Table 4.
Application of various vascular catheters in pediatric patients. Derived in accordance with Vibhavari et al. [65].
Type of catheter | Insertion site | Catheter size | Dwell time (Term) | Advantages | Disadvantages | |
---|---|---|---|---|---|---|
Leg and hand dorsum, veins of the scalp, great saphenous vein, external jugular vein, antecubital | Neonates | 24 G | Economical, uncomplicated and with fewer complications | Inability to draw blood, short term usage | ||
Peripheral venous catheter | Infants | 22 G | Up to five days (Short) | |||
Children | 20 G | |||||
Central line midline catheters | The forearm and arm deep veins | Neonates | 24 G | Up to 2 weeks(Intermediate) | No need for radiological confirmation; inserted easily and with longerdwell time | Can not be used to draw blood; only solutions which are peripherally compatible canbe applied |
Infants | 22 G | |||||
Children | 20 G | |||||
Neonates | 1 Fr | Requires experienced specialist, need sradiological confirmation, requires training of patients for suitable device care | ||||
Superficial basilic and cephalic vein, brachial deep vein(The catheter size is smaller than one-third of the vein diameter) | Infants | 2 Fr | Few weeks to a few months and in viable catheters up to one year(Intermediate) | Patients are more comfortable and could be sent home; the possibility of blood drawing | ||
PICC | Small children | 3 Fr | ||||
Old children | ||||||
4 Fr | ||||||
Non-tunneled central line | Femoral veins, subclavian artery and internal jugular vein | Neonates | 3 Fr | 1 to 2 weeks(Short) | Irritant chemotherapy agents, hyperosmolar hyperglycemic state, central venous pressure monitoring, and multiple lumens | Due to the higher risk of being affected by infection, their usage duration is limited and patients can not be sent home |
Infants | 4 Fr | |||||
Small children | 5 Fr | |||||
Old children | 7 Fr |