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Maddali DMM, Salim Al Aliyani DKR, Arora DNR, Sathiya MPM. Central Venous Catheter Tip Malposition Following Internal Jugular Vein Cannulation In Pediatric Patients With Congenital Heart Disease. J Cardiothorac Vasc Anesth 2022; 36:2483-2487. [DOI: 10.1053/j.jvca.2022.01.033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 01/08/2022] [Accepted: 01/19/2022] [Indexed: 11/11/2022]
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Abstract
These practice guidelines update the Practice Guidelines for Central Venous Access: A Report by the American Society of Anesthesiologists Task Force on Central Venous Access, adopted by the American Society of Anesthesiologists in 2011 and published in 2012. These updated guidelines are intended for use by anesthesiologists and individuals under the supervision of an anesthesiologist and may also serve as a resource for other physicians, nurses, or healthcare providers who manage patients with central venous catheters.
Supplemental Digital Content is available in the text.
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Isaak RS, Kumar PA, Arora H. PRO: Transesophageal Echocardiography Should Be Routinely Used for All Liver Transplant Surgeries. J Cardiothorac Vasc Anesth 2017; 31:2282-2286. [DOI: 10.1053/j.jvca.2016.11.026] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Indexed: 11/11/2022]
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Yoshimura M, Nakanishi T, Sakamoto S, Toriumi T. Confirmation of optimal guidewire length for central venous catheter placement using transesophageal echocardiography. J Clin Anesth 2016; 35:58-61. [DOI: 10.1016/j.jclinane.2016.07.032] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2016] [Revised: 06/10/2016] [Accepted: 07/14/2016] [Indexed: 10/21/2022]
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Arellano R, Nurmohamed A, Rumman A, Day AG, Milne B, Phelan R, Tanzola R. The utility of transthoracic echocardiography to confirm central line placement: An observational study. Can J Anaesth 2014; 61:340-6. [DOI: 10.1007/s12630-014-0111-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2013] [Accepted: 01/14/2014] [Indexed: 12/01/2022] Open
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Weiner MM, Geldard P, Mittnacht AJ. Ultrasound-Guided Vascular Access: A Comprehensive Review. J Cardiothorac Vasc Anesth 2013; 27:345-60. [DOI: 10.1053/j.jvca.2012.07.007] [Citation(s) in RCA: 80] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2012] [Indexed: 11/11/2022]
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Carrasco Del Castillo JL, Bussières J, Rochon AG, Denault AY. Guidewire localization with transesophageal echocardiography: do not forget the left side. Can J Anaesth 2012; 59:811-2. [PMID: 22644429 DOI: 10.1007/s12630-012-9724-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2011] [Accepted: 04/30/2012] [Indexed: 10/28/2022] Open
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Point-of-care transthoracic echocardiography as an alternative to transesophageal echocardiography to confirm internal jugular guidewire position. Can J Anaesth 2011; 59:103-4. [DOI: 10.1007/s12630-011-9608-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2011] [Accepted: 10/06/2011] [Indexed: 10/16/2022] Open
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Stone MB, Nagdev A, Murphy MC, Sisson CA. Ultrasound detection of guidewire position during central venous catheterization. Am J Emerg Med 2010; 28:82-4. [DOI: 10.1016/j.ajem.2008.09.019] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2008] [Accepted: 09/09/2008] [Indexed: 10/20/2022] Open
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Chen CY, Chen KY, Taso SL, Lin SK, Lu KT. Perforation of the right innominate vein by pulmonary artery catheter introducer sheath: a case report. J Clin Anesth 2009; 21:206-8. [DOI: 10.1016/j.jclinane.2008.06.040] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2007] [Revised: 06/16/2008] [Accepted: 06/25/2008] [Indexed: 10/20/2022]
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Jung TE, Jee D. Misplaced central venous catheter in the jugular venous arch exposed during dissection before sternotomy. J Clin Anesth 2008; 20:542-5. [PMID: 19019666 DOI: 10.1016/j.jclinane.2008.05.023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2007] [Revised: 05/16/2008] [Accepted: 05/16/2008] [Indexed: 10/21/2022]
Abstract
Subclavian vein catheterization rarely results in misplacement of the central venous catheter (CVC) into the jugular venous arch (JVA). We present a case of misplacement of the CVC into the JVA during cardiac surgery.
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Affiliation(s)
- Tae-Eun Jung
- Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine, Daegu, Republic of Korea
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Pikwer A, Bååth L, Davidson B, Perstoft I, Åkeson J. The Incidence and Risk of Central Venous Catheter Malpositioning: A Prospective Cohort Study in 1619 Patients. Anaesth Intensive Care 2008; 36:30-7. [PMID: 18326129 DOI: 10.1177/0310057x0803600106] [Citation(s) in RCA: 94] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Central venous catheters are used in various hospital wards. An anterior-posterior chest X-ray is usually obtained soon after cannulation to assess the location of the catheter tip. This prospective clinical study was designed to determine the radiographic catheter tip position after central venous cannulation by various routes, to identify clinical problems possibly associated with the use of malpositioned catheters and to make a cost-benefit analysis of routine chest X-ray with respect to catheter malposition. A total 1619 central venous cannulations were recorded during a three-year period with respect to patient data, information about the cannulation procedures, the radiographic catheter positions and complications during clinical use. The total incidence of radiographic catheter tip malposition, defined as extrathoracic or ventricular positioning, was 3.3% (confidence interval 2.5 to 4.3%). Cannulation by the right subclavian vein was associated with the highest risk of malposition, 9.1%, compared with 1.4% by the right internal jugular vein. Six of the 53 malpositioned catheters were removed or adjusted. No case of malposition was associated with vascular perforation, local venous thrombosis or cerebral symptoms. We conclude that the radiographic incidence of central venous catheter malpositioning is low and that clinical use of malpositioned catheters is associated with few complications. However, determination of the catheter position by chest X-ray should be considered when mechanical complications cannot be excluded, aspiration of venous blood is not possible, or the catheter is intended for central venous pressure monitoring, high flow use or infusion of local irritant drugs.
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Affiliation(s)
- A. Pikwer
- Departments of Anaesthesiology and Intensive Care Medicine, and of Diagnostic Radiology, Lund University, Malmö University Hospital, Malmö, Sweden
- Resident Anaesthesiologist, Department of Anaesthesiology and Intensive Care Medicine
| | - L. Bååth
- Departments of Anaesthesiology and Intensive Care Medicine, and of Diagnostic Radiology, Lund University, Malmö University Hospital, Malmö, Sweden
- Consultant Radiologist, Department of Diagnostic Radiology
| | - B. Davidson
- Departments of Anaesthesiology and Intensive Care Medicine, and of Diagnostic Radiology, Lund University, Malmö University Hospital, Malmö, Sweden
- Consultant Anaesthesiologist, Department of Anaesthesiology and Intensive Care Medicine
| | - I. Perstoft
- Departments of Anaesthesiology and Intensive Care Medicine, and of Diagnostic Radiology, Lund University, Malmö University Hospital, Malmö, Sweden
- Nurse Anesthetist and IT Technician, Department of Anaesthesiology and Intensive Care Medicine
| | - J. Åkeson
- Departments of Anaesthesiology and Intensive Care Medicine, and of Diagnostic Radiology, Lund University, Malmö University Hospital, Malmö, Sweden
- Associate Professor and Consultant Anaesthesiologist, Department of Anaesthesiology and Intensive Care Medicine
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