SciELO - Scientific Electronic Library Online

vol.15 issue6Population exposure to mercury in the municipality of San Marcos (Sucre department) due to eating contaminated rice (Oryza sativa)HIV/AIDS prevalence in Medellin and presumptive test diagnostic accuracy (2006-2012) author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Revista de Salud Pública

Print version ISSN 0124-0064


MIGUELENA, Dayra; PARDO, Rosalba  and  MORON-DUARTE, Lina S.. Central venous catheter-related complications in critically ill children. Rev. salud pública [online]. 2013, vol.15, n.6, pp.886-898. ISSN 0124-0064.

Objective Placing central venous catheters is essential when managing critically ill children. This paper was thus aimed at identifying the major complications involved in this and determining the incidence of mechanical and infection-related complications associated with central venous catheterization in critically ill children. Material and Methods A descriptive study was undertaken between October 2011 and March 2012 of all new central venous catheters inserted in critically ill children. The definition of central venous catheter infection was based on CDC criteria. Results During the study period 200 central venous catheters were placed, 51 % in male patients, mostly infants; 71 % required mechanical ventilation and 56.5 % medication for hemodynamic support. Respiratory tract infections were the leading diagnosis on admission in 33 % of the cases. Complications were reported in 8.5 % of the children (52 % of these being due to mechanical complication and 48 % to infection). Mechanical complication incidence was 4.5% and eight central venous catheters fulfilled CDC criteria for central line associated blood stream infection (4 % incidence, i.e. 5 per 1,000 catheter/day rate). Conclusions Despite some complications arising from its use, central venous catheter placement is a safe procedure. Mechanical and infection incidence associated with central venous catheter placement should be known, not only because it differs from that regarding adult patients but also because this can help to establish preventative measures for reducing such complications and improving the care of critically ill children.

Keywords : Cateterismo venoso central; enfermedad crítica; niño; infecciones relacionadas con catéteres; Catheterization; central venous catheter; critical illness; child; catheter-related infection.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )