+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

A Medium-Term Venous Access Alternative for Infants Undergoing Congenital Heart Surgery

A Medium-Term Venous Access Alternative for Infants Undergoing Congenital Heart Surgery

World Journal for Pediatric and Congenital Heart Surgery 9(1): 91-94

We describe a strategy aimed at maximizing the safety and minimizing the thrombogenicity of central venous lines for neonates with congenital heart defects. Our method involves the use of a tunneled technique to place a 4.2 Fr single-lumen (Broviac) catheter in the subpericardial space, with minimal intravascular course and a tip placed in the lower right atrium. Using this technique, we potentially eliminated the requirement for percutaneous placement of central venous lines postoperatively as well as potentially decreased the risk of intrapericardial bleeding associated with transthoracic lines.

(PDF emailed within 0-6 h: $19.90)

Accession: 046211109

Download citation: RISBibTeXText

PMID: 29310557

DOI: 10.1177/2150135117738008

Related references

Transhepatic approach as an alternative long-term central venous access in critically ill children with complex congenital heart disease: a new angle to an old problem?. Pediatric Critical Care Medicine 8(3): 298-299, 2007

Nursing of children undergoing surgery of congenital heart diseases - on 3 cases undergoing simple open-heart surgery, open-heart surgery of a complex heart defect, or conservative surgery. Nursing Technique 24(4): 82-111, 1978

Neuromotor status in infants with congenital heart defects undergoing open heart surgery. Pediatric Research 41(4 PART 2): 292A, 1997

Lactate clearance in infants undergoing surgery for congenital heart disease. Artificial Organs 2018, 2018

Remifentanil blood concentrations in infants undergoing congenital heart surgery. Anesthesia & Analgesia 92(4 Supplement): SCA124, 2001

Anesthesia in infants undergoing closed heart surgery for congenital defects. Orvosi Hetilap 117(21): 1287-1289, 1976

Medium-term course of patients over 65 undergoing heart valve surgery. Helvetica Chirurgica Acta 54(3): 277-282, 1987

Psychosocial risk in families of infants undergoing surgery for a serious congenital heart disease. Cardiology in the Young 24(4): 632-639, 2015

Enteral Feeding of Infants Undergoing Congenital Heart Surgery: Consensus Needed!. Pediatric Critical Care Medicine 19(2): 169-170, 2018

Prediction of fluid responsiveness in infants and neonates undergoing congenital heart surgery. British Journal of Anaesthesia 108(1): 108-115, 2012

Ethnic-specific mortality of infants undergoing congenital heart surgery in England and Wales. Archives of Disease in Childhood 2019, 2019

Nutrition in infants undergoing surgery for congenital heart disease. A longitudinal study in 71 children. Digestive and Liver Disease 48: E278-E279, 2016

Haem is associated with thrombosis in neonates and infants undergoing cardiac surgery for congenital heart disease. Vox Sanguinis 113(1): 72-75, 2017

Extracorporeal membrane oxygenation support for intractable primary arrhythmias and complete congenital heart block in newborns and infants: short-term and medium-term outcomes. Pediatric Critical Care Medicine 13(1): 47-52, 2012

Intraoperative transesophageal echocardiography for infants and children undergoing congenital heart surgery: the role of the anesthesiologist. Journal of the American Society of Echocardiography 12(11): 1009-1014, 1999