Broviac central venous catheters inserted via the saphenous or femoral vein in the NICU under local anesthesia

J Pediatr Surg. 1992 Sep;27(9):1185-8. doi: 10.1016/0022-3468(92)90783-4.

Abstract

We present our experience with 92 Broviac central venous catheters inserted into 84 infants over a 31-month period. Our technique specifies placement in the neonatal intensive care unit under local anesthesia, with insertion to the inferior vena caval-atrial junction via the saphenous or femoral vein, with a subcutaneous tunnel to an exist site on the anterior thigh. We conclude this technique to be safe, efficient, convenient, cost-effective, and minimally uncomfortable to the infant, with no increase in morbidity or mortality in comparison to previously described methods.

MeSH terms

  • Anesthesia, Local
  • Bacteremia / etiology
  • Bacterial Infections / etiology
  • Candidiasis / etiology
  • Catheterization, Central Venous / adverse effects*
  • Catheterization, Central Venous / instrumentation
  • Catheterization, Central Venous / methods
  • Edema / etiology*
  • Femoral Vein
  • Humans
  • Infant
  • Infant, Newborn*
  • Infections / etiology*
  • Intensive Care Units, Neonatal
  • Leg*
  • Saphenous Vein
  • Thrombosis / etiology
  • Vena Cava, Inferior