ArticleIntensive care medicine2009
Mechanical complications during central venous cannulations in pediatric patients.
Article in Intensive care medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04522778 (Innovative Central Line Securement Device), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Innovative Central Line Securement Device: Line Complications and Quality of Life in the Pediatric Population as Compared to Traditional Securement Device
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Central Venous Access Device Complications in Children With Leukemia: A Systematic Review and Meta-Analysis.European journal of haematology · 2026Pooled it
- Central venous catheterization site choice based on anatomical landmark technique: a systematic review and meta-analysis.Journal of anesthesia · 2021Pooled it
- [Placement of central venous catheters in pediatric anesthesia : Indications, techniques and complications].Die Anaesthesiologie · 2026Review
- Incidence and risk factors of complications during central venous access devices removal in children.The journal of vascular access · 2025Article
- Central Venous Catheter Complications in the Poisoning Emergency Center: A 5-Year Cross-Sectional Study.Advanced biomedical research · 2024Article
- Central Venous Catheter Insertion for Vascular Access: A 6-year Single-center Experience.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023Article
- Outcomes of Pediatric Osteogenesis Imperfecta Patients Requiring Port-a-Cath Placement for Long-Term Vascular Access.JBMR plus · 2023Article
- Factors affecting mechanical complications of central venous access devices in children.Pediatric surgery international · 2022Article
- Case report: Bilateral pleural effusion secondary to late migration of a tunneled central venous catheter in a patient affected by high risk neuroblastoma.Frontiers in pediatrics · 2022Article
- Newborns with Bloody Stools-At the Crossroad between Efficient Management of Necrotizing Enterocolitis and Antibiotic Stewardship.Antibiotics (Basel, Switzerland) · 2021Article
- Ultrasound-guided or landmark techniques for central venous catheter placement in critically ill children.Intensive care medicine · 2018Observational
- Indications and outcomes for tunneled central venous line placement via the axillary vein in children.Pediatric surgery international · 2017Article
- Substantial harm associated with failure of chronic paediatric central venous access devices.BMJ case reports · 2017Article
- [Avoidance of complications when dealing with central venous catheters in the treatment of children].Der Anaesthesist · 2017Review
- Consistency between guidelines and reported practice for reducing the risk of catheter-related infection in British paediatric intensive care units.Intensive care medicine · 2011Article
- Year in review in Intensive Care Medicine 2009. Part III: mechanical ventilation, acute lung injury and respiratory distress syndrome, pediatrics, ethics, and miscellanea.Intensive care medicine · 2010Review
- Complications of continuous renal replacement therapy in critically ill children: a prospective observational evaluation study.Critical care (London, England) · 2009Article
- Supraclavicular ultrasound-guided catheterization of the brachiocephalic vein in infants and children: A retrospective analysis.Saudi journal of anaesthesiaArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveIdentification of early mechanical complications (EMC) of central venous catheterizations (CVC) in pediatric patients and determination of EMC risk factors.
designProspective observational study.
settingPediatric intensive-care unit in a university hospital. PATIENTS AND MEASUREMENTS: Eight-hundred and twenty-five CVC were performed in 546 patients. Age, weight, gender, mechanical ventilation, analgesia, resident CVC failure, CVC indication, admission diagnosis, emergency or scheduled procedure, type of catheter (diameter, lumen number), catheter final location, number of attempts, and EMC were recorded. Risk factors for EMC were determined by multivariate analysis.
resultsMedian patient age was 22.0 months (0-216 months). CVC was an emergency procedure in 421 (51%) cases, scheduled in 336 (40.7%), and guide-wire exchanged in 68 (8.2%). There were 293 (35.5%) internal jugular, 116 (14.1%) subclavian, and 416 (50.4%) femoral catheters. CVC was performed by staff physicians in 35.8% cases, supervised residents in 43.4%, and staff after resident failure in 20.8%. 151 EMC occurred in 144 CVC (17.5%). The most common EMC were arterial puncture (n = 60; 7.2%), catheter malposition (n = 39; 4.7%), arrhythmias (n = 19; 2.3%), and hematoma (n = 12; 1.4%). Resident failure to perform CVC (OR 2.53; CI 95% 1.53-4.16), high venous access (subclavian or jugular) (OR 1.91; CI 95% 1.26-2.88), and number of attempts (OR 1.10; CI 95% 1.03-1.17) were independently associated with EMC.
conclusionsEMC of CVC were common in a teaching university hospital, but severe complications were very uncommon. Resident failure to perform CVC, high venous access, and number of attempts were independent risk factors for EMC of CVC.
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