UMEM Educational Pearls

Category: Pediatrics

Title: Pediatric Central Lines

Keywords: Pediatric Central Lines (PubMed Search)

Posted: 6/7/2008 by Don Van Wie, DO (Updated: 4/22/2024)
Click here to contact Don Van Wie, DO

Pediatric vascular access can be a challenge especially in a critically ill child.  When placing central lines finding information on what size catheter to use and the depth of insertion can be hard to locate so here are some starters :

Age (yrs)     IJ       SC     Femoral

  0-0.5         3F       3F          3F

  0.5-2         3F       3F         3-4F

  3-6             4F      4F          4-5F

  7-12          4-5F   4-5F      5-8F

Use a single, double, or triple lumen.  (General rule more lumens the better.)

Right IJ and Right SC Depth of insertion:

If Height < 100cm    then   Initial Catheter Depth (cm) = Ht (cm)/10 -1 cm

If Height > 100 cm   then   Initial Catheter Depth (cm) = Ht (cm)/10 -2 cm

These formulas will place 98% of catheters above R atrium.

 

References

Anesth Analg 2001;93:883.