title: Broviac central venous catheters inserted via the saphenous or femoral vein in the NICU under local anesthesia.
abstract: We present our experience with 92 Broviac central venous catheters inserted into 84 infants over a 31-month period. Our technique specifies placement in the neonatal intensive care unit under local anesthesia, with insertion to the inferior vena caval-atrial junction via the saphenous or femoral vein, with a subcutaneous tunnel to an exist site on the anterior thigh. We conclude this technique to be safe, efficient, convenient, cost-effective, and minimally uncomfortable to the infant, with no increase in morbidity or mortality in comparison to previously described methods.
authors.affiliation: Division of Pediatric Surgery, University of Kentucky Medical Center, Lexington 40536.
authors.forename: L
authors.initials: L
authors.lastname: Hogan
authors.forename: A R
authors.initials: AR
authors.lastname: Pulito
mesh_terms: D000772:Anesthesia, Local; D016470:Bacteremia / Q000209:etiology; D001424:Bacterial Infections / Q000209:etiology; D002177:Candidiasis / Q000209:etiology; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D004487:Edema / Q000209:etiology*; D005268:Femoral Vein; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007239:Infections / Q000209:etiology*; D007363:Intensive Care Units, Neonatal; D007866:Leg; D012501:Saphenous Vein; D013927:Thrombosis / Q000209:etiology; D014682:Vena Cava, Inferior