Arterial access in infants and children.

Research output: Contribution to journalReview article

21 Citations (Scopus)

Abstract

Intraarterial access is used to provide continuous monitoring of systemic arterial blood pressure and to provide access to sample arterial blood. The use of chronic indwelling arterial catheters became commonplace in the 1970s and was rapidly adapted to the care of infants and children. The placement of intraarterial catheters can be technically challenging for even the most experienced surgeon, especially in small infants. Arterial catheters can directly injure vessels, resulting in thrombosis or occlusion. Distal embolization or ischemia can also occur. Catheter flushing may cause retrograde flow with the potential for embolization at remote sites. Local insertion site complications, such as hematoma, hemorrhage, and infection, can occur. Arterial catheters can also be a source of systemic sepsis. Although the risks and complication rates are low, the potential for devastating injury exists and deserves the greatest respect whenever placement of an arterial catheter is contemplated.

Original languageEnglish (US)
Pages (from-to)174-180
Number of pages7
JournalSeminars in pediatric surgery
Volume1
Issue number3
StatePublished - Aug 1 1992

Fingerprint

Catheters
Infant Care
Indwelling Catheters
Child Care
Hematoma
Sepsis
Arterial Pressure
Thrombosis
Ischemia
Hemorrhage
Wounds and Injuries
Infection

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

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title = "Arterial access in infants and children.",
abstract = "Intraarterial access is used to provide continuous monitoring of systemic arterial blood pressure and to provide access to sample arterial blood. The use of chronic indwelling arterial catheters became commonplace in the 1970s and was rapidly adapted to the care of infants and children. The placement of intraarterial catheters can be technically challenging for even the most experienced surgeon, especially in small infants. Arterial catheters can directly injure vessels, resulting in thrombosis or occlusion. Distal embolization or ischemia can also occur. Catheter flushing may cause retrograde flow with the potential for embolization at remote sites. Local insertion site complications, such as hematoma, hemorrhage, and infection, can occur. Arterial catheters can also be a source of systemic sepsis. Although the risks and complication rates are low, the potential for devastating injury exists and deserves the greatest respect whenever placement of an arterial catheter is contemplated.",
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Arterial access in infants and children. / Cilley, R. E.

In: Seminars in pediatric surgery, Vol. 1, No. 3, 01.08.1992, p. 174-180.

Research output: Contribution to journalReview article

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