Gauderer M W, Stellato T A, Izant R J
J Pediatr Surg. 1982 Oct;17(5):580-4. doi: 10.1016/s0022-3468(82)80114-0.
With the greatly expanded indications for central venous lines in children, and especially with the introduction of the Broviac silastic catheter, a new, safe, and fast method of catheter insertion has been developed. The method combines the advantages of direct major vessel approach and the use of a Broviac catheter. Originally Broviac et al. (1973) suggested insertion of the catheter by either a subclavian venipuncture or by a cephalic vein catheterization. The latter technique is commonly used, even though technical difficulties are not infrequent. Our method is based on a modified Seldinger catheter introduction employing an 8 French Peel Away Sheath Set for the adult Broviac catheter and a 5 French set for the pediatric catheter. Forty-six catheters were placed in 43 consecutive patients ranging in age from 2 mo to 21 yr. Perioperative complications were minimal and late catheter related complications few. An increase in the number of oncologic patients was observed.
随着儿童中心静脉置管适应证的大幅扩展，尤其是随着Broviac硅橡胶导管的引入，一种新的、安全且快速的导管插入方法得以开发。该方法结合了直接进入大血管途径和使用Broviac导管的优点。最初，Broviac等人（1973年）建议通过锁骨下静脉穿刺或头静脉导管插入术插入导管。后一种技术虽不常出现技术困难，但仍被普遍使用。我们的方法基于改良的Seldinger导管插入技术，成人Broviac导管使用8F的可撕开鞘套装，儿科导管使用5F的套装。对43例年龄从2个月至21岁的连续患者置入了46根导管。围手术期并发症极少，晚期导管相关并发症也很少。观察到肿瘤患者数量有所增加。
