Pediatric anesthesia & critical care
A Retrospective Observational Cohort Study of Ultrasound-guided Subclavian Central Venous Cannulation in Children Undergoing Cardiac Surgery
Authors' conclusion
In a large cohort of pediatric patients with US-guided SC-CVCs undergoing cardiac surgery, the most common complication was catheter malposition.
Study context
- Population
- Children undergoing cardiac surgery with US-guided SC-CVC placement, single quaternary pediatric cardiac program, 2021–2024857 screened
- Participants
- 93 children
- Outcome
- Incidence of complications associated with US-guided SC-CVC placement
Methodological detailsobservational, single-centre
- Observational
- Single-centre
Main finding
As reported in the abstract
Complications of US-guided SC-CVC placement
Catheter malposition (most common complication)
8.6%
8/93
Malposition: tip in ipsilateral internal jugular vein
5 of 93
Malposition: tip in contralateral brachiocephalic vein
3 of 93
Documented hematoma, arterial puncture, pneumothorax or central line-associated bloodstream infection
0
Observational data: associations, not effects.
Further findings
Risk factors for catheter malposition (multivariate logistic regression)
| OR (95% CI) | ||
|---|---|---|
| Higher patient weightRisk factor | 1.09 (1.02–1.17) | |
| Increased catheter lengthProtective factor | 0.47 (0.27–0.82) | |
| 0.20.5125Odds ratio (log scale) |
Safety
- Patients with subclavian (SC)-line-associated nonocclusive thrombus
- 1 (1.1%)
Original publication
A Retrospective Observational Cohort Study of Ultrasound-guided Subclavian Central Venous Cannulation in Children Undergoing Cardiac Surgery. J Cardiothorac Vasc Anesth. Published 3 September 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →