Comparison of central venous catheterization sites in infants.
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.
Han
S H
SH
Department of Anaesthesiology, Seoul National University Bundang Hospital, Seoul, Korea.
Kim
S D
SD
Kim
C S
CS
Kim
W H
WH
Lim
C
C
Park
Y S
YS
Bahk
J H
JH
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*