Bhatt Malay,  Kirsch Alyssa,  Metz Terrence

Final Pr. ID: Poster #: EDU-049

To familiarize the audience with our institution’s technique utilizing ultrasound (US) and electrocardiogram (ECG) for anatomic localization and technical guidance for PICC placement in a pediatric intensive care unit (PICU) procedure suite utilizing intravenous (IV) sedation without general anesthesia to eliminate patient and operator radiation exposure and decrease sedation specifically in a pediatric population. Read More

Authors:  Bhatt Malay , Kirsch Alyssa , Metz Terrence

Keywords:  PICC, Vascular Access

Tabor Biniyam Beyene,  Kinariwala Dhara,  Schoeman Sean,  Cajigas-loyola Stephanie,  Escobar Fernando,  Cahill Anne Marie,  Vatsky Seth,  Srinivasan Abhay,  Krishnamurthy Ganesh

Final Pr. ID: Poster #: EDU-058

Implantable Venous Access Devices (IVAD) play an important role in medical treatment and comfort to pediatric patients requiring long term intravenous therapy. Traditionally, 2 small surgical skin incisions are utilized in the procedure, one in the neck for jugular venous access and the other in the chest wall to create a subcutaneous pocket for the IVAD reservoir. The authors describe an innovative technique, where a long-curved needle and curved guidewire are utilized to obtain internal jugular vein access through a single chest wall incision for both vascular access and the IVAD reservoir. The subcutaneous tract and the venous access sites are serially dilated and the IVAD is placed over the wire. This technique avoids the incision placed at the neck. This modification has multiple potential advantages, as it avoids a second incision in at risk patients (tracheostomy, anasarca, cervical instability), potential better cosmetic outcome and potentially lower risk of infection,. The purpose of this educational abstract is to demonstrate this innovative minimally invasive technique of placing IVAD in pediatric population. Read More

Authors:  Tabor Biniyam Beyene , Kinariwala Dhara , Schoeman Sean , Cajigas-loyola Stephanie , Escobar Fernando , Cahill Anne Marie , Vatsky Seth , Srinivasan Abhay , Krishnamurthy Ganesh

Keywords:  Vascular Access

Ahn Richard,  Oatis Kristi,  Patel Anish,  Josephs Shellie

Final Pr. ID: Poster #: EDU-048

Long-term central indwelling catheters are required for multiple treatments in pediatric patients including hemodialysis, parenteral nutrition and chemotherapy. An infrequent complication of these catheters is difficulty at removal or replacement (the “stuck” catheter). Attempted removal of these “stuck” catheters can lead to catheter fracture and retained catheter fragments. These retained catheter fragments can lead to infection, venous thrombosis and ultimately venous stenosis. Given that pediatric patients often require long-term venous access, preservation of venous reserve is critical to the care of these patients. In this exhibit, published literature will be reviewed and a pictorial review of the authors’ clinical experience with “stuck” catheters will be presented. Read More

Authors:  Ahn Richard , Oatis Kristi , Patel Anish , Josephs Shellie

Keywords:  stuck catheter, vascular access