Appropriate Length and Position of the Central Venous Catheter Insertion via Right Internal Jugular Vein in Children.
Loading...
Date
2013-08
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Design: Observational study.
Setting: Tertiary University Hospital.
Participants/patients: Patients, aged 6 days to 19 years, who
underwent contrast enhancement computerized tomography
imaging of the thorax (CT-thorax).
Main outcome measures: We measured three lengths
consisting of length A in axial plane at the level of the lower border
of the 6th C-spine from the skin to RIJV at its mid lumen, length B
and C in sagittal plane from the RIJV at the level of the lower of the
6th C-spine to the superior vena cava (SVC) at carina and from
carina to SVC-right atrium junction, respectively. Lengths A plus B
represented the length of CVC where the tip was expected in the
SVC at carina (CVCcarina). Lengths A plus B and C represented
the length of CVC when the tip was expected in the SVC at SVCright
atrium junction (CVCSVC-RA).
Results: One hundred and sixty-five cases with mean age of 8.1 ±
4.7 years were reviewed. The CVCSVC-RA and CVC carina were
significantly correlated with age and body surface area (BSA).
Using multiple regression analysis, CVCSVC-RA (cm) was equal to
6.4 + 2.8[BSA (m2)] + 0.022[age (month)] and CVCcasina (cm)
equal to 4.9 +2.7[BSA (m2)] +0.013[age (month)] (Adjusted Rsquared
0.7275, 0.7140).
Conclusions: We recommended the appropriate CVC length via
RIJV approach should be between these two calculated lengths
and the CVC length in each age according to the BSA.
Description
Keywords
Central venous catheter, Children, Right internal jugular vein
Citation
Witthayapraphakorn L, Khositseth A, Jiraviwatana T, Siripornpitak S, Pornkul R, Anantasit N, Vaewpanich J. Appropriate Length and Position of the Central Venous Catheter Insertion via Right Internal Jugular Vein in Children. Indian Pediatrics. 2013 August; 50(8): 749-752.