Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2009-9-25
pubmed:abstractText
In neonates, infants and young children central venous catheters are of vital importance during surgery as well as postoperative care. The benefit of ultrasonography seems to be very important for vascular access of the internal jugular (IJV), subclavian (SCV), femoral and even peripheral veins. Ultrasound-guided cannulation of the IJV increases the success rate, reduces the time to the successful puncture and decreases the inadvertent puncture of the carotid artery in children in comparison to the landmark-guided technique. Due to compression of the vessel by the approaching needle in neonates transfixing the vein and aspirating blood on withdrawal of the needle may be the preferred technique. The lack of space may prevent ultrasound-guided puncture of the SCV in very low birth weight infants. However, the location of the vein and its patency should always be determined via ultrasound prior to cannulation. After catheterization of the SCV the homolateral IJV is screened by the use of ultrasound to detect wrong guide wire migration. A clear and rapid visualization of visceral pleura movement against the parietal pleura during respiration via ultrasound indicates the absence of pneumothorax after cannulation. In the case of haemodynamic instability, ultrasound should be used to exclude pericardial effusion.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1432-055X
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
58
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
897-900, 902-4
pubmed:meshHeading
pubmed:year
2009
pubmed:articleTitle
[Central venous catheter for newborns, infants and children].
pubmed:affiliation
Abt. für Anästhesiologie, Landeskrankenhaus Klagenfurt, St. Veiterstr. 47, 9020, Klagenfurt, Osterreich. breschan.ch@chello.at
pubmed:publicationType
Journal Article, English Abstract, Review