Document Detail

Percutaneous insertion of subclavian venous catheters in infants and children.
MedLine Citation:
PMID:  2772789     Owner:  NLM     Status:  MEDLINE    
All attempts at subclavian venous catheterization by the Pediatric Surgery Service done during a one and one-half year period at the Children's Hospital of Los Angeles were prospectively studied. Catheterization was attempted in 107 patients with a mean age of 9.8 years. Cannulation of the vein was successful 89 times (71 per cent) with the major complications being arterial puncture (8.0 per cent), pneumothorax (2.4 per cent) and abnormal position (12.8 per cent). Fluoroscopy was a valuable adjunct when used, resulting in an 86 per cent success rate. The serious complication rate was similar between left and right-sided attempts, but more catheters were abnormally positioned during right-sided attempts (15.7 versus 5.2 per cent). Percutaneous insertion of subclavian venous catheters can be accomplished in infants and children with low morbidity. Cannulation of the left subclavian vein can be accomplished with a similar success rate and a lower malposition rate than the right side. Fluoroscopy is a useful tool to assist in the correct placement of the catheter.
E V Bonventre; K P Lally; W J Chwals; W D Hardin; J B Atkinson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery, gynecology & obstetrics     Volume:  169     ISSN:  0039-6087     ISO Abbreviation:  Surg Gynecol Obstet     Publication Date:  1989 Sep 
Date Detail:
Created Date:  1989-09-25     Completed Date:  1989-09-25     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0101370     Medline TA:  Surg Gynecol Obstet     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  203-5     Citation Subset:  AIM; IM    
Department of Surgery, Wilford Hall United States Air Force Medical Center, Lackland Air Force Base, Texas 78236.
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MeSH Terms
Catheterization, Central Venous / adverse effects*,  methods
Catheters, Indwelling / adverse effects
Child, Preschool
Evaluation Studies as Topic
Infant, Newborn
Pneumothorax / etiology
Prospective Studies
Subclavian Vein*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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