Open tunneled central line insertion in children - External or internal jugular vein?

Background/purpose: Tunneled central venous catheters (TCVCs) are commonly used to manage pediatric patients with chronic disease. The aim of this study is to compare the outcomes of external jugular vein (EJV) and internal jugular vein (IJV) tunneled catheters inserted using the open technique.

Methods: This is a single institution retrospective analysis of patients requiring an IJV or EJV TCVC in the period between 2009 and 2014.

Successful surgical management of early esophageal cancer in a patient with cystic fibrosis post-bilateral lung transplantation.

We present the first reported case of successful surgical management of esophageal cancer post-lung transplantation for cystic fibrosis. This case of a 42-year-old man highlights the risk factors for esophageal adenocarcinoma associated with cystic fibrosis and lung transplantation, the management options for early esophageal cancer and the surgical option chosen to minimise respiratory risks. Individualised patient care may allow for curative surgical approaches, even where complex surgery is required.