Real Time Ultrasound Guided Practice in Passing Central Venous Pressure Line in Pediatric Population
DOI:
https://doi.org/10.36570/jduhs.2021.3.1190Keywords:
Ultrasound guided central venous catheter, Complications, PediatricsAbstract
Objective: To assess the success of ultrasound guided central venous catheter (CVC) placement, its associated factors, and complications among patients admitted to pediatric intensive care unit (PICU).
Methods: A retrospective cross-sectional study was conducted at Department of Pediatrics, Pak Emirates Military Hospital from October 2018 to November 2019. All patients admitted in PICU who underwent ultrasound guided CVC placement were consecutively enrolled. The number of previous ultrasound lines placed, comfort with the ultrasound device, and opinion of the utility of the ultrasound device were recorded. Moreover, type of procedure, preferred side attempts, single attempt to success, CVC size used, sedation required, and complications were noted.
Results: Of total 108 children, the mean age was 5.15 ± 3.4 years. There were 69 (63.9%) males and 39 (36.1%) females. There were 12 (11.1%) children found with complications of passing central venous pressure (CVP)line. Of these 12 children, arterial puncture was found in 9 (75%) children, pneumothorax in 2 (17%) children, and hematoma in 1 (8%) child. The complications of passing CVP line was found significantly higher among children with organ failure diseases 9 (17.6%) as compared to other diseases 3 (5.3%) (p-value 0.041).
Conclusion: The use of ultrasound in CVC procedures is an asset to all trained personnel who conduct this procedure as it reduces the time required to complete the procedure and substantially minimizes potential complications
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