[Placement of central venous catheters using intra-arterial ECG recording].
Due to the complications associated with the incorrect placement of a central venous pressure (cvp) catheter, the correct positioning of a cvp catheter must be controlled. The widespread standard in many hospitals is to carry out a chest x-ray (cxr) following the infusion of a contrast medium through the catheter tip. Together with a recent publication and our experience we would like to introduce a method, which is presently not in widespread use, which enables the exact localization of a catheter tip under ECG control. This technique is simple to apply, reliable and time saving. Furthermore it costs only 20% of the amount required for a radiologically controlled catheter placement. Important for ECG-guided catheter placement control is the availability of an ECG monitor suited for intracardial application and the patients heart rate must be in sinus rhythm.
Klinik für Anästhesiologie und operative Intensivmedizin, Freien Universität Berlin.
M
M
Schäfer
K
K
Reinhart
D002405:Catheterization, Central Venous / Q000295:instrumentation*; D004562:Electrocardiography / Q000295:instrumentation*; D004566:Electrodes; D006801:Humans; D007601:Jugular Veins; D014683:Vena Cava, Superior