| Cateterización venosa central en neonatos: Comparación de complicaciones con métodos percutáneos y quirúrgicos abiertos |
Central venous catheterization in neonates: Comparison of complications with percutaneous and open surgical methods.
Hosseinpour M, Mashadi MR, Behdad S, Azarbad Z.
J Indian Assoc Pediatr Surg 2011;16:99-101
Aim: To compare the complications of two methods of placement of central venous catheters. Materials and Methods: One hundred neonates had percutaneously inserted central venous catheters and another 100 had the catheters placed after surgical incision and vein location. Results: No statistical difference was noted in the complication rate or efficacy Conclusions : Both the methods are equally safe and effective.
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| Implicaciones clínicas del dolor y angustia no tratadas de la inserción de agujas en niños |
Clinical implications of unmanaged needle-insertion pain and distress in children.
Kennedy RM, Luhmann J, Zempsky WT.
Department of Pediatrics, Division of Emergency Medicine, Washington University in St Louis School of Medicine, St Louis, Missouri, USA. kennedy@kids.wustl.edu
Pediatrics. 2008 Nov;122 Suppl 3:S130-3.
Abstract
Increasing evidence has demonstrated that pain from venipuncture and intravenous cannulation is an important source of pediatric pain and has a lasting impact. Ascending sensory neural pain pathways are functioning in preterm and term infants, yet descending inhibitory pathways seem to mature postnatally. Consequently, infants may experience pain from the same stimulus more intensely than older children. In addition, painful perinatal procedures such as heel lancing or circumcision have been found to correlate with stronger negative responses to venipuncture and intramuscular vaccinations weeks to months later. Similarly, older children have reported greater pain during follow-up cancer-related procedures if the pain of the initial procedure was poorly controlled, despite improved analgesia during the subsequent procedures. Fortunately, both pharmacologic and nonpharmacologic techniques have been found to reduce children's acute pain and distress and subsequent negative behaviors during venipuncture and intravenous catheter insertion. This review summarizes the evidence for the importance of managing pediatric procedural pain and methods for reducing venous access pain.
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