Clinical Medicine
Hossein Najdsepas; Nahid Rahimzadeh; Masoud Haghighikian; Mahyar Maddahali; Maryam Milani Fard
Abstract
Background: Achievement of a vascular access in pediatric patients is a very difficult, time-consuming, and boring process. The present study aimed to evaluate the patency of the two vascu-lar access catheterization techniques including percutaneus IJV cannulation and saphenofemoral cutdown in terms ...
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Background: Achievement of a vascular access in pediatric patients is a very difficult, time-consuming, and boring process. The present study aimed to evaluate the patency of the two vascu-lar access catheterization techniques including percutaneus IJV cannulation and saphenofemoral cutdown in terms of the functional time of catheterization and the complications of these two vas-cular access methods among the neonatal and pediatric patients. Methods: This prospective interventional case series study was conducted on 88 children admitted to the intensive care unit (ICU) and needing an intravenous cannulation. The study population was randomly (using a computerized random number table) assigned into two groups undergoing vascu-lar catheterization by saphenous vein cutdown (n=59) and percutaneus internal jugular vein cathe-terization (n=29). The two groups were compared regarding the rates of catheter blockage; vein thrombosis and infection. The data were analyzed using SPSS software.Results: The duration of catheter functionality was significantly shorter in the saphenofemoral vein cutdown group than that in the internal jugular vein catheterization group (11.4±12.2 and 14.82±11.39, respectively; P = 0.021). However, we showed no significant difference between the two groups in the prevalence rate of hematoma (p = 0.794), bleeding (p = 0.601), catheter blockage (p = 0.989), site infection (p = 0.684), sepsis (p = 0.937), vein thrombosis (P = 0.999), hemothorax (p = 0.937) and pneumothorax (p = 0.937). Conclusion: Vascular access through internal jugular vein resulted in a longer functional catheteriza-tion in ICU admitted children, compared to saphenofemoral vein cutdown, without any difference in other technical-related outcomes.
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