Punção percutênea da veia subclávia em crianças e adolescentes: sucesso, complicações e fatores associados

Abstract

Objective: The objective of this study was to investigate the rates of success and of complications of percutaneous subclavian central venous catheterization in children and adolescents and to identify factors associated with them. Methods Conclusions:The chance of success was greater when patients were sedated for catheterization. There was a greater chance of complications related to insertion of the catheter when percutaneous subclavian central venous catheterization was performed by less experienced physicians, and it would be prudent to designate those central venous catheterizations that present greater risk to surgeons with greater experience in the experience.J Pediatr (Rio J). 2007;83(1):64-70: Subclavian vein, child, central venous catheterization, complications.

Evaluation of a Novel Bony Landmark‐Based Method for Teaching Percutaneous Insertion of Subclavian Venous Catheters in Pediatric Patients

“…While central venous catheterization provides a safe and appropriate access to the venous system for central venous monitoring and large fluid administration [2, 3, 8, 10], it is associated with complications that are both dangerous and costly to manage—mechanical (5–19%), infectious (5–26%), and thrombotic (2–26%), regardless of approach [11]. The SCV approach is widely practiced, but incidence of procedural complications can range variably from 3 to 34%, and is influenced by patient's body habitus, age, and clinician's experience [12, 13]. SCV catheterization carries the lowest risk for infectious and thrombotic complications and the lowest risk for arterial puncture [11], but the highest risk for pneumothorax, hemothorax, and chylothorax particularly on the left, and catheter tip misplacement particularly on the right, with these risks being independent of patient's age [11, 14, 15].…”

Use of central venous catheter in patients hospitalized in an intensive care unit

“…Despite the fact that the central venous puncture is considered by the literature as a safe procedure, it is subject to complications, such as pneumothorax, hemothorax, arterial puncture, arrhythmia, bad positioning of the catheter and infections. A study showed that the rate of complications varied from 0.7 to 30%, so, just a small number of them expose the life to risk; however, it can increase the period and the cost of hospitalization (13) .…”