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Paediatric Vascular Access In Mukundapur, Kolkata - Manipal Hospitals

Vascular Access Procedure in Children

Vascular Access in Children in Mukundapur, Kolkata

The Paediatric General Surgery Department at Manipal Hospitals, Mukundapur, Kolkata, is a leader in providing specialised care for children requiring Vascular Access procedures. These procedures are crucial for delivering medications, fluids, and nutrition directly into a child's bloodstream, especially in cases where prolonged access is necessary or when repeated needle sticks are impractical.

Paediatric vascular access demands expertise and precision to minimise discomfort and ensure safety. Our department leverages advanced techniques and technologies to offer a range of vascular access options tailored to the unique needs of pediatric patients. This includes:

  • Central Venous Catheterization (CVC): Our team is skilled in placing central venous catheters, such as tunnelled catheters or peripherally inserted central catheters (PICC lines). These devices provide reliable access to larger veins, facilitating long-term administration of medications or therapies without the need for frequent needle insertions.

  • Peripheral Intravenous (IV) Access: For shorter-term needs, including emergency situations or brief treatments, our specialists adeptly manage peripheral IV access. We prioritise patient comfort and safety while ensuring the effective delivery of essential fluids and medications.

  • Implantable Ports: Implantable ports offer a discreet and efficient solution for children requiring frequent intravenous treatments over an extended period. Our team is experienced in the placement and maintenance of these devices, optimising patient convenience and quality of life.

FAQ's

Vascular access refers to methods used to safely and effectively access the bloodstream for medical treatments such as medications, fluids, or blood tests.  This is frequently required for prolonged treatments or when recurrent access is required in children.
 

If your child needs intravenous (IV) fluids, medication, or blood tests frequently, they might need vascular access. It enables medical professionals to administer medications directly into the bloodstream, ensuring that the drugs will be absorbed by the body promptly and efficiently.
 

In infants and children, vascular access to medical treatments varies depending on the need and condition. Peripheral veins in the hands, feet, or scalp are commonly used for short-term intravenous therapies and blood sampling. For longer-term or complex treatments, central venous access is often necessary. Common sites for central venous catheter placement include the internal jugular vein in the neck, the subclavian vein under the collarbone, and the femoral vein in the groin area. These sites are chosen for their accessibility and vein size, which are crucial for successful and safe vascular access. Femoral venous cannulation is particularly reliable in children due to its high success rates, though careful consideration of risks like infection and thrombosis is always important. Healthcare providers select the most appropriate access site based on each child's medical needs and procedural considerations to ensure effective treatment delivery and minimise complications.
 

Your child may receive numbing medicine to reduce discomfort during placement. The procedure is generally quick, and your child's medical team will provide instructions for care and monitoring after placement.
 

Central venous access devices (CVADs) are essential for delivering lifesaving treatments to the central circulation. However, in paediatrics, 1 in every 4 CVADs gets infected, thrombotic, or occluded during treatment.
 

Central venous pressure (CVP) is a measurement of the pressure in the central veins near the right atrium of the heart, used to assess blood volume and venous return, providing valuable information about a patient's fluid status and cardiac function. In contrast, a central venous catheter (CVC) is a long, thin tube inserted into a large vein (typically in the neck, chest, or groin) to provide direct access to the central veins for administering medications, fluids, and nutrition, as well as for drawing blood and measuring CVP. While CVP is a hemodynamic parameter indicating cardiovascular status, a CVC is a medical device enabling vascular access for multiple clinical interventions.
 

Vascular Access complications include:

  • Thrombosis

  • Infection

  • Bleeding

  • Phlebitis

  • Catheter occlusion

  • Pneumothorax

  • Air embolisation

  • Aneurysm

  • Cellulitis

  • Catheter damage

Regardless, gaining vascular access for youngsters has special obstacles. This includes:

  • Small vein size

  • Vascular hyperreactivity

  • Anatomical variations

  • Difficulty in securing access

Yes, depending on the type of access, your child can usually engage in normal activities with some precautions. Your healthcare team will guide how to protect the access site and manage any restrictions.
 

The duration varies based on your child's medical needs. Some types of vascular access are temporary and used for short-term treatments, while others may be needed for longer periods for ongoing therapies.
 

Yes, vascular access procedures are performed by trained healthcare providers using sterile techniques to minimize the risk of infection or other complications. Your child's medical team will monitor and manage their vascular access to ensure safety and effectiveness.
 

After your doctor has made Vascular Access, keep it dry for at least two days. After inserting the access, squeeze a soft ball or other object as directed. This will increase blood flow via the access and aid in preventing blood clots. Check for redness, swelling, warmth, pain, or discharge at the site. Report any signs of infection to a healthcare provider immediately.
 

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