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Ultrasound-guided central venous catheter insertion in pediatric patients
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소아환자에서 초음파 유도 중심정맥카테터 삽입

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Type
Academic journal
Author
Journal
대한소아응급의학회 대한소아응급의학회지 대한소아응급의학회지 제7권 제1호 KCI Accredited Journals
Published
2020.1
Pages
10 - 15 (6page)

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Ultrasound-guided central venous catheter insertion in pediatric patients
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In pediatric patients, central venous catheterization (CVC) is necessary for administration of fluids, drugs, high concentration electrolytes, vasopressors or inotropic drugs, transfusion, intravenous nutrition, and dialysis. Using an anatomical landmark for the CVC insertion may have a low success rate in children due to the positional variation between the deep vein and the landmarks, the small size of body and blood vessels, low insertion frequency, and operator skill. In order to improve the success rate, ultrasound guided CVC insertion is recommended in critically ill children. It is also expected to reduce mechanical complications, which are more common with subclavian CVC insertion. However, the association between the insertion site and the infection or thrombosis is unclear. Since thrombosis is relatively common, further studies are needed on the association between the incidence rate and insertion sites.

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