Tunnelled central venous access devices in small children: A comparison of open vs. ultrasound-guided percutaneous insertion in children weighing ten kilograms or less
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In brief
In brief
Retrospective comparison of 232 tunneled central venous catheter insertions in children ≤10kg, evaluating safety of ultrasound-guided percutaneous technique versus traditional open surgical approach. Study examines intraoperative complications, conversion rates, and catheter longevity across six years at a tertiary pediatric center.
Written by the GCMD Library team from the article.
Purpose
Ultrasound-guided (USG) percutaneous insertion of tunnelled central venous access devices (CVADs) has been shown to be safe and effective in adults. However, there have been concerns over the safety of this technique in small children. This paper analyses the safety of USG percutaneous CVAD insertion in the pediatric population weighing ten kilograms or less.
Method
All surgically inserted CVADs for children weighing ten kilograms or less, between January 2010 and December 2015 at the Children's Hospital at Westmead were retrospectively reviewed. Open and USG percutaneous techniques were compared with intraoperative complications as the primary outcome variable. Secondary outcome measures included conversion to open technique, postoperative complications, operating time and catheter longevity.
Results
232 cases were identified: 96 (41.4%) open, 136 (58.6%) USG percutaneous. Age ranged