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Is Hand Injection of Central Venous Catheters for Contrast-Enhanced CT Safe in Children?

¹ Department of Radiology, Cincinnati Children's Hospital Medical Center, MLC 5031, 3333 Burnet Ave., Cincinnati, OH 45229-3039.
² University of Cincinnati College of Medicine, Cincinnati, OH.

OBJECTIVE. Our objective is to review our safety experience with hand injection of central venous catheters for administration of IV contrast material for CT in children.

CONCLUSION. Administration of IV contrast material by means of hand injection led to damage of four central venous catheters during a 6-year period at our institution (0.3% of central venous catheters hand injected during that time). In addition to the growing evidence of the safety of power injection of IV contrast material in central venous catheters, the potential danger of hand injection of central venous catheters should be considered when policies are made concerning the delivery of IV contrast material via central venous catheters.

Keywords: children • CT • IV contrast material • power injection administration • safety

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