Ultrasound-guided percutaneous insertion of Broviac lines in infants less than 5kg: Prospective study of 100 consecutive procedures
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In brief
In brief
This prospective study evaluates outcomes of 100 consecutive ultrasound-guided percutaneous Broviac line insertions in infants weighing less than 5kg, performed by a multidisciplinary vascular access team. The study addresses the technical challenges of central venous access in small neonates and compares percutaneous technique to traditional open cutdown approaches.
Written by the GCMD Library team from the article.
Aim
Ultrasound-guided (USG) percutaneous insertion of Broviac lines (cuffed tunnelled silastic central venous catheters, TCVC) has increasingly been adopted throughout the UK. However, vascular access remains a challenge in small babies and in some units is still performed by open cutdown. Our vascular access team, established in 2004, consists of consultant surgeons, anaesthetists and interventional radiologists, who provide all permanent vascular access by the USG technique. We reviewed the outcome in our last 100 patients less than 5kg.
Method
A prospective database of TCVC insertions in patients