Saphenofemoral venous cutdowns in the premature infant

Percutaneous femoral arterial and venous catheterisation during neonatal intensive care

“…Hogan and Pulito8 described the surgical cut down insertion of Broviac catheters through the saphenous and femoral veins under local anaesthetic in 84 infants, and Meland et al 9 reported the use of a similar technique in a series of 35 neonates. In these series, complications occurred in about 50% of cases, but 62–83% of catheters remained in situ until no longer required.…”

“…Case series have been reported of femoral venous catheters inserted into neonates after surgical dissection8 9 or percutaneously through a needle 1011 To our knowledge, there are no reports on the use of modern catheters introduced into the femoral vessels using the Seldinger technique in neonates.…”

Using a modified Seldinger technique is an effective way of placing femoral venous catheters in critically ill infants

“…In the early 1990s, in a reported case series of 84 infants, the FVC was placed using a surgical cut‐down to create a subcutaneous tunnel with minimal complications . In another series of 35 preterm infants, with a mean gestational age of 29 weeks, saphenofemoral cut‐down was carried out and reported complications included leg swelling (43%), catheter occlusion (12%), infection (8%) and catheter fluid leakage (10%) . There are isolated case reports and experiences of FVC placement through other modified Seldinger techniques, where silastic catheters were introduced through an introducer needle or intravenous catheter .…”

Are Multiple Broviac Catheters Safe in Newborns? A Comparison of Single and Multiple Broviac Catheters

“…inserted or supervised all Broviac catheter insertions in the special‐care nurseries. The insertion procedure has been described previously (3,4): the large central vessels (internal jugular or femoral veins), or the small deep vessels (external jugular, facial, greater saphenous, external pudendal, or superficial saphenous tributaries) or both were cannulated. Under local anesthesia, a single 1‐ to 1.5‐cm incision was made for the single‐ or multiple‐vessel cannulations.…”