論文

国際誌
2021年4月7日

A retrospective analysis of the real-time ultrasound-guided supraclavicular approach for the insertion of a tunneled central venous catheter in pediatric patients.

The journal of vascular access
  • Kazuhiko Nakame
  • Tatsuru Kaji
  • Shun Onishi
  • Masakazu Murakami
  • Ayaka Nagano
  • Mayu Matsui
  • Taichiro Nagai
  • Keisuke Yano
  • Toshio Harumatsu
  • Koji Yamada
  • Waka Yamada
  • Ryuta Masuya
  • Mitsuru Muto
  • Satoshi Ieiri
  • 全て表示

23
5
開始ページ
11297298211008084
終了ページ
11297298211008084
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1177/11297298211008084

PURPOSE: Tunneled central venous catheter (tCVC) placement plays an important role in the management of pediatric patients. We adopted a real-time ultrasound (US)-guided supraclavicular approach to brachiocephalic vein cannulation. We evaluated the outcomes of tCVC placement via a US-guided supraclavicular approach. METHODS: A retrospective study was performed for patients who underwent US-guided central venous catheterization of the internal jugular vein (IJV group) and brachiocephalic vein (BCV group) in our institution. The background information and outcomes were reviewed using medical records. RESULTS: We evaluated 85 tCVC placements (IJV group: n = 59, BCV group: n = 26). Postoperative complications were recognized in 19 patients in the IJV group (catheter-related bloodstream infection (CRBSI), n = 14 (1.53 per 1000 catheter days); occlusion, n = 1 (1.7%, 1.09 per 1000 catheter days); accidental removal, n = 3 (5.2%, 0.33 per 1000 catheter days); and other, n = 1 (1.7%, 1.09 per 1000 catheter days)) and five patients in the BCV group (CRBSI, n = 2 (0.33 per 1000 catheter days); catheter damage, n = 1 (3.8%, 1.67 per 1000 catheter days); and accidental removal, n = 2 (7.7%, 0.33 per 1000 catheter days)). In the BCV group, despite that, the incidence of postoperative complications was lower (p = 0.205) and the period of placement was significantly longer in comparison to the IJV group (p = 0.024). CONCLUSION: US-guided placement of tunneled CVC though the BCV results in a low rate of postoperative complications despite longer CVC indwelling times compared to IJV insertion. Our results suggest that BCV insertion of tunneled CVC in children may offer advantages in terms of device performance and patient safety.

リンク情報
DOI
https://doi.org/10.1177/11297298211008084
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33827294
ID情報
  • DOI : 10.1177/11297298211008084
  • PubMed ID : 33827294

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