Atlas of Ultrasound-Guided Central Venous Catheter Placement - Neonatal and Pediatric Approach

Central venous catheter (CVC) placement is the most frequently performed invasive procedure in pediatric and adult patients. The indications for a CVC include hemodynamic monitoring, administration of parenteral solutions, antibiotics, and parenteral nutrition, among others. The internal jugular, subclavian, and femoral veins are the most frequently used sites. Traditionally, vascular access is performed using anatomical guides; however, its effectiveness depends on the operator's expertise. The success of the anatomical guide procedure decreases as the patient's age and weight decrease or the patient has had previous catheterizations or abnormal anatomy. In addition, the risk of associated complications such as cervical hematomas, pneumothorax, cardiac tamponade, or deaths are reported when using this technique. Ultrasound-guided Central Venous Catheter Placement is recognized by the National Institute for Clinical Excellence (2002) and recommends ultrasound guidance as the preferred method for elective CVC insertion in adults and children. However, it has not yet become the standard due to a lack of training or adequate equipment (ultrasound). This innovative atlas intends to cover all the technical details of 11 types of vascular access in the pediatric age. It is richly illustrated with over 200 images. Atlas of Ultrasound-guided Central Venous Catheter Placement is a valuable book for medical professionals who perform vascular access in pediatric patients and a guide for anyone who wants to place an ultrasound-guided central venous catheter. It is a useful resource for pediatric surgeons, surgeons, anesthesiologists, pediatric emergency care, pediatric intensive care, neonatologists, pediatricians, and nurses.
中心静脉导管 （CVC） 置入是儿童和成人患者最常进行的侵入性手术。CVC 的适应症包括血流动力学监测、肠外溶液给药、抗生素和肠外营养等。颈内静脉、锁骨下静脉和股静脉是最常用的部位。传统上，血管通路是使用解剖导板进行的;但是，其有效性取决于操作员的专业知识。解剖导板手术的成功率会随着患者年龄和体重的减轻或患者既往接受过导管插入术或解剖结构异常而降低。此外，使用这种技术时，还报告了相关并发症的风险，例如宫颈血肿、气胸、心包填塞或死亡。超声引导下中心静脉导管置入得到国家临床优化研究所 （2002） 的认可，并