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Abstract
Background: In infants, the internal jugular vein catheter (IJV) site is commonly used in continuous renal replacement therapy (CRRT). Currently, ultrasound - guided cannulation of the brachiocephalic vein (BCV) is feasible and safe. This study aims to compare ultrasound - guided BCV and IJV catheter placement and their effects on filter life in CRRT infants ≤ 10 kg
Methods: A descriptive prospective analysis was conducted on 39 CRRT children with 39 procedures (24 BVC and 15 IJV).
Results: Overall, median age 6 (2.3 - 9.2) months, weight 7 (5.3 - 8.2) kg - median (IQR), dialysis catheter size 6.5 F (82%), CVVH mode (87.2%). There was no difference in age, weight, sex, PRISM III score, DIC, catheter size, or dialysis mode between the two groups. 100% successful dialysis central venous catheterization, the first attempt success rate of the central cannulation was 69.2%, and the complication rate was 15.4%. The first attempt success rate of the BCV group was 7 times higher than that of the IJV group (95% CI 1.3 - 37.9; p = 0.023). The time to place the BCV catheter is lower than that of the IJV [320 (272 - 367) s vs 450 (330 - 716) s - median (IQR), p = 0.008]; there was no difference in complication rates (12.5% vs 20%, p = 0.52) between the two groups. Cumulative survival of the first filter at 24 h was higher in the BCV catheter group than IJV group.
Conclusions: ultrasound - guided brachiocephalic vein catheter placement in CRRT children ≤ 10 kg shows to increase in the first attempt success rate, decrease in the procedure time compared to the internal jugular vein catheter. Circuits using a brachiocephalic vein catheter for access demonstrated increased survival first filter compared to the internal jugular vein catheter catheter circuits.
References
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| Published | 28-12-2024 | |
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| Issue | No. 94 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.94.9 | |
| Keywords | Lọc máu liên tục, tĩnh mạch thân cánh tay đầu, tĩnh mạch cảnh trong CRRT (continuous renal replacement therapy), brachiocephalic vein, internal jugular vein catheter |
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