Long-term vascular access in differently resourced settings: a review of indications, devices, techniques, and complications
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Read the article on link.springer.com ↗Article · Mar 2020 · 1 min read
In brief
In brief
This review examines central venous access devices (CVADs) in pediatric patients, covering indications, device types, placement techniques, and complications. Special emphasis is placed on challenges and practical solutions for long-term vascular access in resource-limited settings where financial, human, and material constraints require adapted approaches.
Written by the GCMD Library team from the article.
Abstract
Central venous access is frequently essential for the management of many acute and chronic conditions in children. Millions of central venous access devices (CVADs) are placed each year. In this review article, we discuss the indications for long-term vascular access, the types of devices available, the state of the art of central venous cannulation and device placement, and the complications of long-term central venous access. We pay a special attention to the challenges of, and options for long-term central venous access, also those in developing countries, with limited financial, human, and material resources.