Ultrasound-guided peripheral vascular catheterization in pediatric patients: a narrative review

Abstract

Peripheral vascular catheterization (PVC) in pediatric patients is technically challenging. Ultrasound guidance has gained the most interest in perioperative and intensive care fields because it visualizes the exact location of small target vessels and is less invasive than other techniques. There have been a growing number of studies related to ultrasound guidance for PVC with or without difficult access in pediatric patients, and most findings have demonstrated its superiority to other techniques. There are various ultrasound guidance approaches, and a comprehensive understanding of the basics, operator experience, and selection of appropriate techniques is required for the successful utilization of this technique. This narrative review summarizes the literature regarding ultrasound-guided PVC principles, approaches, and pitfalls to improve its clinical performance in pediatric settings.

Prevention of complications related to peripherally inserted central catheter insertion techniques in newborns: systematic review and network meta-analysis

“…With the negative results of the studies that used USGRT, it is clear that it is imperative to establish protocols ( 56 - 57 ) , as well as adequate training and experience of professionals who manipulate the equipment ( 57 ) . When it comes to newborns and children, the need for these requirements was highlighted as a disadvantage of USG, as well as the difficulties of some units having a device available 24 hours a day ( 57 - 59 ) .…”

“…Con los resultados negativos de los estudios que utilizaron USTR, queda claro que es imprescindible establecer protocolos ( 56 - 57 ) , así como una adecuada capacitación y la experiencia de los profesionales que manejan los equipos ( 57 ) . En el caso de recién nacidos y niños, se consideró una desventaja la necesidad de estos requisitos para el US, al igual que las dificultades que tienen algunas unidades para contar con un dispositivo disponible las 24 horas del día ( 57 - 59 ) .…”

“…Com os resultados negativos dos estudos que utilizaram a USGRT, percebe-se ser imperativa a instituição de protocolos ( 56 - 57 ) , bem como o treinamento adequado e a experiência dos profissionais que manipulam o equipamento ( 57 ) . Quando se trata de RNs e crianças, a necessidade desses quesitos foi apontada como uma desvantagem da USG, assim como as dificuldades de algumas unidades possuírem um aparelho disponível 24 horas por dia ( 57 - 59 ) .…”

Successful embolization of a congenital intra-hepatic arterioportal fistula in a neonate with the MVP Microvascular Plug system (MVP-3Q)

“…reported 112 cases of successful brachial artery catheterization for hemodynamic monitoring with few complications including temporary occlusion (n = 1), local infection (n = 1), and local hematoma (n = 5) [20] . US guidance is recommended for access as it can increase catheterization success rates in children [21] . Nitroglycerin – a smooth muscle relaxant that results in arterial and venous dilation – can be used to mitigate the risk of vasospasm and limb ischemia [19] .…”

Experiência de estudantes de enfermagem na técnica de punção venosa periférica com e sem o uso de transiluminador cutâneo portátil

“…Isso ocorre em virtude de elas serem mais calibrosas, portanto mais fáceis para a punção (Mukai et al, 2020). Também é importante frisar que em pacientes adultos, veias muito superficiais (<0,3 cm) e muito profundas (>1,5 cm) são difíceis de puncionar (Nakayama et al, 2020).…”