Palacios-Acosta JM, Hernández-Arrasola D, Gutiérrez-Torres PI, Elizalde-Romero MV, Shalkow-Klincovstein J

Language: Spanish
References: 13
Page: 205-209
PDF size: 465.96 Kb.

ABSTRACT

The introduction of new technology for the treatment of critically ill pediatric patients has markedly improved their survival. Secondarily, the requirements to maintain these patients, such as a venous central catheter, have also increased. We present the case of a seven-monthold male patient with mixed immunodeficiency, who required long-term intravenous access for antibiotic and gammaglobulin treatment. Given a history of multiple venous cut-downs, we placed an implantable port in an unusual site, the azygos vein.

REFERENCES

1. Calderón C, Ruano J, Rueda H, Palacios J. Uso y cuidados de catéteres de permanencia. Nutr Clin 1996;1:152-6.

2. Ross MN, Haase GM, Poole MA, et al. Comparison of totally implanted reservoirs with external catheters as venous access devices in pediatric oncologic patients. Surg Gynecol Obstet 1988;167:141-4.

3. Galloway S, Bodenham A. Long-term central venous access.Br J Anaesth 2004;92:722-34.

4. Denny DF Jr, Greenwood LH, Morse SS, et al. Inferior vena cava: Translumbar catheterization for central venous access. Radiology 1999;170:1013-14.

5. Guenier C, Ferreira J, Pector JC. Prolonged venous access in cancer patients. Eur J Surg Oncol 1999;15:553-5.

6. Kanter RK, Zimmerman JJ, Strauss RH, et al. Pediatric emergency intravenous access: Evaluation of a protocol. Am J Dis Child 1986;140:132-4.

7. Kappers-Klunne MC, Degener JE, Stijnen T, et al. Complications from long-term indwelling central venous catheters in hematologic patients with special reference to infection. Cancer 1999;1747-52.

8. Loeff DS, Matlak ME, Black RE, et al. Insertion of a small central venous catheter in neonates and young infants. J Pediatr Surg 2002;17:944-9.

9. Meignier M, Heloury Y, Roze J-C, et al. Surgical central venous access in low birth infants [letter]. J Pediatr Surg 1998;23:596.

10. Mirro J Jr, Rao BN, Kumar M, et al. A comparison of placement techniques and complications of externalized catheters and implantable port use in children with cancer. J Pediatr Surg 1990;25:120-4.

11. Newman BM, Jewett TC Jr, Karp MP, et al. Percutaneous central venous catheterization in children: First-line choice for venous access. J Pediatr Surg 2006;21:685-8.

12. Oldham KT, Colombani PM, Foglia RP. Surgery of Infants and Children. Scientific Principles and Practice. Philadelphia, PA, Lippincott-Raven, EEUU, 1998;pp1745-59.

13. Tortora G, Grabowski S. Principles of Anatomy and Phisiology,7ª Edición 1999;pp664-8.