Pediatria pre prax 3/2021

Vascular access in neonates and complications of central venous catheters

Reliable vascular access can significantly improve the overall therapeutic management in children. The most important factors influencing the quality and safety of vascular access include the correct indication, the correctly chosen type of catheter and the appropriate choice of the place of its insertion. Proper indication and provision of vascular access can be technically challenging, particularly in neonates, and requires knowledge and experience in this specific field. Vascular access is also associated with complications that have a negative impact on patient’s morbidity and mortality. The most serious complications include infections and thrombosis. The treatment of these complications is challenging and therefore needs to be prevented.

Keywords: vascular access, neonates, complications, ultrasound