Volume 2 Issue 1
Case Report: Autologous Grafting of the Periclavicular Skin to Facilitate Central Venous Catheter Placement in a Pediatric Burn Patient
Alyssa Brzenski*, Bruce Potenza, Mark Greenberg
This report describes patients for whom the preoperative, anesthesia consultation led to postponing planned surgery because of important, undiagnosed health problems.
We present a case of autologous skin grafts over the periclavicular area in a 5-year-old male to increase the sites for placement of central venous lines. The patient incurred 90% total body burns to his entire body from a house fire, sparing only the groin and back. After the patient was stabilized, we took the opportunity to place the initial autologous skin graft over the left clavicle. Once the grafts healed, a central venous line was inserted into the left subclavian vein. We recommend the practice of early placement of skin grafts over central venous line sites to allow for safer use of indwelling catheters in patients with large total body surface area burns.
Cite this Article: Brzenski A, Potenza B, Greenberg M. Autologous Grafting of the Periclavicular Skin to Facilitate Central Venous Catheter Placement in a Pediatric Burn Patient. Am J Anesth Clin Res. 2016;1(1): 001-003.
Published: 30 December 2016
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