Skip to main content
  • 1657 Accesses

Abstract

In the field of pediatric surgery, the central venous catheterization technique is frequently used for the purposes of intensive care, nutrition management, administration of anticancer agents, and so on. Therefore, it is critical for pediatric surgeons to be proficient in the catheterization technique to secure a central venous route. This chapter describes the reality of and necessary precautions in central venous catheterization for children and presents complications that may occur due to catheterization. In this chapter, the first two basic central venous catheter (CVC) insertion techniques are described: the Seldinger technique and the cutdown technique. Then catheterization techniques for long-term catheter placement such as port-type and Broviac/Hickman catheters and CVC insertion techniques for continuous hemodiafiltration (CHDF) are also described.

The figures in this chapter are reprinted with permission from Standard Pediatric Operative Surgery (in Japanese), Medical View Co., Ltd., 2013, with the exception of occasional newly added figures that may appear.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Haas NA. Vascular access for fluid infusion in children. Crit Care. 2004;8:478–84.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Chung DH, Ziegler MM. Vascular access procedure. In: Ziegler MM, Azizkhan RG, Weber TR, editors. Operative pediatric surgery. New York: McGraw-Hill Professional; 2003. p. 85–94.

    Google Scholar 

  3. Stringer MD. Vascular access. In: Spitz L, Coran AG, editors. Rob & Smith’s operative surgery, pediatric surgery. 5th ed. London: Chapman & Hall Medical; 1995. p. 25–37.

    Google Scholar 

  4. Masumoto K, Uesugi T, Nagata K, Takada N, Taguchi S, Ogita K, Yamanouchi T, Taguchi T, Suita S. Safe techniques for inserting the Hickman catheter in pediatric patients. Pediatr Hematol Oncol. 2006;23:531–40.

    Article  PubMed  Google Scholar 

  5. Schindler E, Schears GJ, Hall SR, Yamamoto T. Ultrasound for vascular access in pediatric patients. Paediatr Anaesth. 2012;22:1002–7.

    Article  PubMed  Google Scholar 

  6. Donaldson JS. Pediatric vascular access. Pediatr Radiol. 2006;36:386–97.

    Article  PubMed  Google Scholar 

  7. Chwals WJ. Vascular access for home intravenous therapy in children. JPEN J Parenter Enteral Nutr. 2006;30(1 Suppl):S65–9.

    Article  PubMed  Google Scholar 

  8. Janik JE, Conlon SJ, Janik JS. Percutaneous central access in patients younger than 5 years: size does matter. J Pediatr Surg. 2004;39:1252–6.

    Article  PubMed  Google Scholar 

  9. Walters S, Porter C, Brophy PD. Dialysis and pediatric acute kidney injury: choice of renal support modality. Pediatr Nephrol. 2009;24:37–48.

    Article  PubMed  Google Scholar 

  10. Chand DH, Valentini RP, Kamil ES. Hemodialysis vascular access options in pediatrics: considerations for patients and practitioners. Pediatr Nephrol. 2009;24:1121–8.

    Article  PubMed  Google Scholar 

  11. Pittiruti M, Hamilton H, Biffi R, MacFie J, Pertkiewicz M. ESPEN guidelines on parenteral nutrition: central venous catheters (access, care, diagnosis and therapy of complications). Clin Nutr. 2009;28:365–77.

    Article  PubMed  Google Scholar 

  12. Casado-Flores J, Barja J, Martino R, Serrano A, Valdivielso A. Complications of central venous catheterization in critically ill children. Pediatr Crit Care Med. 2001;2:57–62.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kouji Masumoto .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer Japan

About this chapter

Cite this chapter

Masumoto, K. (2016). Vascular Access. In: Taguchi, T., Iwanaka, T., Okamatsu, T. (eds) Operative General Surgery in Neonates and Infants. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55876-7_1

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-55876-7_1

  • Published:

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-55874-3

  • Online ISBN: 978-4-431-55876-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics