Application of ultrasound-guided central venous catheterization at various sites in infants with shock
TAN Zi-Feng, MA Ke-Ze, LAI Zhi-Jun
Pediatric Intensive Care Unit, Dongguan Children's Hospital Affiliated to Guangdong Medical University, Dongguan, Guangdong 523325, China (Email: 309971319@qq.com)
Abstract Objective To study the clinical characteristics of ultrasound-guided central venous catheterization at various sites in infants with shock, and to explore how to quickly select the site for central venous puncture in infants with shock. Methods The medical data of 112 infants who were diagnosed with shock and underwent central venous catheterization in the Pediatric Intensive Care Unit, Dongguan Children's Hospital Affiliated to Guangdong Medical University, from January 2016 to December 2020 were reviewed retrospectively. The patients were divided into an ultrasound group (n=70) and a body surface location group (n=42) according to whether the catheterization was carried out under ultrasound guidance. The application of ultrasound-guided catheterization at various sites in infants was summarized and analyzed, and the success rate of one-time puncture, overall success rate, catheterization time, and complications were compared between these sites. Results Compared with the body surface location group, the ultrasound group had a significantly higher success rate of one-time puncture, a significantly shorter catheterization time, and a significantly reduced incidence rate of complications in internal jugular vein and femoral vein catheterizations (P<0.05). In the ultrasound group, the proportion of internal jugular vein catheterization was the highest (51%, 36/70), followed by femoral vein catheterization (33%, 23/70), and subclavian vein catheterization (16%, 11/70). For the comparison between different puncture sites under ultrasound guidance, internal jugular vein catheterization showed the shortest time of a successful catheterization [5.5 (5.0, 6.5) minutes] (P<0.05). There was no significant difference in the incidence rate of complications among the different puncture sites groups (P>0.05). Conclusions In infants with shock, ultrasound-guided internal jugular vein catheterization can be used as the preferred catheterization method for clinicians. Citation:Chinese Journal of Contemporary Pediatrics, 2022, 24(5): 591-595
TAN Zi-Feng,MA Ke-Ze,LAI Zhi-Jun. Application of ultrasound-guided central venous catheterization at various sites in infants with shock[J]. CJCP, 2022, 24(5): 591-595.
TAN Zi-Feng,MA Ke-Ze,LAI Zhi-Jun. Application of ultrasound-guided central venous catheterization at various sites in infants with shock[J]. CJCP, 2022, 24(5): 591-595.
No authors listed. Practice guidelines for central venous access 2020: an updated report by the american society of anesthesiologists task force on central venous access[J]. Anesthesiology, 2020, 132(1): 8-43. PMID: 31821240. DOI: 10.1097/ALN.0000000000002864.
Soni NJ, Reyes LF, Keyt H, et al. Use of ultrasound guidance for central venous catheterization: a national survey of intensivists and hospitalists[J]. J Crit Care, 2016, 36: 277-283. PMID: 27491563. DOI: 10.1016/j.jcrc.2016.07.014.
Kamata M, Walia H, Hakim M, et al. An in vitro assessment of the efficacy of various IV cannulas for the rapid IV fluid administration[J]. Pediatr Crit Care Med, 2017, 18(5): e224-e228. PMID: 28319488. DOI: 10.1097/PCC.0000000000001151.
Song IK, Kim EH, Lee JH, et al. Seldinger vs modified Seldinger techniques for ultrasound-guided central venous catheterisation in neonates: a randomised controlled trial[J]. Br J Anaesth, 2018, 121(6): 1332-1337. PMID: 30442261. DOI: 10.1016/j.bja.2018.08.008.
Weiss SL, Peters MJ, Alhazzani W, et al. Executive summary: surviving sepsis campaign international guidelines for the management of septic shock and sepsis-associated organ dysfunction in children[J]. Intensive Care Med, 2020, 46(Suppl 1): 1-9. PMID: 32030528. DOI: 10.1007/s00134-019-05877-7.
Perbet S, Pereira B, Grimaldi F, et al. Guidance and examination by ultrasound versus landmark and radiographic method for placement of subclavian central venous catheters: study protocol for a randomized controlled trial[J]. Trials, 2014, 15: 175. PMID: 24885789. PMCID: PMC4031378. DOI: 10.1186/1745-6215-15-175.
Schindler E, Mikus M, Velten M. Central venous access in children: technique and complications[J]. Anasthesiol Intensivmed Notfallmed Schmerzther, 2021, 56(1): 60-68. PMID: 33412604. DOI: 10.1055/a-1187-5397.
