Ultrasound-Guided Central Vein Catheterization in Pediatrics

• Published in: Neotložnaâ Medicinskaâ Pomoŝʹ Vol. 11; no. 1; pp. 59 - 66
• Main Authors: Leontiev, M. A., Kravchuk, S. V., Vodova, A. V.
• Format: Journal Article
• Language: English
• Published: Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department 08-04-2022
• Subjects: catheterization of the subclavian vein; central vein catheterization; central venous catheter; pediatrics; supraclavicular access; ultrasound guidance
• ISSN: 2223-9022; 2541-8017
• DOI: 10.23934/2223-9022-2022-11-1-59-66

ABSTRACT
In this article the most relevant methods of subclavian vein catheterization were considered in order to find the optimal technique that can be used in routine clinical practice by pediatric intensive care physicians.
OBJECTIVE
To compare the efficiency and safety of subclavian vein catheterization by supraclavicular access under ultrasound control and subclavian access by anatomical landmarks in children.
RESULTS
The number of attempts for successful catheterization was statistically lower in ultrasound-control group compared to the anatomical landmarks group (1.2±0.4 vs. 2.6±1.3, p<0.0001); in the anatomical landmarks group such complications as catheter malposition (14% vs. 0), arterial puncture (5% vs. 1%) and pneumothorax (10% vs. 0) were observed more often than in the ultrasound group.
CONCLUSIONS
We recommend catheterization of the subclavian vein by supraclavicular access under ultrasound control to be commonly used in clinical practice due to its high efficiency and safety.