Air Embolism during Tunneled Central Catheter Placement Performed without General Anesthesia in Children: A Potentially Serious Complication

Morello, Frank P.; Donaldson, James S.; Saker, Martha C.; Norman, Jackson T.

doi:10.1016/s1051-0443(99)70114-4

Cited by 23 publications

(3 citation statements)

References 15 publications

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“…In case of vascular access procedures, CAAE can occur as a result from backflow, a right to left shunt, or shunting through the pulmonary capillary bed [ 9 – 11 ]. Backflow can be a result of manipulation of central lines (not necessarily IOI) and has been described in literature [ 12 , 13 ]. Right to left shunting can be caused by an atrial septum defect (estimated incidence in adult patients 0.2–0.7 in 1, 000), a ventricular septum defect (incidence at birth ranging from 2–5%; however, 85–90% of these defects will close spontaneously by 1 year of age) and persistent foramen ovale (this has been reported to be present in up to 27% of autopsies) [ 14 – 16 ].…”

Section: Discussionmentioning

confidence: 99%

Cerebral arterial air embolism in a child after intraosseous infusion

et al. 2008

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Section: Discussionmentioning

confidence: 99%

Cerebral arterial air embolism in a child after intraosseous infusion

et al. 2008

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“…10 Intraoperative complications can be represented by pneumothorax, air embolism, persistent bleeding from the insertion site and pulmonary embolism. 11 Delayed complications are represented by malpositioning or migration. 12,13 Venous thrombosis (treated by line removal and anticoagulation) 14 or mechanical failure can occur, and fibrin can accumulate around the line, obstructing aspiration and leading to infection.…”

Section: Discussionmentioning

confidence: 99%

The Care of Central Venous Catheters in the Oncopediatric Department

Papp

Horváth

Raț

et al. 2016

Journal of Interdisciplinary Medicine

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Introduction: Childhood cancer, with its major psycho-social and health impact, needs longterm chemotherapy. Increasing the intensity of treatment results in improved outcomes of hematological malignancies and solid tumors. As cytostatics have a vascular irritating effect and multiple peripheric venous punctures cause pain, insertion of a long-term central venous catheter (CVC) during chemotherapy is often necessary. Materials and methods: All pediatric patients (aged below 18 years) with hematologic and malignant pathologies who underwent CVC insertion at the Pediatric Hemato-oncology Department of the County Emergency Clinical Hospital of Tîrgu Mureș in the February 2014 -May 2016 period were enrolled in the study. Results: We recorded 24 cases who received central venous catheters, out of which 14 patients received tunneled CVC, 7 patients port CVC, and 3 patients received initially tunneled CVC which was changed with port CVC. Tunneled catheters were preserved in average for 186.06 days and portacaths for 256.6 days. For infection prophylaxis and treatment every child received adequate antibiotic medication. Conclusions: The use of central lines in pediatric hemato-oncology is accessible and benefic not only for increasing patient comfort, but also to ease the nurses' work, who are often overburdened.

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“…Children under deep sedation are unable to follow commands to suspend ventilation and are at increased risk for venous air embolism. 13 (See Table 1. )…”

Section: General Anesthesiamentioning

confidence: 99%

Management of the Pediatric Patient for Interventional Radiologic Procedures

Saker¹,

Uejima²

2002

Semin intervent Radiol

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The purpose of this article is to aid the interventional radiologist who is asked to perform an interventional radiologic procedure on a pediatric patient. The pediatric patient poses a different set of problems when compared with his or her adult counterpart. The obvious differences in size can make even the simplest of adult procedures technically difficult in a small child or infant. In addition, one must be aware of the differences in anatomy, physiology, pharmacology, and psychology that correspond to normal growth and development in children. Finally, the patient's cooperation, or lack thereof, necessitates the use of sedation, placing a further burden on the interventional radiologist. This chapter should aid the interventional radiologist in the care of children. With some forethought and advanced preparations, the interventional radiologist should be able to care for pediatric patients safely and effectively.Objectives: On completion of this article, the reader will be able to prepare the pediatric patient adequately for an interventional radiology procedure. If sedation is necessary, the reader will understand how to prepare the patient for sedation, administer the sedative in a safe, controlled setting, and monitor the patient until he or she is completely recovered. Accreditation: Tufts University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. TUSM takes full responsibility for the content, quality, and scientific integrity of this continuing education activity. Credit: Tufts University School of Medicine designates this education activity for a maximum of 1.0 hour credit toward the AMA Physicians Recognition Award in category one. Each physician should claim only those hours that he/she actually spent in the educational activity.

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Air Embolism during Tunneled Central Catheter Placement Performed without General Anesthesia in Children: A Potentially Serious Complication

Cited by 23 publications

References 15 publications

Cerebral arterial air embolism in a child after intraosseous infusion

Cerebral arterial air embolism in a child after intraosseous infusion

The Care of Central Venous Catheters in the Oncopediatric Department

Management of the Pediatric Patient for Interventional Radiologic Procedures

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