Abstract
Providing surgical vascular access for a child who is acutely or chronically ill is very rewarding but can also be extremely challenging and sometimes frustrating. Since the trouble-free function of these lines is critically important for the children and their parents and because, like any mechanical device, they are prone to technical mishap, surgeons should approach the placement and maintenance of surgically placed lines with the utmost precision and attention to detail. Complications from central venous catheters are frequent, insidious, and potentially life threatening and should be anticipated and treated promptly and aggressively.
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Baskin KM, Jimenez RM, Cahill AM, Jawad AF, Towbin RB. Cavoatrial junction and central venous anatomy: implications for central venous access tip position. J Vasc Interv Radiol. 2008;19: 359–65.
Bhatia N, Sivaprakasam J, Allford M, Guruswamy V. The relative position of femoral artery and vein in children under general anesthesia—an ultrasound-guided observational study. Paediatr Anaesth. 2014; 24:1164–8.
Brady PW, Varadarajan K, Peterson LE, Lannon C, Gross T. Prevalence and nature of adverse medical device events in hospitalized children. J Hosp Med. 2013;8:390–3.
Bruzoni M, Slater BJ, Wall J, St Peter SD, Dutta S. A prospective randomized trial of ultrasound- vs landmark-guided central venous access in the pediatric population. J Am Coll Surg. 2013;216: 939–43.
Chan BK, Rupasinghe SN, Hennessey I, Peart I, Baillie CT. Retained central venous lines (CVLs) after attempted removal: an 11-year series and literature review. J Pediatr Surg. 2013;48:1887–91.
Kaur A, Davenport A. Hemodialysis for infants, children, and adolescents. Hemodial Int. 2014;18:573–82.
Schindler E, Schears GJ, Hall SR, Yamamoto T. Ultrasound for vascular access in pediatric patients. Paediatr Anaesth. 2012;22:1002–7.
Seldinger SI. Catheter replacement of the needle in percutaneous arteriography; a new technique. Acta Radiol. 1953;39:368–76.
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Mattei, P. (2017). Vascular Access. In: Mattei, P., Nichol, P., Rollins, II, M., Muratore, C. (eds) Fundamentals of Pediatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-27443-0_10
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DOI: https://doi.org/10.1007/978-3-319-27443-0_10
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