Vascular Access/Tube Thoracostomy

Procedural Video Library

Core PICU Procedures

Additional Procedures

Peripheral Venous Access

Central Venous Access

Catheter Selection


Catheter Positioning

Complication Rates

Parienti et al, NEJM 2015

CATHEDIA Study (Dialysis Catheters in Adults), Parienti, JAMA 2008

Peripherally Inserted Central Catheter (PICC)

Intraosseus Access

Umbilical Venous/Arterial Access


Securing Chest Tubes

OpenPediatrics Chest Tube Insertion

Chest Drain Management-ATS Video


1. Andropoulos DB, Soifer SJ, Schreiber MD. Plasma epinephrine concentrations after intraosseous and central venous injection during cardiopulmonary resuscitation in the lamb. J Pediatr 1990; 116:312.

2. McCarthy MC, Shives JK, Robison RJ, Broadie TA. Prospective evaluation of single and triple lumen catheters in total parenteral nutrition. JPEN J Parenter Enteral Nutr 1987; 11:259.

3. Gil RT, Kruse JA, Thill-Baharozian MC, Carlson RW. Triple- vs single-lumen central venous catheters. A prospective study in a critically ill population. Arch Intern Med 1989; 149:1139.

4. Stenzel JP, Green TP, Fuhrman BP, et al. Percutaneous femoral venous catheterizations: a prospective study of complications. J Pediatr 1989; 114:411.

5. Marik PE, Flemmer M, Harrison W. The risk of catheter-related bloodstream infection with femoral venous catheters as compared to subclavian and internal jugular venous catheters: a systematic review of the literature and meta-analysis. Crit Care Med 2012; 40:2479.

6. Yoon SZ, Shin JH, Hahn S, et al. Usefulness of the carina as a radiographic landmark for central venous catheter placement in paediatric patients. Br J Anaesth 2005; 95:514.

7. Parienti JJ, Mongardon N, Mégarbane B, Mira JP, Kalfon P, Gros A, Marqué S,Thuong M, Pottier V, Ramakers M, Savary B, Seguin A, Valette X, Terzi N, Sauneuf B, Cattoir V, Mermel LA, du Cheyron D; 3SITES Study Group. IntravascularComplications of Central Venous Catheterization by Insertion Site. N Engl J Med. 2015 Sep 24;373(13):1220-1229.