Comparison of Catheter Functionality and Post-Procedural Consequences in Vascular Access Through Saphenofemoral Cutdown and Percutaneus Jugu-lar Vein Catheterization among Children and Neonates

Background: Achievement of a vascular access in pediatric patients is a very difficult, time-consuming, and boring process. The present study aimed to evaluate the patency of the two vascu-lar access catheterization techniques including percutaneus IJV cannulation and saphenofemoral cutdown in terms of the functional time of catheterization and the complications of these two vas-cular access methods among the neonatal and pediatric patients. Methods: This prospective interventional case series study was conducted on ۸۸ children admitted to the intensive care unit (ICU) and needing an intravenous cannulation. The study population was randomly (using a computerized random number table) assigned into two groups undergoing vascu-lar catheterization by saphenous vein cutdown (n=۵۹) and percutaneus internal jugular vein cathe-terization (n=۲۹). The two groups were compared regarding the rates of catheter blockage; vein thrombosis and infection. The data were analyzed using SPSS software.Results: The duration of catheter functionality was significantly shorter in the saphenofemoral vein cutdown group than that in the internal jugular vein catheterization group (۱۱.۴±۱۲.۲ and ۱۴.۸۲±۱۱.۳۹, respectively; P = ۰.۰۲۱). However, we showed no significant difference between the two groups in the prevalence rate of hematoma (p = ۰.۷۹۴), bleeding (p = ۰.۶۰۱), catheter blockage (p = ۰.۹۸۹), site infection (p = ۰.۶۸۴), sepsis (p = ۰.۹۳۷), vein thrombosis (P = ۰.۹۹۹), hemothorax (p = ۰.۹۳۷) and pneumothorax (p = ۰.۹۳۷). Conclusion: Vascular access through internal jugular vein resulted in a longer functional catheteriza-tion in ICU admitted children, compared to saphenofemoral vein cutdown, without any difference in other technical-related outcomes.

Keywords:

Catheter , Internal jugular vein , Saphenofemoral vein cutdown , children