ECG-guided central venous catheter positioning: Does it detect the pericardial reflection rather than the right atrium?

European Journal of Anaesthesiology

Volumn 21, Issue 8, 2004, Pages 600-605

  Schummer, Wolfram ^a   Schummer, C ^a   Muller A ^a   Steenbeck, J ^a   Fuchs, J ^a   Bredle, D ^b   Huttemann E ^a  

^a FRIEDRICH SCHILLER UNIVERSITY JENA   (Germany)

^b UNIVERSITY OF WISCONSIN EAU CLAIRE   (United States)

Author keywords

Central venous catheterization, instrumentation; Electrocardiography, diagnostic use; Internal jugular veins; Transoesophageal echocardiography

Indexed keywords

ADULT; AGED; ARTICLE; CENTRAL VENOUS CATHETER; CENTRAL VENOUS CATHETER POSITIONING; CENTRAL VENOUS CATHETERIZATION; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; ELECTROCARDIOGRAM; ELECTROCARDIOGRAPHY MONITORING; ELECTRODE; FEMALE; GUIDE WIRE; HEART RIGHT ATRIUM; HUMAN; INTERNAL JUGULAR VEIN; MAJOR CLINICAL STUDY; MALE; MEDICAL INSTRUMENTATION; P WAVE; PERICARDIUM; POSITION; RANDOMIZED CONTROLLED TRIAL; SIGNAL DETECTION; SUPERIOR CAVA VEIN; TECHNIQUE; THORAX RADIOGRAPHY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

AGED; CATHETERIZATION, CENTRAL VENOUS; DOUBLE-BLIND METHOD; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; ELECTROCARDIOGRAPHY; ELECTRODES; FEMALE; HEART ATRIA; HUMANS; JUGULAR VEINS; MALE; MIDDLE AGED; PERICARDIUM;

EID: 4544263984     PISSN: 02650215     EISSN: None     Source Type: Journal    
DOI: 10.1017/S0265021504008038     Document Type: Article

References (21)

1. Waghorn DJ. Intravascular device-associated systemic infections: a 2 year analysis of cases in a district general hospital. J Hosp Infect 1994; 28: 91-101.
2. Collier PE, Blocker SH, Graff DM, Doyle P. Cardiac tamponade from central venous catheters. Am J Surg 1998; 176: 212-214.
3. Fletcher SJ, Bodenham AR. Safe placement of central venous catheters: where should the tip of the catheter lie? Br J Anaesth 2000; 85: 188-191.
4. Scott WL. Complications associated with central venous catheters. A survey. Chest 1988; 94: 1221-1224.
5. Schuster M, Nave H, Piepenbrock S, Pabst R, Panning B. The carina as a landmark in central venous catheter placement. Br J Anaesth 2000; 85: 192-194.
6. Schummer W, Herrmann S, Schummer C, et al. Intra-atrial ECG is not a reliable method for positioning left internal jugular vein catheters. Br J Anaesth 2003; 91: 481-486.
7. McGee WT, Ackerman BL, Rouben LR, Prasad VM, Bandi V, Mallory DL. Accurate placement of central venous catheters: a prospective, randomized, multicenter trial. Crit Care Med 1993; 21: 1118-1123.
8. Shanewise JS, Cheung AT, Aronson S, et al. ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination: recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. Anesth Analg 1999; 89: 870-884.
9. Nanda NC, Domanski HJ. Normal anatomy. Atlas of Transoesophageal Echocardiography. Baltimore, USA: Lippincott Williams & Wilkins, 1998: 1-5.
10. Nanda NC, Domanski HJ. Superior vena cava and right atrium. Atlas of Transoesophageal Echocardiography. Baltimore, USA: Lippincott Williams & Wilkins, 1998: 36-38.
11. Wunderbaldinger P. 'Tubes and lines' in thoracic radiography: malpositioning and complications. Wien Med Wochenschr 2001; 151: 524-531.
12. Trigaux JP, Goncette L, Van Beers B, de Wispelaere JF, Pringot J. Radiologic findings of normal and compromised thoracic venous catheters. J Thorac Imaging 1994; 9: 246-254.
13. Weissauer W The cava-catheter from the medico-legal viewpoint. Anaesthesiol Intensivmed Notfallmed Schmerzther 1998; 33: 117-118.
14. Jay AW, Aldridge HE. Perforation of the heart or vena cava by central venous catheters inserted for monitoring or infusion therapy. Can Med Assoc J 1986; 135: 1143-1144.
15. Blackshear RH, Gravenstein N. Critical angle of incidence for delayed vessel perforation by central venous catheter: a study of in vitro data. Ann Emerg Med 1991; 21: 659.
16. NKF-DOQI clinical practice guidelines for vascular access. National Kidney Foundation-Dialysis Outcomes Quality Initiative. Am J Kidney Dis 1997; 30: S150-S191.
17. Barton BR, Hermann G, Weil III R. Cardiothoracic emergencies associated with subclavian hemodialysis catheters. JAMA 1983; 250: 2660-2662.
18. Kappes S, Towne J, Adams M, Kauffman HM, Maierhofer W. Perforation of the superior vena cava. A complication of subclavian dialysis. JAMA 1983; 249: 2232-2233.
19. Kielstein JT, Abou-Rebyeh F, Hafer C, Haller H, Fliser D. Right-sided chest pain at the onset of haemodialysis. Nephrol Dial Transplant 2001; 16: 1493-1495.
20. Twardowski ZJ. Advantages and limits of the jugular catheter approach. Nephrol Dial Transplant 1995; 10: 2178-2182.
21. Food and Drug Administration. Precautions necessary with central venous catheters. FDA Task Force. FDA Drug Bull 1989; July: 15-16.