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. 2021 May-Jun;14(3):298–309. doi: 10.25122/jml-2020-0011

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