Janik et al identified risk factors for complications associated with the size of central venous catheter in pediatric patients under 5 years of age. These can help to identify patients who may benefit from a smaller catheter. The authors are from Kaiser Santa Clara in Santa Clara, California, with patients at the Children's Hospital in Denver.


Types of central venous access: subclavian or internal jugular


Diameter of catheter: in French (F) units


A pediatric patient is at risk for complications if a catheter >= 6F is used if any of the following are present:

(1) age < 1 year of age (lower limit was 0.5 years)

(2) body weight < 10 kg

(3) body height < 75 cm


A pediatric patient with none of these findings did not have complications associated with the diameter of the central venous catheter.


If any of these factors are present, then a smaller catheter should be used.


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