Fate of Central Venous Catheters Used for Acute Extracorporeal Treatment in Critically Ill Pediatric Patients: A Single Center Experience.
Renal replacement treatment (RRT) is required in severe acute kidney injury, and a functioning central venous catheter (CVC) is crucial. Twenty-eight children younger than 16 years have been treated at the University Medical Centre Ljubljana between 2003 and 2012 with either acute hemodialysis (HD) and/or plasma exchange (PE), and were included in our study. The age of the patients ranged from 2 days to 14.1 years. Sixty-six CVCs were inserted (52% de novo, 48% guide wire). The sites of insertion were the jugular vein in 20% and the femoral vein in 80%. Catheters were in function from 1 day to 27 days. The most common cause for CVC removal or exchange was catheter dysfunction (50%). CVCs were mostly inserted in the femoral vein, which is the preferred site of insertion in acute HD/PE because of the smaller number of complications.
Department of Nephrology, Division of Paediatrics, University Medical Centre, Ljubljana, Slovenia.
Rina R
RR
Rus
Department of Nephrology, Division of Internal Clinics, University Medical Centre, Ljubljana, Slovenia.
Vladimir
V
Premru
Department of Nephrology, Division of Paediatrics, University Medical Centre, Ljubljana, Slovenia.|Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Gregor
G
Novljan
Department of Paediatric Surgery and Intensive Care, Division of Surgery, University Medical Centre, Ljubljana, Slovenia.
Mojca
M
Grošelj-Grenc
Department of Nephrology, Division of Internal Clinics, University Medical Centre, Ljubljana, Slovenia.
Rafael
R
Ponikvar
D058186:Acute Kidney Injury / Q000628:therapy*; D000293:Adolescent; D002405:Catheterization, Central Venous / Q000379:methods*; D062905:Central Venous Catheters; D002648:Child; D002675:Child, Preschool; D016638:Critical Illness; D020878:Device Removal; D004868:Equipment Failure; D005260:Female; D005268:Femoral Vein; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007601:Jugular Veins; D008297:Male; D010951:Plasma Exchange / Q000379:methods*; D006435:Renal Dialysis / Q000379:methods*; D017582:Renal Replacement Therapy / Q000379:methods; D012189:Retrospective Studies; D013997:Time Factors
Acute hemodialysis; Acute kidney injury; Central venous catheter, Hemodialysis; Plasma exchange