Central venous access via external jugular vein in children.

Abstract:

OBJECTIVE:To determine the success rate and complications of using the external jugular (EJ) vein for central venous access in pediatric patients. METHODS:Prospective cohort study of children who underwent attempts at EJ vein central venous access while receiving care in an 11-bed pediatric intensive care unit at an urban children's hospital. RESULTS:Over a period of 15 months, 50 patients had EJ venous cannulation attempts. Central venous access was achieved in 45 patients (90%). Successful central venous access was performed in 4 children (50%) younger than 1 year and in 36 older children (98%). Catheter-tip malposition on chest radiograph required subsequent line manipulation in 2 patients. No complications of pneumothorax or carotid artery puncture occurred during line insertion. The catheters were used for an average of 7.5 days (range, 1-28 days). Catheter malfunction occurred in 4 (1.21/100 catheter-days), and catheter-related bloodstream infections occurred in 2 patients (6.04/1000 catheter-days). No thrombotic complications were clinically detected. CONCLUSIONS:The EJ vein is a viable site for central venous access with a low complication rate in pediatric patients.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Tecklenburg FW,Cochran JB,Webb SA,Habib DM,Losek JD

doi

10.1097/PEC.0b013e3181ea71ca

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

554-7

issue

8

eissn

0749-5161

issn

1535-1815

journal_volume

26

pub_type

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