Overview on Central Venous Access in Pediatric Patients; Review Article

Irfan  Hanif; Hessa Sulaiman Alsuwailem; Mashael Mohammed  Almazyad; Lama Abdulfattah  Almadani; Rajwa Hussin  Alenezi

doi:10.54293/smhj.v3i2.74

Authors

Irfan Hanif Assistant professor Pediatrics, Northern Border University, KSA. https://orcid.org/0009-0004-9810-404X
Hessa Sulaiman Alsuwailem Student, Faculty of Medicine in Northern Border University, Arar, KSA.
Mashael Mohammed Almazyad Student, Faculty of Medicine in Northern Border University, Arar, KSA.
Lama Abdulfattah Almadani Student, Faculty of Medicine in Northern Border University, Arar, KSA.
Rajwa Hussin Alenezi Student, Faculty of Medicine in Northern Border University, Arar, KSA.

DOI:

https://doi.org/10.54293/smhj.v3i2.74

Keywords:

Central venous catheters, Parenteral nutrition, Venous access, Apheresis, Chemotherapy

Abstract

Central venous catheters (CVCs) are an intravenous catheter is placed with one end in a wide venous vessel and the other end exteriorized via the skin or implanted beneath the skin for therapeutic administration. It is used for administration of parenteral fluid for nutrition and for delivering medications. The delivery of medication is made easier with the use of a CVC, it also could be used to introduce resuscitation fluid and nutritional fluids into wide veins with high blood flow. The CVC is used in pediatric patients is considered more challenging than that of adults due to anatomical constraints, especially thin and delicate veins, and an in babies, there is an abundance of subcutaneous fat, which may be harmful and causes prohibition of the surgery. The length of treatment, frequency of catheterization, and the accessibility of entry sites are the most important factors to consider when choosing a device. It's critical for members of the healthcare team to talk about which CVC option is best for the patient. Every youngster who requires central venous access has certain requirements to guarantee better results and decrease the risk of any further complications. This narrative review aims to overview and summarize current evidence regarding indications, devices and complications of CVCs.