Saphenofemoral venous cutdowns in the premature infant.
Thirty-five preterm neonates that had 42 central venous lines placed via saphenofemoral cutdown in the groin are reviewed. The mean gestational age was 29 weeks; mean birth weight 1,320 g. There were no catheter-associated deaths. Minor complications occurred in 50% of patients. Leg swelling (43%), catheter occlusion (12%), and catheter fluid leakage (10%) were the most common. Infections were minor and occurred in 8% of the cases. We believe this study shows the effectiveness and safety of the saphenofemoral cutdown for central venous access in the premature neonate.
D002404:Catheterization / Q000009:adverse effects; D005260:Female; D005268:Femoral Vein / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D010289:Parenteral Nutrition, Total / Q000295:instrumentation*; D012501:Saphenous Vein / Q000601:surgery*; D014682:Vena Cava, Inferior