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https://www.readbyqxmd.com/read/27792447/ecg-based-picc-tip-verification-system-an-evaluation-5-years-on
#1
Gemma Oliver, Matt Jones
In 2011, the vascular access team at East Kent Hospitals University NHS Foundation Trust safely and successfully incorporated the use of electrocardiogram (ECG) guidance technology for verification of peripherally inserted central catheters (PICC) tip placement into their practice. This study, 5 years on, compared the strengths and limitations of using this ECG method with the previous gold-standard of post-procedural chest X-ray. The study was undertaken using an embedded case study approach, and the cost, accuracy and efficiency of both systems were evaluated and compared...
October 27, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/26617329/clinical-evaluation-of-the-use-of-an-intracardiac-electrocardiogram-to-guide-the-tip-positioning-of-peripherally-inserted-central-catheters
#2
Ruiyi Zhao, Chunfang Chen, Jingfen Jin, Komal Sharma, Nan Jiang, Yingqin Shentu, Xingang Wang
The use of peripherally inserted central catheters (PICCs) provides important central venous accesses for clinical treatments, tests and monitoring. Compared with the traditional methods, intracardiac electrocardiogram (ECG)-guided method has the potential to guide more accurate tip positioning of PICCs. This study aimed to clinically evaluate the effectiveness of an intracardiac ECG to guide the tip positioning by monitoring characteristic P-wave changes. In this study, eligible patients enrolled September 2011 to May 2012 according to the inclusion and exclusion criteria received the catheterization monitored by intracardiac ECG...
June 2016: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/26550382/evaluating-ecg-aided-tip-localization-of-peripherally-inserted-central-catheter-in-patients-with-cancer
#3
Yan-Jin Liu, Lei Dong, Xiao-Ping Lou, Jin-Hong Miao, Xiu-Xia Li, Xiao-Jing Li, Jing Li, Qian-Qian Liu, Zhi-Wei Chang
OBJECTIVE: To evaluate ECG-aided tip localization of peripherally inserted central catheter (PICC) in the patients with cancer. METHODS: Between September and December 2014, 170 patients undergoing PICC were divided into observation group and control group (each group with 85 patients). In observation group, patients received ECG-aided tip localization of PICC. In control group, PICC was performed with conventional method. After PICC was performed, all patients took orthophoria chest radiograph (OCR) to check whether the tip position of PICC was appropriate...
2015: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/26293389/sherlock-3cg-%C3%A2-tip-confirmation-system-for-placement-of-peripherally-inserted-central-catheters-a-nice-medical-technology-guidance
#4
Megan Dale, Ailish Higgins, Grace Carolan-Rees
In current clinical practice, peripherally inserted central catheters (PICCs) are typically inserted using external anatomical measurements and a confirmatory chest X-ray, or using fluoroscopy. The Sherlock 3CG(®) Tip Confirmation System (TCS) allows magnetic tracking of the PICC tip during insertion and confirmation of the final location using ECG, meaning that most patients will not require a chest X-ray or fluoroscopy. The Sherlock 3CG(®) TCS was evaluated in 2014 by the UK National Institute for Health and Care Excellence (NICE) as part of the Medical Technologies Evaluation Programme...
February 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/26154923/use-of-an-ecg-based-confirmatory-technique-for-bedside-placement-of-reverse-tunneled-cuffed-dialysis-catheters-in-three-morbidly-obese-patients
#5
Peter R Bream, Everett Gu
We are currently in the midst of a worldwide obesity epidemic, including in patients with end-stage kidney disease. Placing hemodialysis catheters is a particular challenge in patients with extreme obesity. Here we describe the merging of two technologies to place catheters in patients who are too heavy (over 225 kg) to be placed safely on a procedure table for fluoroscopic guidance. The first technology is ECG-guided placement of catheters, well established for guidance of peripherally inserted central catheters (PICCs) and tunneled and nontunneled central venous catheters...
September 2015: Kidney International
https://www.readbyqxmd.com/read/26109544/evaluation-of-the-correct-position-of-peripherally-inserted-central-catheters-anatomical-landmark-vs-electrocardiographic-technique
#6
COMPARATIVE STUDY
Francesco Baldinelli, Giuseppe Capozzoli, Roberta Pedrazzoli, Natascia Marzano
PURPOSE: The purpose of this study is to verify as early as possible the correct positioning of the peripherally inserted central catheter (PICC) tip in order to reduce complications due to possible malpositioning. The ECG-guided technique proved to be reliable, easy to carry out, straightforward, low-cost and allows us to recognize an incorrect or a suboptimal positioning throughout the procedure. The purpose of this study is to compare two methods used during the PICC insertion so as to prevent catheter malpositioning; the first study estimates the catheter length by the landmark method (based on cutaneous anatomical landmarks, CALs) with the addition of the postprocedural verification of tip location by chest X-Ray (CxR), whereas the second method of intraprocedural tip location is based on the observation of the morphological variations of the P wave (ECG-guided technique) with the addition of the postprocedural verification by CxR...
September 2015: Journal of Vascular Access
https://www.readbyqxmd.com/read/25345477/ecg-or-x-ray-as-the-gold-standard-for-establishing-picc-tip-location
#7
Gemma Oliver, Matt Jones
Recently there has been an increase in evidence that the tip position of a peripherally inserted central catheter (PICC) needs to be accurately placed in the lower third of the superior vena cava at the junction with the right atrium in order to minimise potential complications ( Royal College of Nursing, 2010 ; Infusion Nurses Society, 2011 ). The current 'gold standard' practice of performing a chest X-ray post-insertion of PICC can be fraught with complications with regard to accurately placing the PICC in this position...
October 22, 2014: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/25198821/defining-central-venous-line-position-in-children-tips-for-the-tip
#8
REVIEW
Giordano Perin, Maria-Grazia Scarpa
PURPOSE: The purpose of this study is to analyse literature related to the position of centrally inserted central venous catheters and to review topics related to assessment of tip position of those catheters in children. Applications of specific techniques to PICCs (Periferally Inserted Central Catheters) and umbilical venous catheter will also be reviewed. METHODS: Analysis of 68 original manuscripts, 42 specifically related to the paediatric population, 26 related to the adult population...
March 2015: Journal of Vascular Access
https://www.readbyqxmd.com/read/25198817/the-intracavitary-ecg-method-for-positioning-the-tip-of-central-venous-access-devices-in-pediatric-patients-results-of-an-italian-multicenter-study
#9
MULTICENTER STUDY
Francesca Rossetti, Mauro Pittiruti, Massimo Lamperti, Ugo Graziano, Davide Celentano, Giuseppe Capozzoli
PURPOSE: The Italian Group for Venous Access Devices (GAVeCeLT) has carried out a multicenter study investigating the safety and accuracy of intracavitary electrocardiography (IC-ECG) in pediatric patients. METHODS: We enrolled 309 patients (age 1 month-18 years) candidate to different central venous access devices (VAD) - 56 peripherally inserted central catheters (PICC), 178 short term centrally inserted central catheters (CICC), 65 long term VADs, 10 VADs for dialysis - in five Italian Hospitals...
March 2015: Journal of Vascular Access
https://www.readbyqxmd.com/read/25198813/a-prospective-randomized-comparison-of-three-different-types-of-valved-and-non-valved-peripherally-inserted-central-catheters
#10
RANDOMIZED CONTROLLED TRIAL
Mauro Pittiruti, Alessandro Emoli, Patrizia Porta, Bruno Marche, Rosa DeAngelis, Giancarlo Scoppettuolo
PURPOSE: Few randomized studies have investigated the impact of valved and non-valved power-injectable peripherally inserted central catheters (PICCs) in terms of incidence of occlusion, infection, malfunction and venous thrombosis. METHODS: We have prospectively compared three types of third-generation polyurethane PICCs. One hundred and eighty adult patients candidate to chemotherapy were randomized into three groups: power-injectable PICCs with Solo-2 proximal valve (Bard); power-injectable PICCs with PASV (Pressure Activated Safety Valve) proximal valve (Navilyst); and non-valved power-injectable PICCs (Medcomp)...
November 2014: Journal of Vascular Access
https://www.readbyqxmd.com/read/24261004/evaluation-of-an-electrocardiograph-based-picc-tip-verification-system
#11
Gemma Oliver, Matt Jones
Performing a chest x-ray after insertion of a peripherally inserted central catheter (PICC) is recognised as the gold standard for checking that the tip of the catheter is correctly positioned in the lower third of the superior vena cava at the right atrial junction; however, numerous problems are associated with this practice. A recent technological advancement has been developed that utilises changes in a patient's electrocardiograph (ECG) recorded from the tip of the PICC as a more reliable method. This evaluation discusses how a vascular access team in a large acute NHS Trust safely and successfully incorporated the use of ECG guidance technology for verification of PICC tip placement into their practice...
July 25, 2013: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/23809166/-intracavitary-electrocardiogram-during-the-insertion-of-peripherally-inserted-central-catheters
#12
Gloria Ortiz-Miluy, Carmen Sánchez-Guerra
OBJECTIVE: To evaluate the applicability, feasibility and accuracy of the IC-ECG with column of saline technique for verifying the final tip position of peripherally inserted central catheters (PICC) by specialist nurses. METHOD: A total of 99 consecutive PICC were inserted. Patients with no superficial ECG P wave, atrial fibrillation, or a pacemaker were excluded. The IC-ECG technique was performed on 84 patients. A chest x-ray was performed after insertion in all cases, in order to compare images with IC-ECG...
July 2013: Enfermería Clínica
https://www.readbyqxmd.com/read/22328361/the-intracavitary-ecg-method-for-positioning-the-tip-of-central-venous-catheters-results-of-an-italian-multicenter-study
#13
MULTICENTER STUDY
Mauro Pittiruti, Daniele Bertollo, Ermanno Briglia, Massimo Buononato, Giuseppe Capozzoli, Luigi De Simone, Antonio La Greca, Cecilia Pelagatti, Piersandro Sette
PURPOSE: The aim of this multicenter study was to assess the feasibility, safety, and accuracy of the intracavitary ECG method for real-time positioning of the tip of different types of central venous catheters. METHODS: A total of 1444 catheter insertions in adult patients were studied in eight Italian centers (539 ports, 245 PICCs, 325 tunneled CVCs, 335 non-tunneled CVCs). Patients with no visible P wave at the standard baseline ECG were excluded. Depending on the type of catheter and its purpose, the target was to position the tip either (a) at the cavo-atrial junction, or (b) in the lower third of the superior vena cava, or (c) in the upper part of the atrium...
July 2012: Journal of Vascular Access
https://www.readbyqxmd.com/read/20206940/intravenous-electrocardiographic-guidance-for-placement-of-peripherally-inserted-central-catheters
#14
Brigham Smith, Renée M Neuharth, Mary Ann Hendrix, Daniel McDonnall, Andrew D Michaels
BACKGROUND: Correct positioning of peripherally inserted central catheters (PICCs) is essential to avoid complications. We evaluated intravenous electrocardiogram (ECG) recordings during PICC placement to assess the effectiveness of this guidance technique to reduce complications resulting from incorrect catheter placement. METHODS: Six patients undergoing PowerPICC catheter insertion were included in this pilot study. Venography through the PICC was performed to identify the superior vena cava-right atrial (SVC-RA) junction...
May 2010: Journal of Electrocardiology
https://www.readbyqxmd.com/read/16826417/-arterial-and-central-venous-catheters-in-neonates-and-infants
#15
M Stocker, T M Berger
In neonates and infants, arterial and central venous catheters are of vital importance to optimize perioperative surveillance during surgery as well as postoperative care in the intensive care unit. The insertion of umbilical venous (UVC) and umbilical arterial catheters (UAC) in neonates in the first days of life is relatively simple and associated with a low procedure-related risk. As with other centrally placed catheters, correct positioning must be verified and the catheters should not be used for more than 5-7 days...
August 2006: Der Anaesthesist
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