Document Detail


Electrocardiography-guided and retrospective analysis of central venous catheter placement in the dog.
MedLine Citation:
PMID:  20230559     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Andrew K Claude; Dean H Riedesel; Elizabeth A Riedesel
Related Documents :
3696329 - Morbidity and mortality of central venous catheter hemodialysis: a review of 10 years' ...
14615739 - Successful treatment of infective endocarditis with recombinant tissue plasminogen acti...
20923799 - Risk of symptomatic dvt associated with peripherally inserted central catheters.
18710459 - Catheter-less robotic radical prostatectomy using a custom-made synchronous anastomotic...
12131449 - Outpatient parenteral antimicrobial therapy in osteoarticular infections in children.
15466279 - Catheter-related interventions to prevent peritonitis in peritoneal dialysis: a systema...
9055289 - Spinal cord stimulation is effective in the management of reflex sympathetic dystrophy.
22695209 - Is routine second-look endoscopy effective after endoscopic hemostasis in acute peptic ...
21696569 - Safety and efficacy of radiation therapy as secondary prophylaxis for heterotopic ossif...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Veterinary anaesthesia and analgesia     Volume:  37     ISSN:  1467-2995     ISO Abbreviation:  Vet Anaesth Analg     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-16     Completed Date:  2010-06-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100956422     Medline TA:  Vet Anaesth Analg     Country:  England    
Other Details:
Languages:  eng     Pagination:  97-105     Citation Subset:  IM    
Affiliation:
Department of Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, IA, USA. claude@cvm.msstate.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Anesthesia, General / 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


Previous Document:  Cardiovascular effects following epidural injection of romifidine in isoflurane-anaesthetized dogs.
Next Document:  Cardiopulmonary and isoflurane-sparing effects of epidural or intravenous infusion of dexmedetomidin...