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Zaključak

Punktiranje IJV pod kontrolom ultrazvuka kod djece je metoda izbora u poređenju sa svim ostalim
vaskularnim pristupima zbog stepena tromboze i učestalosti infekcije. Tehnika punktiranja
brahiocefalične vene se lako uči, ima malo komplikacija i predstavlja alternativu za standardne
pristupe čak i u uslovima otežane vaskularne anatomije. Komplikacije nastale tokom plasiranja CVC
kod djece, koje se odnose na malpoziciju katetera se mogu izbjeći. Ultrazvučnim pregledom se može

isključiti prisustvo pneumotoraksa čak i prije radiografskog pregleda grudnog koša, ali se istom
metodom ne može provjeriti pozicija vrha katetera kod svih pacijenata.

Abstract

The installation of central venous catheters in children becomes more complex the smaller the patients are. This is less
due to the anatomy itself than to the dimensioning of the anatomical structures and the associated vulnerability. While
the puncture based on anatomical landmarks should not be forgotten, especially for dealing with emergencies, the use of
sonography in newborns, infants, and children has become indispensable in everyday clinical practice. While one should
of course master the correct technique of the puncture, one must be aware of the peculiarities of children and, above all,
the younger the patients are, one must think of and be aware of previously undiagnosed anatomical variants. If these
points are heeded, the installation of central venous catheters in children can be carried out safely, easily, and with few
complications.

Keywords: central venous access, venous cannulation, pediatric venous access, ultrasound-guided cannulation

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82 DOI: 10.5937/Galmed2306076S