Abstract
To avoid the need for radiological control in the assessment of the proper location of central venous catheters (CVC), a particular use of endocavitary electrocardiography (EC-ECG) was proposed 10 years ago. The aim of this study is to reassess our experience with this method. EC-ECG assumes that the CVC, when filled with normosaline and connected to a standard electrocardiograph, behaves like an exploring electrode. The approach of the catheter tip to the right atrium is then detected by a slightly increasing negative P wave. When the tip reaches the exact level of the sinus node, the P wave suddenly deepens. After a preliminary test of the reliability of the technique versus the standard method in 50 CVC placements verified by both EC-ECG and chest x-ray, we have placed 807 CVCs in children using EC-ECG only. There have been no false-positive and one false-negative test result (lead connector misplacement). In 17 cases in which intrinsic deflection was not detected, the catheter tip was found to be wrongly positioned; all the remainder CVCs have been successfully positioned. For 10 years this technique has proved to be a simple, safe, quick, inexpensive and highly reliable method to assess the correct petitioning of the CVC.
| Original language | English |
|---|---|
| Pages (from-to) | 1226-1228 |
| Number of pages | 3 |
| Journal | Journal of Pediatric Surgery |
| Volume | 32 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - Aug 1997 |
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Keywords
- Central venous catheter placement
- Central venous catheters
- Chemotherapy
- Endocavitary electrocardiography
- Total parenteral nutrition
ASJC Scopus subject areas
- Surgery
Cite this
Accurate placement of central venous catheters in pediatric patients using endocavitary electrocardiography : Reassessment of a personal technique. / Parigi, Gian Battista; Verga, Giovanni.
In: Journal of Pediatric Surgery, Vol. 32, No. 8, 08.1997, p. 1226-1228.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Accurate placement of central venous catheters in pediatric patients using endocavitary electrocardiography
T2 - Reassessment of a personal technique
AU - Parigi, Gian Battista
AU - Verga, Giovanni
PY - 1997/8
Y1 - 1997/8
N2 - To avoid the need for radiological control in the assessment of the proper location of central venous catheters (CVC), a particular use of endocavitary electrocardiography (EC-ECG) was proposed 10 years ago. The aim of this study is to reassess our experience with this method. EC-ECG assumes that the CVC, when filled with normosaline and connected to a standard electrocardiograph, behaves like an exploring electrode. The approach of the catheter tip to the right atrium is then detected by a slightly increasing negative P wave. When the tip reaches the exact level of the sinus node, the P wave suddenly deepens. After a preliminary test of the reliability of the technique versus the standard method in 50 CVC placements verified by both EC-ECG and chest x-ray, we have placed 807 CVCs in children using EC-ECG only. There have been no false-positive and one false-negative test result (lead connector misplacement). In 17 cases in which intrinsic deflection was not detected, the catheter tip was found to be wrongly positioned; all the remainder CVCs have been successfully positioned. For 10 years this technique has proved to be a simple, safe, quick, inexpensive and highly reliable method to assess the correct petitioning of the CVC.
AB - To avoid the need for radiological control in the assessment of the proper location of central venous catheters (CVC), a particular use of endocavitary electrocardiography (EC-ECG) was proposed 10 years ago. The aim of this study is to reassess our experience with this method. EC-ECG assumes that the CVC, when filled with normosaline and connected to a standard electrocardiograph, behaves like an exploring electrode. The approach of the catheter tip to the right atrium is then detected by a slightly increasing negative P wave. When the tip reaches the exact level of the sinus node, the P wave suddenly deepens. After a preliminary test of the reliability of the technique versus the standard method in 50 CVC placements verified by both EC-ECG and chest x-ray, we have placed 807 CVCs in children using EC-ECG only. There have been no false-positive and one false-negative test result (lead connector misplacement). In 17 cases in which intrinsic deflection was not detected, the catheter tip was found to be wrongly positioned; all the remainder CVCs have been successfully positioned. For 10 years this technique has proved to be a simple, safe, quick, inexpensive and highly reliable method to assess the correct petitioning of the CVC.
KW - Central venous catheter placement
KW - Central venous catheters
KW - Chemotherapy
KW - Endocavitary electrocardiography
KW - Total parenteral nutrition
UR - http://www.scopus.com/inward/record.url?scp=0030695984&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030695984&partnerID=8YFLogxK
U2 - 10.1016/S0022-3468(97)90687-4
DO - 10.1016/S0022-3468(97)90687-4
M3 - Article
C2 - 9269975
AN - SCOPUS:0030695984
VL - 32
SP - 1226
EP - 1228
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
SN - 0022-3468
IS - 8
ER -