EFFECTIVENESS OF ULTRASOUND-GUIDED INTERNAL JUGULAR VEIN CATHETERIZATION WITH CHEMOPORT PLACEMENT IN PEDIATRIC PATIENTS
Main Article Content
Abstract
Objective: To evaluate the effectiveness of ultrasound-guided internal jugular vein catheterization with subcutaneous chemoport placement in pediatric patients. Methods: This cross-sectional study enrolled 32 children (1-14 years) undergoing general anesthesia for subcutaneous chemotherapy port placement. Ultrasound-guided internal jugular vein catheterization was performed with subcutaneous tunneling to the port (1.5-3.0 cm below ipsilateral clavicle). The study outcomes included success rate and complications. Results: The overall and first-attempt success rates were 96.9% and 90.6% respectively, with a mean procedure time of 5.9±1.8 minutes. First-attempt success rates varied significantly with cervical lymphadenopathy (p<0.05). Complications occurred in 6.3% of cases, including one subcutaneous hematoma and one catheter-related infection, with rates differing between first-attempt success and failure (p<0.05). Conclusion: Ultrasound-guided internal jugular vein catheterization connected to chemoport in pediatric patients demonstrates high success rates and low complication rates. Ultrasound guidance enables direct visualization of vascular anatomy and needle trajectory, improving safety and efficacy.
Article Details
Keywords
internal jugular vein catheterization, chemoport, ultrasound, pediatric
References
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