Full Text
Full text is available in PDF
Background:
Central venous catheterization is done frequently in cardiac surgery and intensive care settings. Faulty positioning of the catheter can cause many complications.
Anesthesiology and Pain Medicine
Depth of Central Venous Catheterization by Intracardiac Electrocardiogram in Adults
Author(s):
1Department of Anaesthesiology, Seth GSMC and KEM Hospital, Parel, Mumbai, [email protected], India
*Corresponding Author: Department of Anaesthesiology, Seth GSMC and KEM Hospital, Parel, 73 B, Varma Villa, Vitthalbhai Road, Vile Parle West, Mumbai 400056, Maharashtra, [email protected], India. Tel: +91-9869117027. Email: [email protected]
Published online:Jan 01, 2013
Article type:Research Article
Received:Aug 02, 2012
Accepted:Oct 06, 2012
How to Cite:Shah PN, Kane D, Appukutty J. Depth of Central Venous Catheterization by Intracardiac Electrocardiogram in Adults. Anesth Pain Med. 2013;2(3):. doi: https://doi.org/10.5812/aapm.7557
Abstract
Objectives:
The aim of our study was to study the average depth of insertion and formulate a general guideline through the right internal jugular vein (IJV).
Patients and Methods:
The right IJV was cannulated over a period of four months and catheter tip positioning was guided by means of an intracardiac electrocardiogram (ECG). Insertion depth was registered at the position of maximum P wave amplitude and the catheter was fixed after withdrawing 2 cm. Pearsons correlation coefficient was calculated to categorize any relationship between plots of distance versus patients height, and regression lines and equations were also calculated. Bland-Altman analysis of data was done to compare the old formulae with our derived formulae.
Results:
A total of 155 adult patients were studied. Distances measured were found to be highly correlated with a patients height, followed by body surface area (BSA) and weight. For right IJV cannulation in valvular surgeries in adults, the depth of insertion (cm) was (height in cm / 15) + 2 1.58 (SD) and in non-valvular surgeries in adults, it was (height in cm/15) + 1.4 1.47 (SD). The bias was very small when the new formulae were compared to the existing formulae.
Conclusions:
The devised formulae predicted the required depth of catheters thereby reducing the possibility of complications and need for radiographic confirmation.
Copyright
© 2013, Author(s). The Author(s) retain copyright in the Article. Upon acceptance, the Author(s) grant Brieflands the non-exclusive right of first publication and a worldwide, perpetual, royalty-free, non-exclusive license to copyedit, format, publish, reproduce, distribute, display, preserve, archive, index, promote, and make the Version of Record available in all formats and media. Brieflands and the relevant journal will be identified as the original publisher of the Version of Record. The Article will be published under the [Creative Commons Attribution 4.0 International License (CC BY 4.0)](https://creativecommons.org/licenses/by/4.0/). The Author(s) may immediately deposit and share the Version of Record in any repository or platform. No separate permission or fee is required for uses permitted under CC BY 4.0. CCC may provide optional customized reprint services.
Similar Articles
26
Jul
2016
Central Venous Cannulation of the Internal Jugular Vein Both With and Without Ultrasound Guidance in Iran
Hamidreza Karimi-Sari,
Niloofar Nikjoo
Karimi-Sari H, Nikjoo N. Central Venous Cannulation of the Internal Jugular Vein Both With and Without Ultrasound Guidance in Iran. Anesth Pain Med. 2016;6(5):e39256. doi: https://doi.org/10.5812/aapm.39256
31
Dec
2015
Comparison of US-Guided Catheterization of the Right Internal Jugular Vein Using Medial-Oblique and Short Axis Techniques
Hamid Kamalipour,
Shahrbano Shahbazi,
Mohammad Mehdi Derakhshan,
Mohammad Taghi Moinvaziri,
Elaheh Allahyari
Kamalipour H, Shahbazi S, Derakhshan MM, Moinvaziri MT, Allahyari E. Comparison of US-Guided Catheterization of the Right Internal Jugular Vein Using Medial-Oblique and Short Axis Techniques. Int Cardiovasc Res J. 2017;9(4):e10874. doi: https://doi.org/10.17795/icrj-9(4)210
18
Jul
2020
Ultrasonography Versus Chest X-Ray to Confirm Proper Placement of Central Venous Catheter
Mehrnaz Nikouyeh,
Kiandokht Khorshidi,
Mohammad Hassan Rouzegari,
Rabee Sarram
Nikouyeh M, Khorshidi K, Rouzegari MH, Sarram R. Ultrasonography Versus Chest X-Ray to Confirm Proper Placement of Central Venous Catheter. I J Radiol. 2020;17(3):e100437. doi: https://doi.org/10.5812/iranjradiol.100437
5
Feb
2014
A Rare Central Venous Catheter Malposition: A Case Report
Ali Asghar Moeinipour,
Ahmad Amouzeshi,
Marjan Joudi,
Mehdi Fathi,
Saeed Jahanbakhsh,
Saeed Hafez
,et al.Moeinipour AA, Amouzeshi A, Joudi M, Fathi M, Jahanbakhsh S, et al. A Rare Central Venous Catheter Malposition: A Case Report. Anesth Pain Med. 2014;4(1):e16049. doi: https://doi.org/10.5812/aapm.16049
1
Aug
2022
Evaluating the Sensitivity and Specificity of Echocardiography in Determining the Appropriate Position of Peripherally Inserted Central Catheters in Infants
Mohammad Radgoodarzi,
Nastaran Khosravi,
Nasrin Khalesi,
Mehran Bakhtiari,
Reza Behmadi,
Zahra Vahedi
Radgoodarzi M, Khosravi N, Khalesi N, Bakhtiari M, Behmadi R, et al. Evaluating the Sensitivity and Specificity of Echocardiography in Determining the Appropriate Position of Peripherally Inserted Central Catheters in Infants. J Compr Ped. 2022;13(3):e123120. doi: https://doi.org/10.5812/compreped-123120
Download PDF827.94 KB
Crossmark
Checking
Comments
Number of Comments:0Cited by
- Scopus by DOI: 8
Last Update: 1 week ago
- Scopus by Title: 8
Last Update: 1 week ago
- Scopus by Title (Ref): 8
Last Update: 1 week ago
- CrossRef: 10
Last Update: 1 day ago
Ordering Reprints
Articles are published under the Creative Commons license stated on each article. No permission or royalty fee is required for uses permitted by that license. CCC handles optional bulk and customized reprint orders. Any quotation covers production and delivery services only, not copyright permission. > Request Reprints from CCC
Search Relations
Author(s):
Related Articles