11 research outputs found
Access via the internal jugular vein
Central venous access via the internal jugular vein (IJV) is safe, relatively
easy and very commonly used in infants and children undergoing cardiac
surgery for congenital heart disease. Because of the wide range of anatomical
variations an ultrasound-guided technique is advantageous in many cases, in
particular in patients who have had previous punctures or those in whom
difficulties are anticipated for various reasons. The right internal jugular vein is
the preferred vein for central venous access as it offers straight access to the
superior vena cava. The rate of complications - insertion-related as well as
long term - are lower compared to the femoral and the subclavian access.peer-reviewe
Access via the femoral vein
Central venous access via the femoral vein (FV) is safe, relatively easy and
very usual in infants and children undergoing cardiac surgery for congenital
heart disease. It has a low insertion-related complication rate.
It is therefore a good choice for short-term central venous lines and a
preferred insertion site for less experienced staff. The maintenance-related
complications of thrombus formation and infections are higher compared to
the internal jugular and the subclavian venous access. Some of these complications are reduced by the use of heparin bonded catheters, routine use of antibiotics, and timely removal of these lines in patients with persistent signs of infection but without another focus being defined.peer-reviewe