Korean J Anesthesiol.  2013 Jun;64(6):541-544. 10.4097/kjae.2013.64.6.541.

Ultrasound-guided subclavian catheterization in pediatric patients with a linear probe: a case series

• Park SI
• Kim YH
• So SY
• Kim MJ
• Kim HJ
• Kim JK

• KMID: 1767440
• DOI: http://doi.org/10.4097/kjae.2013.64.6.541

Abstract

Central venous catheterization (CVC) can be difficult, especially with pediatric patients in critical care. Accessing the subclavian vein (SCV) can cause serious complications, including pneumothorax, arterial puncture, and hemothorax. Recently, the ultrasonographic (USG) technique has gained popularity, but its efficiency is not yet confirmed. Subclavian venous catheterization (SCVC) through the supraclavicular approach (SCA) with USG or accessing the brachiocephalic vein through the infraclavicular approach (ICA) has been reported in the past. A useful technique is reported that involves the use of a 40 mm probe rather than the usual 25 mm probe in order to confirm the location of the needle while successfully performing subclavian venous catheterization in pediatric patients weighing 1.1 kg to 15.0 kg.

Keyword

Catheterization; Central venous/methods; Infant; Premature; Subclavian vein/ultrasonography

MeSH Terms

Brachiocephalic Veins
Catheterization
Catheterization, Central Venous
Catheters
Central Venous Catheters
Critical Care
Hemothorax
Humans
Infant
Needles
Pneumothorax
Punctures
Subclavian Vein