Anesth Pain Med.  2021 Jul;16(3):273-278. 10.17085/apm.20099.

Ultrasound-guided insertion of peripherally inserted central catheter after anesthetic induction in children undergoing surgery for moyamoya disease - Thirty cases report-

• Ji SH
• Yoo SJ
• Cho SA
• Jang YE
• Kim EH
• Lee JH
• Kim JT
• Kim HS

• KMID: 2519056
• DOI: http://doi.org/10.17085/apm.20099

Abstract

Background
Pediatric patients with moyamoya disease are vulnerable to ischemic attacks following physical or emotional stress, such as those experienced during blood sampling. A central venous catheter might be beneficial for blood sampling, and a peripherally inserted central catheter (PICC) is a considerable option for central venous access. However, PICC insertion during anesthetic management is relatively rare. Case: Thirty cases of ultrasound-guided PICC insertion were performed in children undergoing surgery for moyamoya disease after anesthetic induction. Positioning was successful in 22 cases, and 5 were malpositioned. In three cases, the peripheral insertion failed. Adjustment of the insertion depth was performed in nine cases. No complications related to catheterization were observed during the procedure or the catheter indwelling period.
Conclusions
We report the successful use of PICC in children undergoing surgery for moyamoya disease with a considerable success rate and low incidence of malpositioning or complications.

Keyword

Children; General anesthesia; Central venous catheterization; Moyamoya disease; Neurosurgery; Ultrasonography

Figure

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  Fig. 1. Examples of postoperative chest radiographs for confirmation of the tip of peripherally inserted central catheters. The tip is located at the superior vena cava (A), ipsilateral internal jugular vein (B), and contralateral brachiocephalic vein (C).

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