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

Abstract

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.