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Appropriate length and position of the central venous catheter insertion via right internal jugular vein in children

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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.

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Authors and Affiliations

  1. Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand

    L. Witthayapraphakorn, A. Khositseth, N. Anantasit & J. Vaewpanich

  2. Department of Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand

    T. Jiraviwatana, S. Siripornpitak & R. Pornkul

  3. 270 Rama VI Road, Ratchathewi, Bangkok, 10400, Thailand

    A. Khositseth

Authors
  1. L. Witthayapraphakorn
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  2. A. Khositseth
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  3. T. Jiraviwatana
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  4. S. Siripornpitak
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  5. R. Pornkul
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  6. N. Anantasit
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  7. J. Vaewpanich
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Corresponding author

Correspondence to A. Khositseth.

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Witthayapraphakorn, L., Khositseth, A., Jiraviwatana, T. et al. Appropriate length and position of the central venous catheter insertion via right internal jugular vein in children. Indian Pediatr 50, 749–752 (2013). https://doi.org/10.1007/s13312-013-0217-7

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  • DOI: https://doi.org/10.1007/s13312-013-0217-7

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