Practical anatomic landmarks for determining the insertion depth of central venous catheter in paediatric patients

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Practical anatomic landmarks for determining the insertion depth of central venous catheter in paediatric patients.

BACKGROUND Various methods have been recommended to decide a proper insertion depth of central venous catheter (CVC). The carina is recommended as a useful target level for the CVC tip position. We evaluated the sternal head of a right clavicle and the nipples as anatomic landmarks for determining the optimal depth of CVC in paediatric patients. METHODS Ninety children, <5 yr, undergoing cath...

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Bedside prediction of the central venous catheter insertion depth.

BACKGROUND The carina level has been shown to be near the pericardial reflection and can easily be identified as a landmark on a routine chest radiography. The purpose of this study was to reveal a simple method to predict the adequate central venous catheter (CVC) depth, hereby facilitating safe positioning of the CVC tip. METHODS Central venous catheterization was performed via the right in...

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Bedside prediction of central venous catheter insertion depth.

1 Grady RE, Horlocker TT, Brown RD, the Mayo Perioperative Outcomes Group. Neurologic complications after placement of cerebrospinal fluid drainage catheters and needles in anesthetized patients: implications for regional anaesthesia. Anesth Analg 1999; 88: 388–92 2 Chater SN, Greig AJ, Sugden JC. Epidural anaesthesia in the presence of a cerebral tumour. Anaesthesia 1987; 42: 433–4 3 Hilt H, G...

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The successful withdrawal of a migrated central venous catheter

Background: Central venous catheters (CVCs) have been used widely in clinics. These catheters are also recommended for children and infants receiving chemotherapy and total parenteral nutrition (TPN) and etc. In this paper, we present migrated fractured control line of the heart of a girl. Case Presentation: A 2.5 year old girl with migrated of the fractured central line into the heart. In the ...

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Usefulness of the carina as a radiographic landmark for central venous catheter placement in paediatric patients.

BACKGROUND Several reports have proposed radiographic landmarks for the proper positioning of central venous catheters (CVC). The carina is one of the proposed landmarks in adults. Here, we evaluate the possibility of using the carina as a radiographic landmark for the identification of proper positioning of the CVC tip in paediatric patients. METHODS We studied 57 right internal jugular vein...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2009

ISSN: 0007-0912

DOI: 10.1093/bja/aep078