Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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A Safe Method of Central Venous Catheterization by Peripheral Venous Cutdown in Infants

소아에서 말초정맥을 이용한 중심정맥로 확보법

  • Han, Seck-Joo (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Choi, Seung-Hoon (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Hwang, Eui-Ho (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine)
  • 한석주 (연세대학교 의과대학 외과학교실 소아외과) ;
  • 최승훈 (연세대학교 의과대학 외과학교실 소아외과) ;
  • 황의호 (연세대학교 의과대학 외과학교실 소아외과)
  • Published : 1995.01.15
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Abstract

Percutaneous infraclavicular subclavian catheterization has been widely used for a total parenteral nutrition, hemodynamic monitoring and for venous access in difficult clinical situations. Many authors have claimed the infraclavicular cannulation of the subclavian vein in the tiniest infants can be performed with safety and ease, but there are always possibility of serious complications in this method. We present our experiences of peripheral venous cutdown with Broviac catheter. Author routinely introduced Broviac catheter into central vein via peripheral venous cutdown. There was no life threatening complications and no catheter related death. The complication rate was very low. The catheter related sepsis was documented in only two patient(4.7%). The average catheter longivity was 19.59 days. In view of the safety and low rate of complication, we think that peripheral venous cutdown with Broviac catheter should be the method of choice when central venous access is necessary in infants. The infraclavicular subclavian catheterization should be reserved in infants with few accessible peripheral vein.

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