Central venous catheterization in infants and children – small caliber audio‐Doppler probe versus ultrasound scanner

Abstract

We conclude that application of both the audio-Doppler and the ultrasound scanner is useful in children over 1 year of age for access to the internal jugular vein. However, in infants and neonates, the ultrasound scanner would be more useful than the audio-Doppler.

Ultrasound guided internal jugular vein access in children and infant: A meta‐analysis of published studies

“…The study population included in the current meta‐analysis was very homogenous regarding weights and ages (Table 1). In addition, this demographic characteristic has been associated with difficulties in IJV access and might also explain the high rate of failure (mean rate of 22%) close to that previously found in the other studies (4,11,20). However, a great heterogeneity was observed especially concerning the failure rate and the inadvertent carotid puncture.…”

Ultrasound-guided internal jugular access: Systematic review and economic evaluation of cost-effectiveness

“…Selection of studies 27 randomised clinical trials (RCTs) on the use of ultrasound for IJV cannulation were selected among 826 potentially relevant studies ( Figure 1). Seven of them compared Doppler ultrasound with LM technique [15][16][17][18][19] or real-time B-mode US guidance 20,21 , five compared ultrasonography before puncture with the LM technique or real-time US guidance [22][23][24][25][26] , three were performed on infants or children [27][28][29] and four studies did not give a clear description of outcomes (no consideration of failures, arterial puncture or mention of pneumothorax) [30][31][32][33] .…”

Inadvertent insertion of central venous catheter into a Blalock‐Taussig shunt—a rare complication

“…In the pediatric population, ultrasound is useful to guide insertion of CV lines, particularly for age <1 year . However, like many existing tests, ultrasound cannot confirm intravenous placement of catheter.…”