[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.
Schäfer
M
M
Klinik für Anästhesiologie und operative Intensivmedizin, Freien Universität Berlin.
Reinhart
K
K
D002405:Catheterization, Central Venous / Q000295:instrumentation*; D004562:Electrocardiography / Q000295:instrumentation*; D004566:Electrodes; D006801:Humans; D007601:Jugular Veins; D014683:Vena Cava, Superior