Objective: This study aimed to develop a technique for placing a 1.9 French (F) central venous catheter in the internal jugular vein of newborns.
Methods: In this retrospective study, punctures were performed with a modified ultrasound-guided Seldinger technique with 57 1.9F catheters in 48 newborns. Punctures were performed in the right internal jugular vein in 43 (75.4%) patients and in the left internal jugular vein in 14 (24.6%) patients.
Results: We included 33 (57.9%) boys and 24 (42.1%) girls, aged a median 38 days (range, 2-135 days). The puncture success rate was 100%. Catheterization duration was a median 14 days (range, 1-70 days). Among the catheters, 94.1% were removed after completion of therapy or upon death. Fifty-three (93%) patients experienced no complication, whereas a small amount of bleeding was observed in 2 (3.5%) patients, inflammation of puncture in 1 (1.8%) patient, and occlusion in 1 (1.8%) patient. The method of placement of 1.9F catheters in the internal jugular vein of newborns had a high success rate, with minimal trauma and few complications.
Conclusions: Our method of placing a 1.9F central venous catheter in the internal jugular vein is suggested for level III to VI neonatal intensive care units.
Luo, F., Cheng, X., Lou, X., Wang, Q., Fan, X. and Chen, S. (2020) Insertion of a 1.9F central venous catheter via the internal jugular vein in neonates. The Journal of International Medical Research. 48(6), p.300060520925380. https://doi.org/10.1177/0300060520925380.