{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T11:47:07Z","timestamp":1770292027914,"version":"3.49.0"},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2013,5,9]],"date-time":"2013-05-09T00:00:00Z","timestamp":1368057600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To review the results of an anesthesiologist led pediatric percutaneous central venous access service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective data on percutaneous pediatric central venous catheter (<jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content>) insertions were collected over 22\u00a0years. Data included age, gender, weight, previous central <jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content>s, venous thromboses, investigations for great vein patency, type of <jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content>, external diameter, previous <jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content> insertions, intended use, operator identity, and the vein into which the <jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content> was inserted. The default technique was internal jugular vein cannulation using landmark technique (LT). Complication was defined as the following: failure to cannulate any vein, hemothorax, pneumothorax, right atrial perforation, extravenous wire positioning or <jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content> position and whether the patient was taken back to theater for <jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content> repositioning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five thousand four hundred and thirty\u2010four percutaneous <jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content> insertion procedures were performed on 3954 patients. One\u2010third involved children &lt;1\u00a0year of age (<jats:italic>n<\/jats:italic>\u00a0=\u00a01823: 34%). Five thousand one hundred and twenty\u2010five <jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content>s (95.3%) were inserted into internal jugular veins. The majority were tunneled <jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content>s (<jats:italic>n<\/jats:italic>\u00a0=\u00a05190: 96.2%). The perioperative complication rate was 1.3%. Successful cannulation occurred in 99.5% of patients. Failure was more likely in children &lt;3\u00a0kg, during large bore hemodialysis <jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content> insertions and during the first 4\u00a0years of the service \u2013 the latter suggesting a learning curve. Ninety\u2010nine percent of <jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content>s were inserted using LTs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study demonstrates a high success rate and low complication rate during pediatric percutaneous internal jugular vein <jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content> insertions by trained anesthesiologists using LTs. Smaller children, hemodialysis <jats:styled-content style=\"fixed-case\">CVC<\/jats:styled-content>s, and the team's learning curve were identified as risk factors for insertion failure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12184","type":"journal-article","created":{"date-parts":[[2013,5,9]],"date-time":"2013-05-09T11:50:48Z","timestamp":1368100248000},"page":"974-979","source":"Crossref","is-referenced-by-count":36,"title":["A review of 5434 percutaneous pediatric central venous catheters inserted by anesthesiologists"],"prefix":"10.1111","volume":"23","author":[{"given":"Serge","family":"Malbezin","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Robert Debr\u00e9 University Hospital AP\u2010HP Paris France"},{"name":"Universit\u00e9 Ren\u00e9 Diderot (Paris VII) PRES Sorbonne Paris Cite Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Gauss","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Ren\u00e9 Diderot (Paris VII) PRES Sorbonne Paris Cite Paris France"},{"name":"Department of Anesthesiology and Intensive Care Beaujon University Hospital AP\u2010HP Clichy France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Anesthesia &amp; Pain Management Royal Children's Hospital Melbourne Vic. 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