Subclavian Vein Cannulation Success or Failure in Neonates and Children

Reza  Amin Nejad; Seyed Sajad  Razavi; Seyed-Amir Mohajerani; Alireza  Mahdavi

Annals of Military and Health Sciences Research

Current Issue All Issues In Press Accepted Manuscripts Search

Journal Information Editors and Boards Indexing and Listing Sources Reviewer and AE Registration Form Journal Metrics Open Peer Review (OPR)Publication Ethics and Malpractice Statement Contact Us Support

Authors Guide Submit Manuscript

Subclavian Vein Cannulation Success or Failure in Neonates and Children

Author(s):

Reza Amin Nejad¹,

Seyed Sajad Razavi²,

Seyed-Amir Mohajerani^3,*,

Alireza Mahdavi⁴

1Researcher, Department of Anesthesiology, Mofid Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Andorra

2Associate professor, Department of Anesthesiology, Mofid Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Andorra

4Department of Anesthesiology, Mofid Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Andorra

Annals of Military and Health Sciences Research:Vol. 11, issue 4; e64913

Published online:Dec 07, 2013

Article type:Research Article

Received:Aug 24, 2013

Accepted:Nov 17, 2013

How to Cite:Reza Amin NejadSeyed Sajad RazaviSeyed-Amir MohajeraniAlireza MahdaviSubclavian Vein Cannulation Success or Failure in Neonates and Children.Ann Mil Health Sci Res.11(4):e64913.

Abstract

Background: Central vein cannulation (CVC) allows administration of large volumes of fluids in short times and at high osmolaritiy 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. Materials and Methods: 3264 subclavian vein cannulations in neonates and children were analyzed regarding successful attempt for catheterization and early complication rates after the procedure retrospectively. Results: We had 1340 newborn patients (first 28 days of life) in our study population. In this group, only 55cannulations were failed, 1 patient were complicated with pneumothorax, in 21 cases guide wires became malfunction and only in 981 cases attempts to cannulation were successful in first attempt. In the remaining 1924 patients, 1 month to 8 years old, only 14 attempts to cannulation of subclavian vein was failed and in 1655 cases cannulation performed successfully at first attempt. CVC success rate was significantly higher in children older than 1 month compare to less than 1 month age (P=0.03). Conclusions: Cannulation of central vein in neonates and children in a skilled hand would be performed with great success rate and low complications but in neonates less than 1 month age it has higher failure rate.

Keywords

Fulltext

Full text is available in pdf

References

1.
References are available in pdf.

comments