Subclavian vein catheterization in critically ill children: Analysis of 322 cannulations

J. Casado-Flores, A. Valdivielso-Serna, Luis Perez-Jurado, J. Pozo-Román, M. Monleón-Luque, J. García-Pérez, A. Ruiz-Beltran, M. A. García-Teresa

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Complications in 322 percutaneous subclavian vein catheters placed in 272 children by the infraclavicular approach were investigated prospectively. Ages ranged from 4 days to 15 years. Incidents during catheter introduction occurred in 13 cases, and were more common when insertion was on the right side (p<0.01). Nine (2.8%) required urgent treatment: (6 pneumothorax, 1 hydrothorax, and 2 hemothorax). Anomalous lodging of the catheter tip was more common when insertion was on the right side (p<0.05). Complications during catheter maintenance were 3 venous thromboses, 3 catheter obstructions, and 7 migrations out of position. There was no significant difference in complications related to age. Catheter cultures were positive in 33 (17%) of 190 catheters cultured (27 through colonization and 6 through catheter-related sepsis). Staph. epidermidis was the organism most frequently isolated (19 cases; 58%). Catheterization time of more than 5 days and catheter-related sepsis were statistically associated (p<0.05). Staph. epidermidis isolation and duration of cannula use were statistically related (p<0.01). No catheter-related deaths occurred. We conclude that subclavian vein catheterization is a simple and useful procedure that entails relatively few serious complications when performed by experienced pediatricians.

Original languageEnglish
Pages (from-to)350-354
Number of pages5
JournalIntensive Care Medicine
Volume17
Issue number6
DOIs
Publication statusPublished - 1 Jun 1991
Externally publishedYes

Keywords

  • Catheter complications
  • Central subclavian catheter
  • Children

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Casado-Flores, J., Valdivielso-Serna, A., Perez-Jurado, L., Pozo-Román, J., Monleón-Luque, M., García-Pérez, J., ... García-Teresa, M. A. (1991). Subclavian vein catheterization in critically ill children: Analysis of 322 cannulations. Intensive Care Medicine, 17(6), 350-354. https://doi.org/10.1007/BF01716195