Ultrasound guided percutaneous insertion safe in children: JAMA
Australia: Ultrasound guided percutaneous insertion of central access catheters is safe for children, suggests a recent study. According to the study, published in the Journal of Surgical Research, the ultrasound guided percutaneous insertion reduced operating time and preserved vein size.
Soundappan S.V. Soundappan, University of Sydney, NSW, Australia, and colleagues aimed to compare open insertion to ultrasound guided percutaneous insertion of central access catheters performed in a tertiary pediatric hospital in terms of its safety and complication rates.
For the purpose, the researchers designed an ethics approved prospective randomized trial of 108 children (Right internal jugular vein was accessed in 97) under 16 y of age. The procedure was performed by surgeons having varying experience with percutaneous and open insertion.
Primary outcome studied was complications-immediate and late. Secondary outcomes were time taken to complete procedure, conversion rates, duration of line use.
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