Greater saphenous venous access as an alternative in children

Aria, David; Vatsky, Seth; Kaye, Robin; Schaefer, Carrie M; Towbin, Richard B.

doi:10.1007/s00247-013-2794-y

Cited by 14 publications

(13 citation statements)

References 14 publications

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“…The absence of complications related to the puncture technique in these five reports showed that the SVMS is a safe alternative for venous access in infants and/or bedridden children and is in agreement with the results of a previous study (15) that used the saphenous vein in 86 children with a mean weight of 9.98 kg, 81 children aged less than 2 years. No immediate complications occurred after catheter insertion and the median catheter stay was 15.8 (2-97) days.…”

Section: Discussionsupporting

confidence: 90%

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SUPERFICIAL GREATER SAPHENOUS VENOUS: Safe Alternative for Venous Access in Small And/or Bedridden Children

2022

Curr Trends Intern Med

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Objective: Objective: This article describes a technique for inserting a peripherally inserted central catheter in the great saphenous vein through the ZIM zone, adapted as an alternative puncture site for venous access in children with difficult venous access during hospitalization in the Pediatric Intensive Care Unit. Method:A case report series on the adaptation of the ZIM Zone technique in five patients who were unable to undergo venipuncture in the upper limbs. Results:The median catheter permanence time was 18 (9-60) days. All insertions were successfully performed by trained and qualified intensive care unit nurses. Owing to the size of the children's vessels, single-lumen catheters of sizes 3 Fr and 4 Fr were inserted. The main complication of the procedure was bleeding at the insertion site, which was resolved with a compressive dressing, particularly in patients with abnormal coagulograms and thrombocytopenia. Conclusion:None of the patients presented with complications related to catheter use the use of technology allied with the professional's expertise brings a combination of almost 100% assertiveness in performing the procedure in the first puncture attempt.

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Section: Discussionsupporting

confidence: 90%

“…Another important piece of information was the anatomical location of the PICC tip after insertion, which was released for use after confirming the tip on chest radiography between T9 and T11 and/or the ideal position of the catheter tip in the distal inferior vena cava at the level of the diaphragm [14,15].…”

Section: Discussionmentioning

confidence: 99%

SUPERFICIAL GREATER SAPHENOUS VENOUS: Safe Alternative for Venous Access in Small And/or Bedridden Children

2022

Curr Trends Intern Med

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“…105,106 To facilitate a rapid approach to vascular access in critically ill infants and children, the American Heart Association and the American Academy of Pediatrics developed neonatal resuscitation program (NRP) and pediatric advanced life support (PALS) guidelines for emergency establishment of intravascular support. [107][108][109][110] Essential age-specific differences include use of umbilical artery (UAC) and umbilical venous (UVC) access in newborns, and rapid use of intraosseous (IO) access in children. Ultrasound guidance facilitates placement of central lines in children, but is technologist dependent.…”

Section: Intravascular Accessmentioning

confidence: 99%

The American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock: Executive Summary

Davis¹,

Carcillo

Aneja

et al. 2017

Pediatric Critical Care Medicine

177

271

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“…2,3 Vein access is an issue when these patients need medium-to long-term infusion therapy. PICC is suitable for mediumto long-term infusion therapy, which was inspired from the PICC insertion through the great saphenous vein in an infant 1,4 and the study of Zone Insertion Method. 5 Thus, we selected superficial femoral vein at the mid-thigh as the insertion site and inserted 121 femoral inserted central catheters (FICCs) via the superficial femoral vein at the mid-thigh since August 2017.…”

Section: Introductionmentioning

confidence: 99%

Cannulation of the superficial femoral vein at mid-thigh when catheterization of the superior vena cava system is contraindicated

2019

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Purpose: Patients needing medium- to long-term infusion therapy with limited catheterization via the superior vena cava system is a challenging condition. The conventional catheterization via the femoral vein in the groin has a high complication rate, discomfort, and short indwelling time. Since changing the insertion site can avoid the disadvantage of conventional catheterization via the femoral vein in the groin, the present study aimed to investigate the effects of femoral inserted central catheters insertion via the superficial femoral vein at the mid-thigh to resolve the issue of limited superior vena cava system catheterization. Methods: Based on the symptoms and signs, enhanced computed tomography findings, and insertion history, in 121 patients, limited catheterization via the superior vena cava system was identified. Subsequently, the femoral inserted central catheters were inserted via the superficial femoral vein at the mid-thigh under the guidance of ultrasound, and the tip of femoral inserted central catheters was in the inferior vena cava. Results: A total of 121 patients underwent femoral inserted central catheters insertion via a superficial femoral vein at the mid-thigh from August 2017 to December 2018. The success rate of insertion was 100%, and the indwelling time was 3–472 days. The complications of femoral inserted central catheters in the thigh were similar to that of peripherally inserted central catheters in the arm. The incidence of primary malposition was 1.65%, the incidence of catheter-related thrombosis was 0.83%, and the central line associated bloodstream infection rate was 0.83%. Subsequently, 116 lines (95.87%) were removed at the end of the treatment, one line (0.83%) was accidentally removed by the patient, and four lines (3.31%) were unplanned removed due to complications. Conclusion: The technique of femoral inserted central catheters insertion via the superficial femoral vein at the mid-thigh has a high success rate, low complication rate, and less impact on activities, and is easy to maintain. This phenomenon resolves the patient’s needs of medium- to long-term infusion therapy with limited catheterization of superior vena cava system.

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Greater saphenous venous access as an alternative in children

Cited by 14 publications

References 14 publications

SUPERFICIAL GREATER SAPHENOUS VENOUS: Safe Alternative for Venous Access in Small And/or Bedridden Children

SUPERFICIAL GREATER SAPHENOUS VENOUS: Safe Alternative for Venous Access in Small And/or Bedridden Children

The American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock: Executive Summary

Cannulation of the superficial femoral vein at mid-thigh when catheterization of the superior vena cava system is contraindicated

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