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소아환자에서 초음파 유도 중심정맥카테터 삽입

Ultrasound-guided central venous catheter insertion in pediatric patients

대한소아응급의학회지 2020년 7권 1호 p.10 ~ 15
장익완, 박중완, 정재윤,
소속 상세정보
장익완 ( Chang Ik-Wan ) - Kangwon National University Graduate School of Medicine
박중완 ( Park Joong-Wan ) - Seoul National University Hospital Department of Emergency Medicine
정재윤 ( Jung Jae-Yun ) - Seoul National University Hospital Department of Emergency Medicine

Abstract


In pediatric patients, central venous catheterization (CVC) is necessary for administration of fluids, drugs, high concentration electrolytes, vasopressors or inotropic drugs, transfusion, intravenous nutrition, and dialysis. Using an anatomical landmark for the CVC insertion may have a low success rate in children due to the positional variation between the deep vein and the landmarks, the small size of body and blood vessels, low insertion frequency, and operator skill. In order to improve the success rate, ultrasound guided CVC insertion is recommended in critically ill children. It is also expected to reduce mechanical complications, which are more common with subclavian CVC insertion. However, the association between the insertion site and the infection or thrombosis is unclear. Since thrombosis is relatively common, further studies are needed on the association between the incidence rate and insertion sites.

키워드

Central Venous Catheters; Infections; Pediatrics; Thrombosis; Ultrasonography

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