Ultrasound-Guided Percutaneous Vein Access for Placement of Broviac Catheters in Extremely Low Birth Weight Neonates: A Series of 3 Successful Cases.
As medical and surgical interventions to support premature infants have evolved, the need for long-term vascular access in extremely low birth weight infants has increased. The classic approach to Broviac(®) (C.R. Bard, Covington, GA) catheter placement in very small neonates has been through an open surgical cutdown technique. Ultrasound guidance has emerged as a potentially beneficial method for obtaining central venous access in children and is being applied to smaller and smaller infants. This case series reports the feasibility of using ultrasound-guided percutaneous vein access to obtain a long-term central venous line in three extremely low birth weight infants who all weighed less than 850 g at the time of line placement.
1 Stanford University School of Medicine , Stanford, California.
Carl L
CL
Dambkowski
2 Lucile Packard Children's Hospital Stanford , Stanford, California.
Claire T
CT
Abrajano
1 Stanford University School of Medicine , Stanford, California.|2 Lucile Packard Children's Hospital Stanford , Stanford, California.
James
J
Wall
D002405:Catheterization, Central Venous / Q000379:methods*; D002408:Catheters, Indwelling; D004867:Equipment Design; D005260:Female; D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000628:therapy*; D008297:Male; D018084:Ultrasonography, Interventional / Q000379:methods*