In pediatric CVAD placement, where can access be performed aside from the upper extremities?

In pediatric central venous access device (CVAD) placement, access can be performed on the scalp because it provides a suitable site for venous access in infants and young children. The scalp has well-defined superficial veins that are accessible and can accommodate venous access. This method is particularly useful in this population, as other sites may present challenges due to smaller vein sizes or decreased availability of suitable veins in the extremities.

Pediatric patients, especially neonates and infants, often have limited vascular options, making scalp veins a favorable alternative. The ease of access and the potential for secure placement contribute to the suitability of scalp access in pediatric CVAD placement.

Access on the abdomen, foot, or face may be less common or more challenging due to the anatomical considerations and the smaller size of veins. Additionally, establishing venous access in these areas can pose risks or complications. For instance, veins in the abdomen might be deeper and more difficult to visualize or palpate, while veins on the face can be less stable or can lead to complications during access. The foot may offer some accessible veins but is typically less preferred due to mobility considerations and ease of use compared to the scalp.

Overall, scalp access stands out as an effective and practical site for CVAD