Michel Fabrice, Dejode Jean-Marc, Vialet Renaud, Nicaise Claire, Thomachot Laurent, Di Marco Jean-Noël, Lagier Pierre, Martin Claude
Département d'Anesthésie et de Réanimation, Unité de Réanimation Pédiatrique, Néonatale et Brûlés Pédiatriques, Centre Hospitalo-Universitaire Nord, Marseille, France.
Pediatr Crit Care Med. 2007 Jan;8(1):37-9. doi: 10.1097/01.PCC.0000253025.23929.7D.
To describe and evaluate a new technique to insert a 24-gauge Silastic catheter in a central vein with a subcutaneous tunneled catheter in newborns after peripherally inserted central catheter (PICC) insertion failure.
Retrospective chart review.
Pediatric and neonatal intensive care unit.
Twenty-nine newborns in whom a new technique was used to insert a prolonged indwelling jugular, femoral, or subclavian Silastic tunneled central catheter.
None.
This new technique was used in 29 newborns between January 1, 2004, and December 31, 2005. The mean gestational age was 34 +/- 5 wks with a mean weight of 2440 +/- 1101 g. Thirty-four insertion attempts were carried out. Access sites were internal jugular (28 of 34), femoral (three of 34) or subclavian (three of 34) vein. In five cases, catheter insertion failed. Pneumothorax occurred two times, and no other serious complication were observed.
This technique is an interesting alternative when PICC insertion is not possible.
描述并评估一种在新生儿经外周静脉穿刺中心静脉置管（PICC）失败后，通过皮下隧道在中心静脉插入24G硅橡胶导管的新技术。
回顾性图表审查。
儿科和新生儿重症监护病房。
29例使用新技术插入延长留置的颈内、股静脉或锁骨下硅橡胶隧道式中心静脉导管的新生儿。
无。
2004年1月1日至2005年12月31日期间，该新技术应用于29例新生儿。平均胎龄为34±5周，平均体重为2440±1101克。共进行了34次置管尝试。置管部位为颈内静脉（34例中的28例）、股静脉（34例中的3例）或锁骨下静脉（34例中的3例）。5例置管失败。发生气胸2次，未观察到其他严重并发症。
当无法进行PICC置管时，该技术是一种有趣的替代方法。
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