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Evaluation of a central venous catheter tip placement for superior vena cava–subclavian central venous catheterization using a premeasured length
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kwon, Hyun-Jung Jeong, Young-Il Moon, Young-Jin Lee, Yu-Mi |
| Copyright Year | 2018 |
| Abstract | Abstract Subclavian central venous catheterization is a common procedure for which misplacement of the central venous catheter (CVC) is a frequent complication that can potentially be fatal. The carina is located in the mid-zone of the superior vena cava (SVC) and is considered a reliable landmark for CVC placement in chest radiographs. The C-length, defined as the distance from the edge of the right transverse process of the first thoracic spine to the carina, can be measured in posteroanterior chest radiographs using a picture archiving and communication system. To evaluate the placement of the tip of the CVC in subclavian central venous catheterizations using the C-length, we reviewed the medical records and chest radiographs of 122 adult patients in whom CVC catheterization was performed (from January 2012 to December 2014) via the right subclavian vein using the C-length. The tips of all subclavian CVCs were placed in the SVC using the C-length. No subclavian CVC entered the right atrium. Tip placement was not affected by demographic characteristics such as age, sex, height, weight, and body mass index. The evidence indicates that the C-length on chest radiographs can be used to determine the available insertion length and place the right subclavian CVC tip into the SVC. |
| File Format | PDF HTM / HTML |
| DOI | 10.1097/MD.0000000000009600 |
| PubMed reference number | 29480861 |
| Journal | Medline |
| Volume Number | 97 |
| Alternate Webpage(s) | https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/59/a1/medi-97-e9600.PMC5943868.pdf |
| Alternate Webpage(s) | https://doi.org/10.1097/MD.0000000000009600 |
| Journal | Medicine |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
