Percutaneous catheterization of the axillary vein in infants and children

R. I. Metz, S. E. Lucking, F. C. Chaten, T. M. Williams, J. J. Mickell

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

The axillary vein was evaluated as an alternative access site for central venous catheterization in critically ill infants and children. Children were placed in the Trendelenberg position (when possible) with arm abducted 100 to 130°. The vein was entered parallel and inferior to the artery. Success rate for catheterization was 79% (41/52). Catheter diameter range was 3 to 8.5 F and catheter length range was 5 to 30.5 cm. Median patient weight was 7.0 kg (3.0 to 59 kg). Median age was 0.91 years (14 days to 9 years). All central lines ended in the subclavian, innominate, or superior vena cava. Median catheter duration was 8 days (2 to 22 days). A total of 338 patient catheter-days were studied. Central venous pressure was successfully monitored in five of five attempts. Complications with insertion (3.8% of attempts) included one pneumothorax and one hematoma. Complications during catheter duration (9.8% of catheters, 1.1% per catheter-day) included one instance each of venous stasis, venous thrombosis, catheter sepsis, and parenteral nutrition infiltration. No complication contributed to a patient mortality. Success and complication rates were comparable with those in jugular catheterization studies in children. The axillary approach is an acceptable route for central venous catheterization in critically ill infants and children.

Original languageEnglish (US)
Pages (from-to)531-533
Number of pages3
JournalPediatrics
Volume85
Issue number4
StatePublished - Jan 1 1990

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Fingerprint Dive into the research topics of 'Percutaneous catheterization of the axillary vein in infants and children'. Together they form a unique fingerprint.

  • Cite this

    Metz, R. I., Lucking, S. E., Chaten, F. C., Williams, T. M., & Mickell, J. J. (1990). Percutaneous catheterization of the axillary vein in infants and children. Pediatrics, 85(4), 531-533.