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https://www.readbyqxmd.com/read/27512162/a-comparative-study-of-two-techniques-electrocardiogram-and-landmark-guided-for-correct-depth-of-the-central-venous-catheter-placement-in-paediatric-patients-undergoing-elective-cardiovascular-surgery
#1
Neeraj Kumar Barnwal, Sona T Dave, Raylene Dias
BACKGROUND AND AIMS: The complications of central venous catheterisation can be minimized by ensuring catheter tip placement just above the superior vena cava-right atrium junction. We aimed to compare two methods, using an electrocardiogram (ECG) or landmark as guides, for assessing correct depth of central venous catheter (CVC) placement. METHODS: In a prospective randomised study of sixty patients of <12 years of age, thirty patients each were allotted randomly to two groups (ECG and landmark)...
July 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27469608/central-venous-catheter-tip-migration-due-to-tracheal-extubation-a-prospective-randomized-study
#2
Manuel F Struck, Theresa Jünemann, Konrad Reinhart, Wolfram Schummer
Considerable numbers of patients undergo central venous catheterization (CVC) under mechanical ventilation. We hypothesized that the return of spontaneous breathing and tracheal extubation could be associated with distal CVC tip migration towards intracardiac positions due to decreasing intrathoracic pressures and subsequent readjustment of mediastinal organs. Patients scheduled for cardiac surgery were randomized for right or left internal jugular vein (IJV) CVC placement under general anesthesia and mechanical ventilation...
July 28, 2016: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/26850037/accuracy-of-intravenous-electrocardiography-confirmation-of-peripherally-inserted-central-catheter-for-parenteral-nutrition
#3
Manpreet S Mundi, Jithinraj Edakkanambeth Varayil, Megan T McMahon, Akiko Okano, Nishanth Vallumsetla, Sara L Bonnes, James C Andrews, Ryan T Hurt
BACKGROUND: Parenteral nutrition (PN) is a life-saving therapy for patients with intestinal failure. Safe delivery of hyperosmotic solution requires a central venous catheter (CVC) with tip in the lower superior vena cava (SVC) or at the SVC-right atrium (RA) junction. To reduce cost and delay in use of CVC, new techniques such as intravascular electrocardiogram (ECG) are being used for tip confirmation in place of chest x-ray (CXR). The present study assessed for accuracy of ECG confirmation in home PN (HPN)...
April 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/25548874/the-supraclavicular-fossa-ultrasound-view-for-central-venous-catheter-placement-and-catheter-change-over-guidewire
#4
Se-Chan Kim, Christian Klebach, Ingo Heinze, Andreas Hoeft, Georg Baumgarten, Stefan Weber
The supraclavicular fossa ultrasound view can be useful for central venous catheter (CVC) placement. Venipuncture of the internal jugular veins (IJV) or subclavian veins is performed with a micro-convex ultrasound probe, using a neonatal abdominal preset with a probe frequency of 10 Mhz at a depth of 10-12 cm. Following insertion of the guidewire into the vein, the probe is shifted to the right supraclavicular fossa to obtain a view of the superior vena cava (SVC), right pulmonary artery and ascending aorta...
December 23, 2014: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/24384583/ultrasound-confirmation-of-central-venous-catheter-position-via-a-right-supraclavicular-fossa-view-using-a-microconvex-probe-an-observational-pilot-study
#5
Se-Chan Kim, Ingo Heinze, Alexandra Schmiedel, Georg Baumgarten, Pascal Knuefermann, Andreas Hoeft, Stefan Weber
BACKGROUND: Visualisation of a central venous catheter (CVC) with ultrasound is restricted to the internal jugular vein (IJV). CVC tip position is confirmed by chest radiography, intracardiac ECG or transoesophageal/transthoracic echocardiography (TEE/TTE). OBJECTIVE: We explored the feasibility, safety and accuracy of a right supraclavicular view for visualisation of the lower superior vena cava (SVC) and the right pulmonary artery (RPA) as an ultrasound landmark for real-time ultrasound-guided CVC tip positioning via the right IJV...
January 2015: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/23857438/blood-from-the-right-atrium-may-provide-closer-estimates-of-mixed-venous-saturation-than-blood-from-the-superior-vena-cava-a-pilot-study
#6
RANDOMIZED CONTROLLED TRIAL
F Cavaliere, R Zamparelli, L Martinelli, A Scapigliati, S De Paulis, A Caricato, R Gargaruti, A Cina
BACKGROUND: As a rule, central venous catheters (CVC) should not be positioned in the right atrium (RA) to avoid the risk of perforation and cardiac tamponade. However, in ICUs where ECG monitoring can detect any initial damage of the atrial wall, CVCs may probably be safely positioned in the RA. We investigated whether mixed venous saturation (SvO2) was better estimated by measuring central venous saturation (ScvO2) in the RA or in the superior vena cava (SVC) in patients undergoing cardiac surgery...
January 2014: Minerva Anestesiologica
https://www.readbyqxmd.com/read/23370122/determination-of-the-optimal-length-of-insertion-of-central-venous-catheters-in-pediatric-patients-by-endovascular-ecg
#7
F Weber, M Buitenhuis, M H Lequin
BACKGROUND: In children the position of the tip of central venous catheters (CVC) is most often examined by chest radiography. Endovascular electrocardiography (ECG), using the CVC as an electrode, permits the correct placement of a CVC without the need for a chest X-ray. The use of a commercialised endovascular ECG-system (Alphacard®) for CVC-placement was evaluated in pediatric patients. METHODS: ECG-guidance was prospectively applied in 50 children (0-17 years, stratified into 5 age related subgroups)...
April 2013: Minerva Anestesiologica
https://www.readbyqxmd.com/read/23205097/persistent-left-superior-vena-cava-a-possible-contraindication-to-chemotherapy-and-total-parenteral-nutrition-in-cancer-patients
#8
Francesco Iovino, Pasquale Pio Auriemma, Luca Del Viscovo, Sara Scagliarini, Marilena DI Napoli, Ferdinando DE Vita
Persistent left superior vena cava (PLSVC) is the most common thoracic venous anomaly. Awareness of this condition may be useful when placement of left-side transvenous subclavian or internal jugular catheters is required. This anomaly may be detected only by chest radiograph following placement of the catheter. The primary endpoints of this study were to analyze the prevalence of PLSVC, measurement of its diameters and the outcome of cancer patients with this anomaly undergoing placement of a long term catheter for nutrition and chemotherapy at the Department of Surgery, of the Second University of Naples, Naples, Italy...
October 2012: Oncology Letters
https://www.readbyqxmd.com/read/22414745/cardiac-vagal-control-as-a-prospective-predictor-of-anxiety-in-women-diagnosed-with-breast-cancer
#9
Anya V Kogan, John J B Allen, Karen L Weihs
Low cardiac vagal control (CVC) has been associated with state and trait anxiety and anxiety spectrum disorders. Studies indicate that diagnosis and treatments for breast cancer may be associated with anxiety. The current study examined whether CVC prospectively predicted a trajectory of change in anxiety following breast cancer diagnosis. Forty-three women diagnosed with non-metastatic breast cancer completed the Taylor Manifest Anxiety Scale and the Perceived Stress Scale, and a 5-min resting electrocardiographic (ECG) segment was recorded...
April 2012: Biological Psychology
https://www.readbyqxmd.com/read/22388970/intra-cavitary-ecg-is-an-effective-method-for-correct-positioning-the-tip-of-tunneled-groshong-catheters
#10
Giuseppe Capozzoli, Gino Accinelli, Loris Fabbro, Roberta Pedrazzoli, Franco Auricchio
BACKGROUND: Intra-cavitary electrocardiography (ECG) is a well-known method for correct positioning of the tip of central venous catheters (CVC). A significant increase in the P wave, as registered by the intra-cavitary electrode, signals the entrance of the catheter into the right atrium. METHODS: In this prospective observational study, 155 consecutive oncologic patients were enrolled for cannulation of the right or left internal jugular vein for insertion of a tunneled Groshong catheter...
July 2012: Journal of Vascular Access
https://www.readbyqxmd.com/read/22388906/-use-of-ecg-ec-in-the-positioning-of-central-venous-catheters
#11
REVIEW
Maria Calabria, Pasquale Zamboli, Alessandro D'Amelio, Antonio Granata, Luca Di Lullo, Fulvio Floccari, Franco Logias, Fulvio Fiorini
Central venous catheters (CVC) are widely used in clinical practice for the administration of chemotherapy, parental nutrition, hemodynamic monitoring, and hemodialysis. International guidelines have defined the right internal jugular vein as the preferred site of CVC insertion and underline that accurate positioning of the catheter tip is essential to maximize the blood flow and reduce long-term complications. Endocavitary electrocardiography (EC-ECG) improves the accuracy of catheter tip positioning without increasing the placement time by the recognition of typical P wave patterns during catheter insertion:the normally shaped P wave identifies the mid to upper superior vena cava, the widest P wave may be used to place the CVC tip at the superior vena cava-right atrium junction, and biphasic P waves identify the location of the right atrium...
January 2012: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
https://www.readbyqxmd.com/read/22373541/effects-of-assisted-and-variable-mechanical-ventilation-on-cardiorespiratory-interactions-in-anesthetized-pigs
#12
Alessandro Beda, Andreas Güldner, David M Simpson, Nadja C Carvalho, Susanne Franke, Christopher Uhlig, Thea Koch, Paolo Pelosi, Marcelo Gama de Abreu
The physiological importance of respiratory sinus arrhythmia (RSA) and cardioventilatory coupling (CVC) has not yet been fully elucidated, but these phenomena might contribute to improve ventilation/perfusion matching, with beneficial effects on gas exchange. Furthermore, decreased RSA amplitude has been suggested as an indicator of impaired autonomic control and poor clinical outcome, also during positive-pressure mechanical ventilation (MV). However, it is currently unknown how different modes of MV, including variable tidal volumes (V(T)), affect RSA and CVC during anesthesia...
March 2012: Physiological Measurement
https://www.readbyqxmd.com/read/22285798/cardioventilatory-coupling-and-inter-breath-variability-in-children-referred-for-polysomnography
#13
D E Elder, P D Larsen, A J Campbell, D C Galletly
Measures of respiratory variability including cardioventilatory coupling (CVC), were examined in 8 Down syndrome (DS), 4 Prader Willi syndrome (PWS) and 42 non-syndromic children (median age 7 years) referred for diagnostic polysomnography. Inspiratory onsets (I) and corresponding ECG R waves were determined, I-I, R-R and R-I intervals derived, and ventilatory frequency (f), standard deviation of f (SDf), coefficient of variation of f (CVf), median I-I and kurtosis and skewness I-I calculated. Proportional Shannon Entropy of the RI(-1) interval (SHα) was measured to quantitate CVC...
April 15, 2012: Respiratory Physiology & Neurobiology
https://www.readbyqxmd.com/read/21874511/central-venous-port-implantations-via-the-cephalic-vein-applying-an-intravasal-electrographic-control-of-the-catheter-tip-position-a-single-center-experience-of-316-cases
#14
Marcus Schenck, Tim Schneider, Herbert Rübben, Andreas Eisenhardt
PURPOSE: The aim of this study was the analysis of the feasibility and complication rate of central venous port implantation with the surgical cut-down technique applying an intravasal electrographic control of the catheter tip position performed by urologists. PATIENTS AND METHODS: In the time from December 1999 to November 2010, implantation of 324 subcutaneously implanted venous port systems (NuPort-System) has been performed in 316 patients, 221 men (mean age 59...
June 2012: World Journal of Urology
https://www.readbyqxmd.com/read/21697183/optimized-method-for-correct-left-sided-central-venous-catheter-placement-under-electrocardiographic-guidance
#15
J Kremser, F Kleemann, K Reinhart, W Schummer
BACKGROUND: Central venous catheter (CVC) placement under ECG guidance in the left thoracocervical area can lead to catheter misplacement. The aim of this study was to identify the cause and quantify the magnitude of this error. METHODS: CVCs were sited in either the left or right internal jugular (IJ), subclavian (SC), or innominate (brachiocephalic) vein using the Seldinger technique and a total of 227 insertions were studied. The position of the catheter tip was confirmed with two different intra-atrial ECG monitoring methods (Seldinger's wire vs 10% saline solution)...
October 2011: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/21534230/central-venous-catheters-legal-issues
#16
REVIEW
Maurizio Gallieni, Valentina Martina, Maria Antonietta Rizzo, Luciana Gravellone, Francesca Mobilia, Antonino Giordano, Daniele Cusi, Umberto Genovese
In dialysis patients, both central venous catheter (CVC) insertion and CVC use during the dialysis procedure pose important legal issues, because of potentially severe, even fatal, complications. The first issue is the decision of the kind of vascular access that should be proposed to patients: an arteriovenous (AV) fistula, a graft, or a CVC. The second issue, when choosing the CVC option, is the choice of CVC: nontunneled versus tunneled. Leaving a temporary nontunneled CVC for a prolonged time increases the risk of complications and could raise a liability issue...
October 2011: Journal of Vascular Access
https://www.readbyqxmd.com/read/21335581/cardiovascular-collapse-after-return-of-spontaneous-circulation-in-human-out-of-hospital-cardiopulmonary-arrest
#17
John Mark Chestnut, Andrew A Kuklinski, Shannon W Stephens, Henry E Wang
OBJECTIVE: Animal studies describe cardiovascular collapse (CVC; hypotension or reoccurrence of cardiac arrest) after return of spontaneous circulation (ROSC) from cardiopulmonary arrest. Few studies describe CVC in humans. This study aimed to determine the occurrence of CVC in human out-of-hospital cardiopulmonary arrest (OHCA). METHODS: Using observational data from a site of the Resuscitation Outcomes Consortium, the study analysed treated, non-traumatic OHCA achieving initial ROSC...
February 2012: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/21312142/-intra-arterial-ecg-leads-of-a-positive-p-wave-potential-during-central-venous-catheterization
#18
Tobias Urban, Frank Wappler, Samir G Sakka
The application of a central venous catheter (CVC) is a routine procedure in anaesthesia and intensive care medicine. Although the procedure is generally carried out without complications, nevertheless numerous and, in part acute life threatening and lethal complications have been described. The complication rate during placement of a CVC is up to 12%. To ensure the correct position of the catheter, different methods may be used: for example the intravascular feeder of a positive P-wave of the ECG. In the case of a position check via the ECG (α-Card), the catheter's point serves as a unipolar electrode...
February 2011: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/20478413/cardioventilatory-coupling-in-preterm-and-term-infants-effect-of-position-and-sleep-state
#19
Dawn E Elder, Peter D Larsen, Duncan C Galletly, Angela J Campbell
This study documented the effect of position on cardioventilatory coupling (CVC), the triggering of inspiratory onset by a preceding heartbeat, in infants. Cardiorespiratory signals and corresponding oxygen saturation (SpO(2)) were downloaded from Quiet Sleep (QS) and Active Sleep (AS) in prone and supine from preterm (PT) and term (T) infants. Inspiratory onsets (I) and timing of the corresponding ECG R wave were determined and R-R and R-I intervals calculated. The RI(-1) interval (time between inspiration and the preceding R wave) dispersion was measured using proportional Shannon Entropy of the RI(-1) interval (SH(α)), to provide a quantitative measure of CVC...
November 30, 2010: Respiratory Physiology & Neurobiology
https://www.readbyqxmd.com/read/19859861/risk-of-extravasation-after-power-injection-of-contrast-media-via-the-proximal-port-of-multilumen-central-venous-catheters-case-report-and-review-of-the-literature
#20
REVIEW
C Schummer, Y Sakr, J Steenbeck, M Gugel, K Reinhart, W Schummer
PURPOSE: Multilumen central venous catheters (CVCs) are not commonly used for power injection. However, in critically ill patients, CVCs-- most of which do not have FDA approval for power injection--may be the only available venous access. MATERIALS AND METHODS: The pitfalls of multilumen CVCs are illustrated by a case report of a patient in whom extravasation of intravenously administered contrast medium occurred after power injection in a triple-lumen CVC using the lumen with the port furthest from the catheter tip...
January 2010: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
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