Exceptional use of inferior epigastric veins in infant anesthesia with impractical venous access

Authors

  • Manoel Carlos Prieto Velhote Instituto da Criança do Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo
  • Jeferson Brito do Prado Médico anestesiologista do Hospital Unimed Guarulhos – unidade II
  • Patrícia de Salles Tito Albuquerque Enfermeira – Centro cirúrgico – Hospital Unimed Guarulhos – unidade II
  • Andre Bohomol Velhote Graduando em Medicina. Fundação Faculdade de Medicina do ABC

DOI:

https://doi.org/10.5327/Z1414-4425201700030007

Keywords:

Enfermagem, Medicina, Anestesiologia, Centro Cirúrgico,

Abstract

Objective: To report an exceptional venous access situation for anesthesia by cannulation (at the surgical site) of the inferior epigastric vein.
Method: This article reports on the experience obtained in a maternal and children hospital in the city of Guarulhos, São Paulo. Result: We report the
case of an eight-month patient who underwent left inguinal hernia repair after incarceration episodes of difficult reduction. After routine monitoring and
inhalational anesthetic induction, we obtained no venous access due to excessive adipose panicle, even with numerous attempts by several professionals.
Venous access was obtained at the surgical site by dissection and catheterization of the inferior epigastric vein with a Jelco• catheter. Conclusion: In special
cases, the inferior epigastric vein is a possible catheterization vessel for venous infusions. It is an exception procedure that requires evaluation of the child’s
condition, preparation for the procedure and constant monitoring by all professionals involved in the care during the perioperative period.

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Published

2017-09-15

How to Cite

Velhote, M. C. P., Prado, J. B. do, Albuquerque, P. de S. T., & Velhote, A. B. (2017). Exceptional use of inferior epigastric veins in infant anesthesia with impractical venous access. Revista SOBECC, 22(3), 161–164. https://doi.org/10.5327/Z1414-4425201700030007

Issue

Vol. 22 No. 3 (2017)

Section

CASE REPORT

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