title: Comparison of central venous catheterization sites in infants.
abstract: This study aimed to compare the rates of success and complications between different sites of central venous catheterization in infants. A total of 272 infants were randomized to four groups: right subclavian group (G-RSCV), right internal jugular group (G-RIJV), left subclavian group (G-LSCV) and left internal jugular vein group (G-LIJV). In 77.2% of the patients, we successfully introduced a catheter at the first attempt. The rate of successful catheter placement was highest in the and LSCV 55.9%). With regard to complications, the rate of arterial puncture, guide wire advancement failure and malpositioning of the catheter were all significantly more frequent during SCV catheterization (SCV versus IJV: 10.1% versus 2.1%, 12.4% versus 0% and 13.4% versus 0.6%, respectively). Our results imply that IJV, especially RIJV, should be the first choice for central venous catheterization in infants.
authors.affiliation: Department of Anaesthesiology, Seoul National University Bundang Hospital, Seoul, Korea.
authors.forename: S H
authors.initials: SH
authors.lastname: Han
authors.forename: S D
authors.initials: SD
authors.lastname: Kim
authors.forename: C S
authors.initials: CS
authors.lastname: Kim
authors.forename: W H
authors.initials: WH
authors.lastname: Kim
authors.forename: C
authors.initials: C
authors.lastname: Lim
authors.forename: Y S
authors.initials: YS
authors.lastname: Park
authors.forename: J H
authors.initials: JH
authors.lastname: Bahk
mesh_terms: D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007601:Jugular Veins / Q000033:anatomy & histology*; D013350:Subclavian Vein / Q000033:anatomy & histology*