Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2024
Randomized Controlled TrialUltrasound-guided selective supraclavicular nerve block for postoperative pain control in children receiving Hickman catheter or chemoport insertion: A randomized controlled trial.
Optimal pain management after insertion of a central venous catheter in children remains unclear. ⋯ Ultrasound-guided SSCNB is an effective method for managing postoperative pain in children undergoing Hickman catheter or chemoport insertion, reducing the need for analgesics within 24 h after surgery.
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Paediatric anaesthesia · Jan 2024
Case ReportsA neonate with aseptic cutaneous necrosis related to the migration of the proximal central venous catheter infusion port.
We report a case of aseptic cutaneous necrosis from extravasation of calcium chloride at the proximal port of a central venous catheter (CVC). A right internal jugular CVC was placed with ultrasound guidance using contemporary guidelines for size and insertion site. ⋯ Despite initial proper positioning, catheter ports can migrate out of intravascular structures due to postprocedural subcutaneous edema. Intravascular confirmation should be performed regularly for infants with localized or generalized edema.