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August 22, 1966

Continuous Venous Catheterization in Children

Author Affiliations

From the Division of Cardiology, Children's Hospital of Buffalo, and the Department of Pediatrics, School of Medicine, the State University of New York at Buffalo.

JAMA. 1966;197(8):658-660. doi:10.1001/jama.1966.03110080098035

PEDIATRICIANS usually pride themselves on being able to administer fluids and medications by the intravenous route. By and large their success has merited the respect of medical colleagues. However, usually the patient must be immobilized for such therapy, and in order to avoid phlebitis, the site of venipuncture must be rotated every few days when prolonged treatment is necessary. It is in instances requiring long-term intravenous therapy that such management becomes difficult. Available veins are soon used up and the patient becomes uncomfortable and uncooperative. In this communication, the use of a simple method of intravenous therapy in eight children for two to six weeks is reported, wherein complete immobilization was not necessary and only a single puncture was needed.

Materials and Method  Special thin-walled, Teflon, 19- to 17-gauge catheters (a modification of the cannula described by Eisenberg1), 50 cm in length (Fig 1), were threaded percutaneously into the