Neonates 800g anaesthesia for CV catheter insertion Dr Kapila Hettiarachchi, in Sri Lanka

We received an 800gram neonate as a referral from a consultant paediatrician at the national hospital in Kandy, Sri Lanka. The infant required central venous catheter insertion due to the lack of intravenous access for administering essential fluids and medications. However, the procedure posed additional challenges as the neonate had a low platelet count of 40 thousand. Upon assessment, we found that the left internal jugular vein was too small to accommodate the central venous catheter. Hence, we proceeded with the right internal jugular vein as the only viable option. The diameter of the right internal jugular vein was measured to be 0. 34 cm, and the depth from the skin to the vein was 0. 5 cm. Considering the fragile nature of the neonate and the need for utmost precision, the procedure required meticulous planning and execution. Our team of skilled medical professionals took every precaution to ensure the safety and wellbeing of the neonate throughout the process. Prior to the centr