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Chapter 12 - Vascular Access in Children

Published online by Cambridge University Press:  06 February 2025

By
David Chisolm  and
Gema Munoz-Mozas
Edited by
James Ip ,
Grant Stuart ,
Isabeau Walker  and
Ian James
James Ip
Affiliation:
Great Ormond Street Hospital for Children, London
Grant Stuart
Affiliation:
Great Ormond Street Hospital for Children, London
Isabeau Walker
Affiliation:
Great Ormond Street Hospital for Children, London
Ian James
Affiliation:
Great Ormond Street Hospital for Children, London
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Summary

The provision of safe, appropriate and effective vascular access for children is complex and can be very challenging. This chapter will outline the routes available for vascular access, the factors influencing the choice of catheters and devices used and their associated complications. Choosing the most appropriate site and type of vascular access must be specific to each child and to their treatment requirements. The use of care bundles as part of an evidence-based package of care is also discussed.

Keywords

Paediatric vascular accesspaediatric venous accesspaediatric CVADpaediatric umbilical catheterpaediatric intraosseous access
Type
Chapter
Information
Core Topics in Paediatric Anaesthesia , pp. 130 - 143
Publisher: Cambridge University Press
Print publication year: 2025

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References

Further Reading

Chopra, V, Flanders, SA, Saint, S, et al. The Michigan appropriateness guide for intravenous catheters (MAGIC): results from a multispecialty panel using the RAND/UCLA appropriateness method. Annals of Internal Medicine 2015; 163(suppl 6):S1–40.CrossRefGoogle ScholarPubMed
Harding, S. Procedures and iatrogenic disorders. In: Rennie, JM, ed. Roberton’s Textbook of Neonatology, 5th ed. Elsevier. 2012.Google Scholar
Loveday, HP, Wilson, JA, Pratt, RJ, et al. EPIC3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. Journal of Hospital Infection 2014; 86: Suppl 1:S1–70.CrossRefGoogle ScholarPubMed
Munoz-Mozas, G, Overland, H and Hyde, H. Vascular access devices. In Lister, S, Hofland, J and Grafton, H eds. The Royal Marsden Hospital Manual of Clinical Nursing Procedures, 10th ed. Wiley Blackwell. 2020.Google Scholar
National Institute for Health and Care Excellence (NICE). 2017. Care Processes to Prevent Infection In: Saving Lives: High Impact Interventions, 4th ed. Available at: www.nice.org.uk.Google Scholar
Ullman, AJ, Bernstein, SJ, Brown, E, et al. The Michigan appropriateness guide for intravenous catheters in pediatrics: miniMAGIC. Pediatrics. 2020; 145(Suppl 3):S269–84.CrossRefGoogle Scholar

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