title: Tunneled central venous catheter for neonates: A simple technique for prolonged indwelling central catheters in intensive care.
abstract: OBJECTIVE
  To describe and evaluate a new technique to insert a 24-gauge Silastic catheter in a central vein with a subcutaneous tunneled catheter in newborns after peripherally inserted central catheter (PICC) insertion failure.
  
  
  METHODS
  Retrospective chart review.
  
  
  METHODS
  Pediatric and neonatal intensive care unit.
  
  
  METHODS
  Twenty-nine newborns in whom a new technique was used to insert a prolonged indwelling jugular, femoral, or subclavian Silastic tunneled central catheter.
  
  
  METHODS
  None.
  
  
  RESULTS
  This new technique was used in 29 newborns between January 1, 2004, and December 31, 2005. The mean gestational age was 34 +/- 5 wks with a mean weight of 2440 +/- 1101 g. Thirty-four insertion attempts were carried out. Access sites were internal jugular (28 of 34), femoral (three of 34) or subclavian (three of 34) vein. In five cases, catheter insertion failed. Pneumothorax occurred two times, and no other serious complication were observed.
  
  
  CONCLUSIONS
  This technique is an interesting alternative when PICC insertion is not possible.
authors.affiliation: Département d'Anesthésie et de Réanimation, Unité de Réanimation Pédiatrique, Néonatale et Brûlés Pédiatriques, Centre Hospitalo-Universitaire Nord, Marseille, France.
authors.forename: Fabrice
authors.initials: F
authors.lastname: Michel
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Dejode
authors.forename: Renaud
authors.initials: R
authors.lastname: Vialet
authors.forename: Claire
authors.initials: C
authors.lastname: Nicaise
authors.forename: Laurent
authors.initials: L
authors.lastname: Thomachot
authors.forename: Jean-Noël
authors.initials: JN
authors.lastname: Di Marco
authors.forename: Pierre
authors.initials: P
authors.lastname: Lagier
authors.forename: Claude
authors.initials: C
authors.lastname: Martin
mesh_terms: D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods*; D002408:Catheters, Indwelling; D004129:Dimethylpolysiloxanes; D005268:Femoral Vein; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D007601:Jugular Veins; D011030:Pneumothorax / Q000209:etiology; D012189:Retrospective Studies; D012828:Silicones; D013350:Subclavian Vein
chemical_list: D004129:Dimethylpolysiloxanes; D012828:Silicones; C013830:baysilon