TY - JOUR
T1 - The optimal length of insertion of central venous catheters for pediatric patients
AU - Andropoulos, Dean B.
AU - Bent, Sabrina T.
AU - Skjonsby, Barbara
AU - Stayer, Stephen A.
PY - 2001
Y1 - 2001
N2 - Incorrect positioning of central venous catheters (CVC) in infants and children may lead to serious complications such as perforation of the heart or great vessels. CVC position is not usually assessed until the first postoperative chest radiograph, potentially leaving malposition undetected for several hours. We studied a series of 452 right internal jugular and subclavian catheter placements in infants and children undergoing surgery for congenital heart disease, and measured the distance from the skin insertion site to the radiographic junction of the superior vena cava and right atrium (RA). Based on these data, the following formulae predict that a CVC will be positioned above the RA 97% of the time: correct length of insertion (cm) = (height in cm/10) - 1 for patients ≤100 cm in height, and (height in cm/10) - 2 for patients >100 cm in height. Weight-based recommendations were also developed which predict placement of CVC above the RA 98% of the time.
AB - Incorrect positioning of central venous catheters (CVC) in infants and children may lead to serious complications such as perforation of the heart or great vessels. CVC position is not usually assessed until the first postoperative chest radiograph, potentially leaving malposition undetected for several hours. We studied a series of 452 right internal jugular and subclavian catheter placements in infants and children undergoing surgery for congenital heart disease, and measured the distance from the skin insertion site to the radiographic junction of the superior vena cava and right atrium (RA). Based on these data, the following formulae predict that a CVC will be positioned above the RA 97% of the time: correct length of insertion (cm) = (height in cm/10) - 1 for patients ≤100 cm in height, and (height in cm/10) - 2 for patients >100 cm in height. Weight-based recommendations were also developed which predict placement of CVC above the RA 98% of the time.
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U2 - 10.1097/00000539-200110000-00016
DO - 10.1097/00000539-200110000-00016
M3 - Article
C2 - 11574350
AN - SCOPUS:0034814431
SN - 0003-2999
VL - 93
SP - 883
EP - 886
JO - Anesthesia and analgesia
JF - Anesthesia and analgesia
IS - 4
ER -