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 Citations (Scopus)

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

Fingerprint

Axillary Vein
Catheterization
Catheters
Central Venous Catheterization
Critical Illness
Central Venous Pressure
Superior Vena Cava
Parenteral Nutrition
Pneumothorax
Venous Thrombosis
Hematoma
Veins
Sepsis
Neck
Arteries
Weights and Measures

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

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.
Metz, R. I. ; Lucking, S. E. ; Chaten, F. C. ; Williams, T. M. ; Mickell, J. J. / Percutaneous catheterization of the axillary vein in infants and children. In: Pediatrics. 1990 ; Vol. 85, No. 4. pp. 531-533.
@article{e67b0ba381b646e7bdd4274e13b608b2,
title = "Percutaneous catheterization of the axillary vein in infants and children",
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.",
author = "Metz, {R. I.} and Lucking, {S. E.} and Chaten, {F. C.} and Williams, {T. M.} and Mickell, {J. J.}",
year = "1990",
month = "1",
day = "1",
language = "English (US)",
volume = "85",
pages = "531--533",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "4",

}

Metz, RI, Lucking, SE, Chaten, FC, Williams, TM & Mickell, JJ 1990, 'Percutaneous catheterization of the axillary vein in infants and children', Pediatrics, vol. 85, no. 4, pp. 531-533.

Percutaneous catheterization of the axillary vein in infants and children. / Metz, R. I.; Lucking, S. E.; Chaten, F. C.; Williams, T. M.; Mickell, J. J.

In: Pediatrics, Vol. 85, No. 4, 01.01.1990, p. 531-533.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Percutaneous catheterization of the axillary vein in infants and children

AU - Metz, R. I.

AU - Lucking, S. E.

AU - Chaten, F. C.

AU - Williams, T. M.

AU - Mickell, J. J.

PY - 1990/1/1

Y1 - 1990/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0025349266&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025349266&partnerID=8YFLogxK

M3 - Article

C2 - 2314966

AN - SCOPUS:0025349266

VL - 85

SP - 531

EP - 533

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 4

ER -

Metz RI, Lucking SE, Chaten FC, Williams TM, Mickell JJ. Percutaneous catheterization of the axillary vein in infants and children. Pediatrics. 1990 Jan 1;85(4):531-533.