Ultrasound- guided placement of double catheter in the right internal jugular vein: Two case reports

Montes-Tapia, Fernando; Rodríguez-Taméz, Antonio; Luévanos-Gurrola, Karla; Garza-Alatorre, Arturo; O-Cavazos, Manuel de la

doi:10.4103/0189-6725.132844

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“…In the present study, operator experience was an important variable for success of the procedure. Since the first author has experience in catheter placement using anatomical references and also use of ultrasound for vascular access in pediatric patients [21,35] but not in infants b2500 g, we believe that this experience produced a lower learning curve than if he had been naive in vascular access. On the other hand, the acquisition of skills and competence in vascular access in this group of infants (b2500 g), requires training and regular practice.…”

Section: Discussionmentioning

confidence: 93%

Efficacy and safety of ultrasound-guided internal jugular vein catheterization in low birth weight newborn

Montes-Tapia

Rodríguez-Taméz

Cura-Esquivel

et al. 2016

Journal of Pediatric Surgery

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a b s t r a c t a r t i c l e i n f oBackground: Central venous catheterization is not the first choice of vascular access in neonates. Success depends on the size of the vessel and the skill of the health professional performing the procedure. The internal jugular vein provides a predictable path for central venous cannulation, although it is more difficult to cannulate infants than adults and even more difficult in smaller newborns. Methods: We conducted a prospective study in 100 newborns, in which a 4 Fr ultrasound-guided central venous catheter was placed in the right internal jugular vein (RIJV). The study population was low birth weight (LBW) newborns b 2500 g, very low birth weight (VLBW) newborns b 1500 g and extremely low birth weight (ELBW) newborns b1000 g. Results: There were 53% female patients, mean gestational age was 31 weeks, mean weight 1352 g and the CVC was placed at a mean of 12 days of extrauterine life. Birth weight distribution was 39% LBW; 33% VLBW and 28% ELBW. A mean of two (1-8) attempts were necessary with a procedure duration of 16.8 (10-40) minutes. Success of RIJV catheterization was 94%. One attempt was necessary in 50% and up to 5 attempts in 95.7%. Success by weight was VLBW, 97.2%; ELBW, 92.9%; LBW, 91.7%. A venous hematoma occurred in 5% of cases. Conclusions: Ultrasound-guided RIJV cannulation with real-time visualization to gain access to the central venous circulation in low birth weight newborns is effective and safe.

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Section: Discussionmentioning

confidence: 93%