Placement of central venous access devices is a clinical procedure associated with some risk of adverse events and with a relevant cost. Careful choice of the device, appropriate insertion technique, and proper management of the device are well-known strategies commonly adopted to achieve an optimal clinical result. However, the environment where the procedure takes place may have an impact on the overall outcome in terms of safety and cost-effectiveness.In this study, they divided the patients in two groups: in group A the central venous access device was inserted in the operating room, while in group B the central venous access device was inserted in the sedation room of the Pediatric Intensive Care Unit.

They found that the insertion of the device in a sedation room rather than in the operating room was associated with a relevant reduction in costs, with no difference in terms of immediate, early, or late complications. The benefits include an easier periprocedural management of the patient, less radiation exposure, and more comfortable and welcoming environment for the child and his parents.

Antonio Chiaretti1 , Mauro Pittiruti2 , Giovanni Sassudelli1 ,Giorgio Conti3 , Marco Rossi4 , Silvia Maria Pulitan`o3 ,Aldo Mancino3 , Angela Pusateri4 , Antonio Gatto1 and Federica Tosi4

1 Department of Pediatrics, Fondazione Policlinico Universitario AgostinoGemelli, IRCCS, Rome, Italy
2 Department of Surgery, Fondazione Policlinico Universitario AgostinoGemelli, IRCCS, Rome, Italy
3 Pediatric Intensive Care Unit, Fondazione Policlinico UniversitarioAgostino Gemelli, IRCCS, Rome, Italy
4 Department of Anesthesia and Pain Therapy, Fondazione PoliclinicoUniversitario Agostino Gemelli, IRCCS, Rome, Italy

Corresponding author: Antonio Gatto, Institute of Pediatrics, Fondazione PoliclinicoUniversitario Agostino, Gemelli IRCCS, Largo Agostino Gemelli 8,00168 Rome, Italy.

To consult the study

The Journal of Vascular Access2021, Vol. 22(2) 184–188