Pediatric central line

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Size

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

Insertion Distance

Initial length of insertion (cm) = 1.7 + [(0.07 x height (cm)][1]

Contraindications

Central line if coagulopathic

  • Preferentially use a compressible site such as the femoral location (avoid the IJ and subclavian if possible)
  • No benefit to giving FFP unless artery is punctured[2]

See Also

References

  1. http://110.164.68.227/homelibrary/rj_online/Acta_anes/2006/Vol.50/No.3March/Depth355.pdf 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
  2. Fisher NC, Mutimer DJ. Central venous cannulation in patients with liver disease and coagulopathy—a prospective audit. Intens Care Med 1999; 25:5
  3. Morado M.et al. Complications of central venous catheters in patients with haemophilia and inhibitors. Haemophilia 2001; 7:551–556