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The optimal depth of central venous catheter for infants less than 5 kg

Cited 14 time in Web of Science Cited 14 time in Scopus
Authors
Kim, Jin-Hee; Kim, Chong-Sung; Bahk, Jae-Hyun; Cha, Kyung Joon; Park, Young-Sun; Jeon, Young-Tae; Han, Sung-Hee
Issue Date
2005-10-26
Publisher
Elsevier
Citation
Anesth Analg. 2005 Nov;101(5):1301-3.
Keywords
Body WeightCatheterization, Central Venous/instrumentation/*methodsEchocardiography, TransesophagealFemaleHumansInfantInfant, NewbornMale
Abstract
To avoid fatal complications of central venous catheterization such as cardiac tamponade, the tip of the central venous catheter (CVC) should be placed outside of the cardiac chamber. To suggest a guideline for a proper depth of CVC in infants, we measured the distance from the skin puncture site to the junction between superior vena cava and right atrium (SVC-RA junction) by using transesophageal echocardiography (TEE). Fifty infants less than 5 kg undergoing surgery for congenital heart disease were enrolled in this prospective study. After the induction of general anesthesia, CVC was inserted via the right subclavian vein. After the tip of the CVC was placed at the SVC-RA junction using TEE guidance, the length of the CVC inserted beneath the skin was measured. The measured distance had a high correlation with the patient's height, weight, and age (r = 0.88, 0.76, and 0.64, respectively). In infants smaller than 5 kg, the following guideline can avoid intraatrial placement of the CVC: a depth between 40 and 45 mm for infants 2.0-3.0 kg in weight, 45-50 mm for those 3.0-3.9 kg, and 50-55 mm for those more than 4.0 kg.
ISSN
0003-2999 (Print)
Language
English
URI
http://hdl.handle.net/10371/26487
DOI
https://doi.org/10.1213/01.ANE.0000180997.72988.FE
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College of Medicine/School of Medicine (의과대학/대학원)Anesthesiology and Pain Medicine (마취통증의학전공)Journal Papers (저널논문_마취통증의학전공)
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