| A Study on Central Vein Catheterzation in Children. |
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Seok Kon Kim, Kook Hyun Lee, Sang Chul Lee, Yong Seok Oh, Seong Deok Kim, Kwang Woo Kim |
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Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea. |
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| Abstract |
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To compare several methods for central venous catheterization in children, we have collected and reviewed 229 cases which were performed at the department of pediatric anesthesia, SNUH. The results were as follows: 1) No. of successful catheterization was 20 of 21 cases in IJC, 30 of 32 cases in SSC and 172 of 176 cases in ISC but there was no statistically significant difference in success rate.
2) More than three times of puncture was necessary for zero in IJC, 8 of 32 cases in SSC and 21 of 176 cases in ISC. SSC needed more numbers of puncture than others (p<0.05). 3) There was no fatal complication by catheterization but the rate of complication was 29%(6/21) in IJC, 19% (6/32) in SSC and 9% (17/176) in ISC, Complication occured more freguently in IJC than ISC (p < 0.05). 4) The rate of properly located catheter tip in superior vena cava was 60% (12/20) in IJC, 77% (23/ 30) in SSC and 65% (112/172) in ISC. Even though ISC showed better results than others in this study, more extensive collection and review are necessary to make a conclusion. |
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