Central line procedure saves 7-month-old baby at Chattogram Medical College Hospital
Doctors at Chattogram Medical College Hospital have saved the life of a seven-month-old baby by using an ultrasound-guided central venous access procedure after multiple attempts at cannulation failed.
The infant, Abdur Rahman, was brought to the hospital from Cox's Bazar in critical condition and admitted to the Paediatric Intensive Care Unit (PICU).
While preparing for emergency surgery, doctors found the child to be suffering from severe dehydration. Repeated attempts to establish cannulation through the head, hands, and feet failed, complicating the situation further.
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Doctors then decided to urgently establish a central venous line.
Assistant Professor Dr Md Mohiuddin Majed Chowdhury of the hospital's Department of Anaesthesia, Pain, Palliative and Intensive Care successfully inserted a 20G cannula into the baby's internal jugular vein using ultrasound-guided technology.
According to physicians, the complex procedure was critical, as the emergency surgery could not have been performed without timely central venous access, putting the child at high risk of death.
Speaking to TBS, Dr Mohiuddin Majed Chowdhury said, "The baby's condition was extremely critical. Due to severe dehydration and repeated failed cannulation attempts, there was no alternative to rapid central venous access. Using the ultrasound-guided method, we successfully completed cannulation in the internal jugular vein, which played a crucial role in saving the child's life."
Medical experts say delayed diagnosis and treatment of complicated intestinal conditions, including intussusception in infants, can become life-threatening.
As rapid venous access was established at around 11:30pm last night (11 May), doctors were able to carry out the emergency surgery immediately afterwards.
The following morning, the physician shared details of the experience on social media through his Facebook account.
According to hospital sources, the operation was successful.
The child is currently being monitored in the Intensive Care Unit (ICU). Doctors say the baby is not yet completely out of danger, although his condition is improving.
