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Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

DIAZ R, Franco et al. Subclavian vein catheterization in children with weight less than 10 kg. Rev. chil. pediatr. [online]. 2006, vol.77, n.5, pp.473-480. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062006000500004.

Central venous access are often required in Pediatric Intensive Care Units for hemodynamic monitorization and treatment. The subclavian vein catheterization is unfrequently used in critically ill children. Objective: To demonstrate that subclavian vein catheterization performed by pediatric staff is a safe and successful access in children with body weight less than 10 kg. Method: Prospective and observational study that lasts 34 months and includes children with body weight less than 10 kg. A subclavian central venous access was attempted by infraclavicular approach with Seldinger technique. The demographic and anthropometric characteristics of the patients and their relevant clinical conditions were registered. The technical variables of the procedure (insertion side, number of attempts) and related complications were listed. Group analysis was made according to weight (< 5 kg or > 5 kg). Results: 73 catheter insertions were performed in 51 patients; 59% male with age between 8 days and 18 months, weight between 2,3-9,6 kg (median 5 kg). 62% were placed in the right side. 78% cases required mechanical ventilation. 70 out of 73 attempts (96%) were successful (64% first attempt), 97% belonging to the group with weight < 5 kg and 95% to the ones with body weight > 5 kg. 9 (12%) complications occurred. There were no differences between both groups in terms of success and procedure related complications. Conclusions: Percutaneous subclavian vein catheterization is safe in children with body weight less than 10 kg and it presents low risk of complications. This procedure must be considered as an alternative in critically ill children

Palabras clave : Subclavian vein; canulation; central venous catheter; complication.

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