Comparative study between open and ultrasound-guided central venous access devices

Abstract

Background and aims Pediatric populations represented a challenge for insertion of central venous access devices (CVADs). Ultrasound guidance seems to provide advantages over the open surgical method. However, there are no enough data to advocate this notion. An additional goal was to compare between ultrasound-guided and open surgical venous cut down for central venous catheter (CVC) placement. Patients and methods The study included 40 patients, divided into two equal groups: group A (open CVAD group) and group B (ultrasound-guided CVAD group). For each group, patient data, procedure success rate, time of the procedure, and any complications were documented and compared in both groups. Results Both groups were comparable regarding patient age, sex, cauterized vein, indication for CVC insertion, success rate, first-attempt success, number of attempts, and complications. Conclusion Ultrasound guidance was confirmed to be effective and safe as an open method for insertion of CVC insertion with preservation of the vein intact.

Keywords

• central venous catheter
• open surgery
• pediatrics
• ultrasound