Central lines in children - Forum

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Lady Surgeon

Central lines in children - Ärzteforum

Post#1 »

At what age and size would you use adult sized central line catheters, such as 16 Fr single lumen or the common triple lumen Arrow kit catheters? (Assuming need for rapid venous access and no other suitable access or other good reason for central line.)


Pediatrician

Re: Central lines in children - Ärzteforum

Post#2 »

The largest central lines we use in children are either 12fg double lumen or 13fg triple lumen Broviac type catheters. The only time I have placed a 16fg single was for haemodialysis many years ago (now no longer used since double lumen vascaths are much better). These large catheters are acceptable in children that are about 60kgs or more. In smaller children the dacron cuff tends to erode through the skin after a few months and also the catheter may totally block the vein lumen.

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