Comparison of ultrasonography-guided central venous catheterization between adult and pediatric populations.
The purpose of this study was to compare the technical success and complication rates of ultrasonography-guided central venous catheterization between adult and pediatric patients which have not been reported previously. In a 4-year period, 859 ultrasonography-guided central vein catheterizations in 688 adult patients and 247 catheterizations in 156 pediatric patients were retrospectively evaluated. Mean age was 56.3 years (range, 18 to 95 years) for adults and 3.3 years (range, 0.1 to 16.3 years) for children. The preferred catheterization site was internal jugular vein in 97% of adults and 85% of children. The technical success rate, mean number of punctures, and rate of single wall puncture were 99.4%, 1.04 (range, 1-3), and 83% for adults and 90.3%, 1.25 (range, 1-5), and 49% for children, respectively. All the differences were statistically significant (p < 0.05). Complication rates were 2.3% and 2.4% for adults and children, respectively (p > 0.05). Major complications such as pneumothorax and hemothorax were not seen in any group. In conclusion, ultrasonography-guided central venous catheterization has a high technical success rate, lower puncture attempt rate, and higher single wall puncture rate in adults compared to children. Complication rates are comparable in the two groups.
Tercan
Fahri
F
Baskent Universitesi, Adana Arastirma ve Uygulama Merkezi, Radyoloji Bölümü, Dadaloglu Mah. 39 Sok No. 6, Yuregir, Adana 01250, Turkey. ftercan@yahoo.com
Oguzkurt
Levent
L
Ozkan
Ugur
U
Eker
Hatice Evren
HE
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000379:methods*; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007223:Infant; D007601:Jugular Veins / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011336:Probability; D011677:Punctures; D011859:Radiography; D012189:Retrospective Studies; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D013350:Subclavian Vein / Q000000981:diagnostic imaging; D018084:Ultrasonography, Interventional