Central Venous Catheter Tip Malposition After Internal Jugular Vein Cannulation in Pediatric Patients With Congenital Heart Disease

Epidemiological Analysis of the Emergency Vascular Access in Pediatric Trauma Patients: Single-Center Experience of Intravenous, Intraosseous, Central Venous, and Arterial Line Placements

“…In our study cohort, over two-thirds of patients received a CVC, half of whom were in the ED, and the other half having one placed later in the OR or ICU. CVC-related mechanical complications occurred in 17.2% of puncture attempts (15.5% of patients), which is in line with the results of previous studies ranging from 1.3% [ 41 ], 3.3% [ 42 ], 12.8% [ 43 ], 14.1% [ 44 ], 20.2% [ 45 ] 25% and 31% [ 46 ] up to 38.4% [ 47 ]. Mechanical complications and malposition had no relevant impact on the treatment course, supporting other studies in the pediatric population and adult trauma population of our study center, in which we found considerable malposition rates of almost 30% [ 47 , 48 ].…”

“…Mechanical complications and malposition had no relevant impact on the treatment course, supporting other studies in the pediatric population and adult trauma population of our study center, in which we found considerable malposition rates of almost 30% [ 47 , 48 ]. In the literature, common factors associated with mechanical complications in pediatric CVC placement are left-sided catheters, patient weight, sex, the team´s learning curve and the use of ultrasound [ 9 , 41 , 42 , 43 , 44 , 47 ]. The emergency placement of a CVC in pediatric patients requires considerable experience and training under nonemergency circumstances, and should not be performed by novices [ 11 , 49 ].…”