Abstract
Our previous study showed that the success rate of cannulation of the internal jugular vein (IJV) was significantly decreased in infants weighing less than 4.0 kg. We prospectively evaluated results of central venous catheterization in 101 infants weighing less than 4.0 kg undergoing cardiac surgery. The first attempt was routinely performed on the right IJV. If the first attempt failed, the anesthesiologist was free to choose the cannulation site. We examined the effects of patient weight and the experience of the anesthesiologist on successful central catheterization and efficacy of the external jugular vein (EJV) if the first attempt failed. The first right IJV cannulation was successful in 53 infants (52.5%) and the overall successful catheterization rate was 82.2%. Success rates of cannulation of the right IJV, left IJV, and EJV were 64, 13, and 6%, respectively. Body weight contributed significantly to successful catheterization, but the experience of the anesthesiologist did not. These results suggest that EJV cannulation improves the successful central catheterization in infants weighing less than 4.0 kg if IJV cannulation fails. Body weight of an infant, but not the experience of the anesthesiologist, contributed to successful catheterization in this patient population.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
ICW English RM Frew JF Pigott M Zaki (1969) ArticleTitlePercutaneous catheterization of the internal jugular vein. Anesthesia 24 521–531 Occurrence Handle1:STN:280:CS%2BD3s7lt1Y%3D
Y Hayashi O Uchida O Takaki et al. (1992) ArticleTitleInternal jugular vein catheterization in infants undergoing cardiovascular surgery: an analysis of the factors influencing successful catheterization. Anesth Analg 74 688–693 Occurrence Handle1:STN:280:By2B3s7hsVE%3D Occurrence Handle1567036
PA MacIntyre G Samra DJ Hatch (2000) ArticleTitlePreliminary experience with the Doppler ultrasound guided vascular access needle in paediatric patients. Paediatr Anaesth 10 361–365 Occurrence Handle10.1046/j.1460-9592.2000.00497.x Occurrence Handle1:STN:280:DC%2BD3cvntVClsw%3D%3D Occurrence Handle10886691
P Mitto A Barankay P Spath R Kunkel JA Richter (1992) ArticleTitleCentral venous catheterization in infants and children with congenital heart diseases: experiences with 500 consecutive catheter placements. Pediatr Cardiol 13 14–19 Occurrence Handle1:STN:280:By2C2c7gtlc%3D Occurrence Handle1736262
SC Nicolson MF Sweeney RA Moore DR Jobes (1985) ArticleTitleComparison of internal and external jugular cannulation of the central circulation in the pediatric patient. Crit Care Med 13 747–749 Occurrence Handle1:STN:280:BiqB1czpt1w%3D Occurrence Handle4028769
JP Purday (1994) ArticleTitleMonitoring during paediatric cardiac anaesthesia. Can J Anaeth 41 818–844 Occurrence Handle1:STN:280:ByqD2c3ps1E%3D
JI Sznajider FR Zveibil H Bitterman P Weiner S Bursztein (1986) ArticleTitleCentral vein catheterization. Failure and complication rates by three percutaneous approaches. Arch Intern Med 146 259–261 Occurrence Handle10.1001/archinte.146.2.259 Occurrence Handle3947185
ST Verghese RI Patel RS Hannallah (1993) ArticleTitleCentral venous cannulation in infants and children: a comparison of internal and external jugular vein approaches. Paediatr Anaesth 3 95–99
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Iwasaki, T., Hayashi, Y., Ohnishi, Y. et al. Prospective Analysis of Percutaneous Central Venous Catheterization in Infants <4.0 kg Undergoing Cardiac Surgery . Pediatr Cardiol 25, 503–505 (2004). https://doi.org/10.1007/s00246-003-0643-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00246-003-0643-8