Pediatric central line

Age (yrs)	Internal Jugular	Subclavian	Femoral
0-0.5	3F	3F	3F
0.5-2	3F	3F	3-4F
3-6	4F	4F	4-5F
7-12	4-5F	4-5F	5-8F

Initial length of insertion (cm) = 1.7 + [(0.07 x height (cm)]

Contraindications

Central line if coagulopathic

• Preferentially use a compressible site such as the femoral location (avoid the IJ and subclavian if possible, though IJ preferred over subclavian)
• No benefit to giving FFP unless artery is punctured
  • However, consider giving FFP if patient has hemophilia

See Also

• Critical care quick reference
• Central lines

Sources

Yoon, S. et al Depth of a central venous catheter tip: length of insertion guideline for pediatric patients. Acta Anaesthesiol Scand 2006; 50: 355—357