weight less than 10 kg. Method: Prospective and observational study that lasts 34 months and includes children with body weight less than 10 kg. A subclavian central venous access was attempted by infraclavicular approach with Seldinger technique. The demographic and anthropometric characteristics of the patients and their relevant clinical conditions were registered. The technical variables of the procedure (insertion side, number of attempts) and related complications were listed. Group analysis was made according to weight (< 5 kg or > 5 kg). Results: 73 catheter insertions were performed in 51 patients; 59% male with age between 8 days and 18 months, weight between 2,3-9,6 kg (median 5 kg). 62% were placed in the right side. 78% cases required mechanical ventilation. 70 out of 73 attempts (96%) were successful (64% first attempt), 97% belonging to the group with weight < 5 kg and 95% to the ones with body weight > 5 kg. 9 (12%) complications occurred. There were no differences between both groups in terms of success and procedure related complications. Conclusions: Percutaneous subclavian vein catheterization is safe in children with body weight less than 10 kg and it presents low risk of complications. This procedure must be considered as an alternative in critically ill children.

KW - Canulation

KW - Central venous catheter

KW - Complication

KW - Subclavian vein

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M3 - Artículo

AN - SCOPUS:33846502645

VL - 77

SP - 473

EP - 480

JO - Revista Chilena de Pediatria

JF - Revista Chilena de Pediatria

SN - 0370-4106

IS - 5

ER -