Central Venous Catheters in Neonates: From Simple Monolumen to Port Catheter

Caruselli, Marco; Carboni, Laura; Franco, Federica; Torino, Giovanni; Camilletti, Gianfranco; Piattellini, Gianmarco; Giretti, Roberto; Pagni, Raffaella

doi:10.5301/jva.2010.5850

Cited by 3 publications

(3 citation statements)

References 26 publications

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“…Therefore, in those patients who need intravenous therapies for many years or for life, it offers more advantages compared to Groshong and Broviac catheters, which are only partially tunnelled. 2 The Port catheter is less subject to bacterial colonizations, it is completely subcutaneous so there is less disturbance to daily life ( i.e. patients can have showers or practice sports with no risk of catheter damage or infection), and it can last for many years without problems (the reservoir can receive up to 2000 needlesticks).…”

Section: Introductionmentioning

confidence: 99%

Optimal Position of A Long-Term Central Venous Catheter Tip in A Pediatric Patient with Congenital Diseases

Caruselli¹,

Galante²,

Ficcadenti

et al. 2012

Pediatric Reports

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Progress in medical and scientific research has increased the chances of survival for young patients with congenital diseases, children who, in the past, would not have had any chance of survival. Nowadays, congenital diseases can be treated with appropriate replacement therapies. These treatments can be difficult to administer in young patients because of the high frequency of administration (sometimes more than a dose per week), the use of intravenous infusion and the long-term or life-term requirement.

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Section: Introductionmentioning

confidence: 99%

Optimal Position of A Long-Term Central Venous Catheter Tip in A Pediatric Patient with Congenital Diseases

Caruselli¹,

Galante²,

Ficcadenti

et al. 2012

Pediatric Reports

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“…Treatment via a central venous catheter, both PICC line and port, can be started at any age. It is used even in preterm infants [7].…”

Section: Discussionmentioning

confidence: 99%

Atypical placement of totally implantable venous access device in paediatric patients – case reports

Kotowska¹,

Lewandowska²,

Sosnowska³

et al. 2018

polp

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Central line catheterisation plays a crucial role in prolonged treatment in children. Totally implantable venous access devices (TIVADs) are associated with a lower risk of thrombosis and are perceived by patients as more comfortable to use. The catheterisation is most commonly performed through the internal jugular vein or the subclavian vein. The present article shows the cases of two patients in whom atypical placement of a TIVAD was used. The first patient underwent TIVAD placement via femoral vein due to tumour mass in the thoracic cavity and thrombotic stenosis of both jugular and subcostal veins. In the second case, atypical localisation applied to the placement of a reservoir in the left parasternal region. In both patients, the atypical placement of TIVAD resulted in prolonged patency and provided access for further treatment.

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“…Knowledge of the femoral anatomy in pediatric patients is important not only in the selection of appropriately sized central line catheters as well as in the approach to central vessel access. However, it carries a risk of serious complications, such as artery‐, nerve‐ or organ puncture, which can be life‐threatening, particularly in critically ill patients (Caruselli et al, ). Complications occur in up to 28–57% of all catheter insertions in the preterm population (Hruszkewycz et al, ; Pandit et al, ).…”

Section: Introductionmentioning

confidence: 99%

Anatomical examination of the great inguinal blood vessels in preterm and term neonates

et al. 2012

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It is generally accepted that vessel cannulation is technically more difficult and results in more complications in neonates. A sound anatomical knowledge of the inguinal area is therefore important in the selection of appropriately sized central line catheters as well as the approach to central vessel access. Eleven stillborns were investigated. Birth weight (mean: 2,414 g, 900-4,100 g) and gestational age (mean 34 1/7 weeks', 27 6/7-42 1/7) varied within normal range. The outer diameters of the femoral artery (FA), femoral vein (FV), and great saphenous vein (GSV) were determined. The distance between the anterior superior iliac spine and the pubic tubercle was set as 100% and the vessel intersection points were calculated as percentage values of the inguinal ligament length, starting at the iliac spine. The FA has a diameter of 1.9 ± 0.5 mm without correlation to gestational age. The FA crosses the inguinal ligament centrally. The FV has a diameter of 3.1 ± 1.0 mm and does have correlation to gestational age. The FV crosses the inguinal ligament at 63-64%. The GSV has a diameter of 1.4 ± 0.7 mm. Its point of intersection at the level of the inguinal ligament is 68-70%. We conclude that cannulation of the femoral artery or vein should not be performed too far (<1 cm) from the inguinal ligament. The course of the GSV is not suitable for catheter insertion.

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Central Venous Catheters in Neonates: From Simple Monolumen to Port Catheter

Cited by 3 publications

References 26 publications

Optimal Position of A Long-Term Central Venous Catheter Tip in A Pediatric Patient with Congenital Diseases

Optimal Position of A Long-Term Central Venous Catheter Tip in A Pediatric Patient with Congenital Diseases

Atypical placement of totally implantable venous access device in paediatric patients – case reports

Anatomical examination of the great inguinal blood vessels in preterm and term neonates

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