[Silastic catheters: pinpointing the end tip of the catheter by means of electrocardiographic monitoring].
The placement of catheters with a silastic center has been a common procedure in neonatal intensive care units for several years. Nonetheless, this procedure, like many others, bears its risks and complications if not properly carried out. The majority of complications, which are described in medical journals, include arrhythmias, myocardiac perforations, thrombosis, hemorrhage in the pleura, etc., and these are related with the catheter and its possible movement inside the blood vessel where it was originally inserted. The usual exploratory procedure to pinpoint the end tip of the catheter has been an ordinary x-ray, but often this x-ray does not allow one to see precisely where the catheter tip is located. This problem is caused by the tiny catheter calibre which does not allow for all the necessary contrast; because of this, it is frequently necessary to administer a radiopaque contrasting sub-stance and then repeat the x-ray in order to ensure that the catheter tip is located exactly where it should be. By means of electrocardiographic monitoring, a three-pronged key with an electrode and a 5.85% sodium chloride solution, it is possible to pinpoint the end tip of the catheter without resorting to an x-ray nor administering a contrasting solution.
Giraldo Lozano
L
L
Hospital Casa de Maternidad de Barcelona.
Barjau Capdevila
M
M
D002405:Catheterization, Central Venous; D002408:Catheters, Indwelling; D004562:Electrocardiography; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008991:Monitoring, Physiologic; D012826:Silicone Elastomers
D012826:Silicone Elastomers