Vascular access in children: Technique and complications of central venous catheters

Abstract

The installation of central venous catheters in children becomes more complex the smaller the patients are. This is less due to the anatomy itself than to the dimensioning of the anatomical structures and the associated vulnerability. While the puncture based on anatomical landmarks CVC (Central Venous Catheter), should not be forgotten, especially for dealing with emergencies, the use of sonography in newborns, infants, and children has become indispensable in everyday clinical practice. While it is important to master the techniques of puncture and placement, one should always keep in mind the special considerations for children, especially younger ones, and be aware of potential undiagnosed anatomical variations. If these points are heeded, the installation of central venous catheters in children can be carried out safely, easily, and with few complications.