| Electrocardiography-guided and retrospective analysis of central venous catheter placement in the dog. | |
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MedLine Citation:
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PMID: 20230559 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare the success rates of central venous catheter placement (CVCP) in dogs using electrocardiograph (ECG)-guided and external landmark ('blind') techniques. To report success rates determined retrospectively of CVCPs in dogs using external landmarks at a tertiary referral institution. STUDY DESIGN: Prospective blinded comparison of techniques. Retrospective analysis of case records. ANIMALS: Adult Beagles weighing 11.9 +/- 2.6 kg were used in the experimental group (n = 38). Various breeds of dogs were in the retrospective clinical group (n = 33). METHODS: Laboratory dogs were anesthetized and CVCPs were placed using a modified Seldinger technique. Catheter tip position was first based on external landmarks and then the catheter was repositioned using an ECG-guided placement. The ECG-guided technique used the V-lead with the positive electrode attached to the guide wire. Catheter placement was determined by moving the catheter cephalad and caudad to the point of maximum p-wave amplitude and then withdrawing the catheter 1-2 cm from this point. Catheter position with each technique was determined using a lateral thoracic radiograph. Retrospective data were collected from the medical records of dogs that had CVCPs using anatomical landmarks and corresponding thoracic radiographs. RESULTS: The number of successful CVCP attempts was the same for both prospective groups (21/38). There was no statistically significant difference in success between the ECG-guided technique and the blind technique. From the retrospective investigation 10/33 of the cases that fit the criteria had correct CVCPs. CONCLUSIONS AND CLINICAL RELEVANCE: The odds of correctly placing a central venous catheter by ECG-guidance were the same as the external landmark technique. The ECG-guided technique may be useful in situations where external landmarks are not readily available. |
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Authors:
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Andrew K Claude; Dean H Riedesel; Elizabeth A Riedesel |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Veterinary anaesthesia and analgesia Volume: 37 ISSN: 1467-2995 ISO Abbreviation: Vet Anaesth Analg Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-03-16 Completed Date: 2010-06-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100956422 Medline TA: Vet Anaesth Analg Country: England |
Other Details:
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Languages: eng Pagination: 97-105 Citation Subset: IM |
Affiliation:
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Department of Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, IA, USA. claude@cvm.msstate.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, General
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veterinary Animals Catheterization, Central Venous / methods, veterinary* Dogs Electrocardiogram Pattern / veterinary Electrocardiography / veterinary* Female Male Prospective Studies Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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