Experience of 133 Children Acquiring Central Venous Routes With Cutdown

• Iiboshi Yasuhiko

  First Department of Surgery, Hyogo College of Medicine

• Sawai Toshio

  First Department of Surgery, Hyogo College of Medicine

• Seki Yasuji

  First Department of Surgery, Hyogo College of Medicine

• Tazuke Yuko

  First Department of Surgery, Hyogo College of Medicine

• Suzumura Kazuhiro

  First Department of Surgery, Hyogo College of Medicine

• Fujimoto Jiro

  First Department of Surgery, Hyogo College of Medicine

Bibliographic Information

Other Title

• 小児の静脈切開による中心静脈ルート確保133例の経験
• ショウニ ノ ジョウミャク セッカイ ニ ヨル チュウシン ジョウミャク ルート カクホ 133レイ ノ ケイケン

Abstract

Purpose: In spite of the importance of central venous routes for many therapies, cutdown and catheterization are sometimes difficult. We present child cases inserted with 3.6 Fr Silascon O type catheters or 7 Fr Hickman dual lumen catheters, reporting the patient's background, the rate of success and the cause of failure. Methods: We made 133 central venous routes in patient from neonates to 15-year-old children for 4 years. We utilized anesthesia for cutdown, and x-ray to confirm the placement of the catheter tip in the operation room. Results: We managed 57 malignant cases, 41 gastrointestinal cases and 37 intensive care cases. 3.6 Fr Silascon venous catheters were used in 39 cases, and 7 Fr Hickman dual lumen catheters in 98 cases. Of 133 first catheterizations for central venous routes, 129 cases were successful. Of 4 second catheterizations, all 4 cases were successful. The causes of failure in the first catheterization were misleading of the Hickman catheter's tips in the right external jugular vein of an 8-year-old patient and in the left external jugular vein of a 10-year-old patient. In addition, the Hickman catheter was too large to ingent into the left cephalic vein of a 6-year-old patient. Moreover, The Silascon catheter was not inserted through the right external jugular vein of an 8-year-old child because of occlusion. Conclusions: All catheters could be inserted in neonates and infants because it was easy to distend their veins and change their direction. The reasons why the central venous accesses were difficult were intravenous thrombus, direction of vein of bifurcation for large catheters, and the thickness of veins except the external jugular vein.

Journal

• Journal of the Japanese Society of Pediatric Surgeons

  Journal of the Japanese Society of Pediatric Surgeons 43 (1), 18-22, 2007

  The Japanese Society of Pediatric Surgeons

Keywords

• children
• cutdown
• central venous route

Details

• CRID: 1390001204822373248
• NII Article ID: 110006201631
• NII Book ID: AN00192281
• DOI: 10.11164/jjsps.43.1_18
• ISSN: 21874247
• ISSN: 0288609X
• NDL BIB ID: 8711858
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I8711858
• Web Site: https://search.jamas.or.jp/link/ui/2007138574
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • CiNii Articles
• Abstract License Flag: Disallowed