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CC BY 4.0 · Journal of Child Science 2022; 12(01): e5-e8
DOI: 10.1055/s-0041-1741425
Original Article

Central Subclavian Catheterization in Newborns: Single-Center Experience

Selcuk Gurel 
1   Department of Pediatrics, Oztan Hospital, Usak, Turkey
,
Ahmet Gözen 
2   Department of Pediatric Surgery, Lokman Hekim Van Hospital, Van, Turkey
,
Mehmet Selcuk Bektas 
3   Department of Pediatrics, Lokman Hekim Van Hospital, Van, Turkey
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Abstract

Our main aim of this article was to show that central venous catheter (CVC) can be an easy-to-use, less-complicated catheter application such as peripherally inserted central catheter and umbilical catheter placement in the neonatal intensive care unit. We here described our experience with subclavian vein catheterization. Neonates who had venous access through subclavian central catheterization were assessed retrospectively. Data such as gestational age, age at the time of catheter insertion, birth weight, and gender were collected. In addition, problems related to catheterization during hospitalization were documented. This study comprised 40 newborns, 22 male and 18 female, with a mean gestational week of 29.57 ± 3.80 weeks and a mean gestational weight of 2067.50 ± 545.97 g. Due to occlusion, catheters were switched in five cases twice and in three cases once, totaling 53 catheterizations on 40 newborns. None of our patients had pneumothorax or hemothorax. On the postoperative 8th and 21st days, the catheter was withdrawn due to catheter infection in two (5%) patients, and catheter cultures revealed coagulase negative Staphylococcus aureus in both cases. Even in preterm infants, subclavian central venous catheterization is a safe and straightforward technique of gaining venous access in expert hands in the neonatal intensive care unit.

Keywords

newborn - CVC - NICU - catheterization


Publication History

Received: 10 November 2021

Accepted: 24 November 2021

Article published online:
18 February 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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