| Modified insertion of a peripherally inserted central catheter: taking the chest radiograph earlier. | |
| | |
MedLine Citation:
|
PMID: 21459865 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Placement of the tip of a peripherally inserted central catheter in the lower third of the superior vena cava is essential to minimize the risk of complications. Sometimes, however, the catheter tip cannot be localized clearly on the chest radiograph, and repositioning a catheter at bedside is difficult, sometimes impossible. A chest radiograph obtained just after the catheter is inserted, before the guidewire is removed, can be helpful. With the guidewire in the catheter, the catheter and its tip can be seen clearly on the radiograph. If the catheter was inserted via the wrong route or the tip is not at the appropriate location, the catheter can be repositioned easily with the guidewire in it. Between January 1, 2007, and May 31, 2009, 225 catheters were placed by using this method in our department. Of these, 33 tips (14.7%) were initially malpositioned. The tips of all these catheters were repositioned in the lower third of the superior vena cava by using this method. No catheter was exchanged or removed. The infection rate for catheter placement did not increase when this method was used. This modification facilitates accurate location of the catheter tip on the chest radiograph, making it easy to correct any malposition (by withdrawing, advancing, or even reinserting the catheter after withdrawal). |
| | |
Authors:
|
Geng Tian; Bin Chen; Li Qi; Yan Zhu |
Related Documents
:
|
12533345 - Superficial temporal artery pseudoaneurysm: diagnosis and preoperative planning with ct... 16028055 - Pseudoaneurysm of the inferior medial geniculate artery following primary total knee ar... 11340145 - Thromboembolism complicating thrombin injection of femoral artery pseudoaneurysm: manag... 18270285 - Transcatheter embolization of a pseudoaneurysm of the inferior epigastric artery with n... 23336885 - Axillofemoral bypass relieves visceral malperfusion in type b aortic dissection. 7636905 - Transesophageal echocardiography for the initial evaluation of the widened mediastinum ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Critical care nurse Volume: 31 ISSN: 1940-8250 ISO Abbreviation: Crit Care Nurse Publication Date: 2011 Apr |
Date Detail:
|
Created Date: 2011-04-04 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8207799 Medline TA: Crit Care Nurse Country: United States |
Other Details:
|
Languages: eng Pagination: 64-9 Citation Subset: N |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Evidence-based practice habits: putting more sacred cows out to pasture.
Next Document: Use of peripherally inserted central catheters as an alternative to central catheters in neurocritic...