Safety and efficacy of ultrasound-guided central venous catheter insertion in critically ill children.

Abstract

Objective: to evaluate safety and efficacy of ultrasound guided cvc insertion in picu of resource-limited, public-sector children hospital. Study Design: Prospective Observational study. Setting: National Institute of Child Health. Period: March 2020 to September 2020. Material & Methods: We prospectively conducted this study after the IRB approval. Parental consent was obtained. All procedures were done under aseptic precautions with central line insertion checklist according to guidelines of ultrasound guided CVC insertion. We use 8hz linear probe of ultrasound to localize internal jugular vein or femoral veins and needle insertion done under real-time us. The data was collected on structured proforma, including age, gender, weight, admitting diagnosis, size of CVC, success rate. Results: Out of 360,72 (20.20%) required CVC placement during study period of 06 months. The mean age was 7.0±3.53 years with range of (1-15 years). We categorized the patients into three groups 0.1-3 (infant & toddler group) 3-10 (school aged group) 10-15 (adolescent group%). Out of 72 cannulations, 68 (94.4%) were successful in 1^st prick, while other 04 (5.6%) were in 2^nd prick. Conclusion: Ultrasound guided CVC insertion is easy to perform, safe and highly effective in critically ill children.