Publication: Appropriate length and position of the central venous catheter insertion via right internal jugular vein in children
Issued Date
2013-08-01
Resource Type
ISSN
09747559
00196061
00196061
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2-s2.0-84884681410
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Mahidol University
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SCOPUS
Bibliographic Citation
Indian Pediatrics. Vol.50, No.8 (2013), 749-752
Suggested Citation
L. Witthayapraphakorn, A. Khositseth, T. Jiraviwatana, S. Siripornpitak, R. Pornkul, N. Anantasit, J. Vaewpanich Appropriate length and position of the central venous catheter insertion via right internal jugular vein in children. Indian Pediatrics. Vol.50, No.8 (2013), 749-752. doi:10.1007/s13312-013-0217-7 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/32221
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Title
Appropriate length and position of the central venous catheter insertion via right internal jugular vein in children
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Abstract
Design: Observational study. Setting: Tertiary University Hospital. Participants/patients: Patients, aged 6 days to 19 years, who underwent contrast enhancement computerized tomography imaging of the thorax (CT-thorax). Main outcome measures: We measured three lengths consisting of length A in axial plane at the level of the lower border of the 6th C-spine from the skin to RIJV at its mid lumen, length B and C in sagittal plane from the RIJV at the level of the lower of the 6th C-spine to the superior vena cava (SVC) at carina and from carina to SVC-right atrium junction, respectively. Lengths A plus B represented the length of CVC where the tip was expected in the SVC at carina (CVCcarina). Lengths A plus B and C represented the length of CVC when the tip was expected in the SVC at SVCright atrium junction (CVC SVC-RA). Results: One hundred and sixty-five cases with mean age of 8.1 ± 4.7 years were reviewed. The CVCSVC-RA and CVC carina were significantly correlated with age and body surface area (BSA). Using multiple regression analysis, CVCSVC-RA (cm) was equal to 6.4 + 2.8[BSA (m2)] + 0.022[age (month)] and CVCcasina (cm) equal to 4.9 +2.7[BSA (m2)] +0.013[age (month)] (Adjusted Rsquared 0.7275, 0.7140). Conclusions: We recommended the appropriate CVC length via RIJV approach should be between these two calculated lengths and the CVC length in each age according to the BSA. © 2013 Indian Academy of Pediatrics.