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Date Published: 14/07/2024
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DOI: https://doi.org/10.51298/vmj.v540i2.10394
Issue
Vol. 540 No. 2 (2024)
Section
Các bài báo
How to Cite
Thiều, Q. Q., Ngô, T. Đông, & Tạ, A. T. (2024). FEASIBILITY AND SAFETY OF ULTRASONIC-GUIDED CENTRAL VENOUS CANNULATION IN CHILDREN ≤ KG IN THE PEDIATRIC INTENSIVE CARE UNIT AT VIETNAM NATIONAL CHILDREN’S HOSPITAL. Vietnam Medical Journal, 540(2). https://doi.org/10.51298/vmj.v540i2.10394

FEASIBILITY AND SAFETY OF ULTRASONIC-GUIDED CENTRAL VENOUS CANNULATION IN CHILDREN ≤ KG IN THE PEDIATRIC INTENSIVE CARE UNIT AT VIETNAM NATIONAL CHILDREN’S HOSPITAL

Quang Quân Thiều, Tiến Đông Ngô, Anh Tuấn Tạ

Main Article Content

Abstract

Objective: Central venous cannulation (CVC) is an essential procedure for pediatric emergencies, but it remains challenging for children, especially young children. This study aims to evaluate the feasibility and safety of ultrasound-guided CVC in children ≤ 10 kg at Vietnam National Children's Hospital. Research objects and methods: Descriptive, prospective analysis. Pediatric patients ≤ 10 kg received central vein placement under ultrasound guidance at the Internal Pediatric Intensive Care Unit - National Children's Hospital from August 2022 to April 2023. Results: There were 170 patients with 209 times of central placement. Median age is 5 months. Average weight: 6.0 ± 2.4 kg. The overall success rate was 93.8%, with 73.3% of cases succeeding on the first puncture. Cannulation time is 5.6 minutes (4.5 minutes – 7.5 minutes) – Median (IQR). There were 25 cases (accounting for 12.5%) with at least 1 complication, with a total number of complications of 35 (16.7%), of which the most were transient arrhythmias (8.1%), with no cases of hemothorax, pneumothorax or wrong arterial puncture. Conclusion: Ultrasound-guided central venous cannulation in children ≤ 10 kg shows high feasibility and safety

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References

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