ultrasound for localization of central venous catheter: a good alternative to chest x-ray?
نویسندگان
چکیده
conclusions despite close concordance between ultrasonography and chest radiography, ceus is not a suitable alternative for standard chest radiography in detecting cvc location; however, considering its high sensitivity and acceptable specificity in our study, its usefulness as a triage method for detecting cvc location on a real-time basis in the operating room cannot be ignored. results chest radiography revealed 16 cvc misplacements: two cases of intravascular and 14 cases of right atrium (ra) misplacement. ceus detected 11 true catheter malpositionings in the ra, while it could not recognize seven catheter placements correctly. ceus showed two false ra misplacements and five falsely correct cvc positions. a sensitivity of 98% and specificity of 69% were achieved for ceus in detecting cvc misplacements. positive and negative predictive values were 95% and 85%, respectively. the interrater agreement (kappa) between ceus and radiography was 0.72 (p < 0.001). background chest radiography after central venous catheter (cvc) insertion is the main method of verifying the catheter location. despite the widespread use of radiography for detecting catheter position, x-ray may not always be readily available, especially in the operating room. objectives we aimed to compare contrast-enhanced ultrasonography (ceus) and chest radiography for detecting the correct location of cvcs. methods one hundred sixteen consecutive patients with indications for cvc before cardiac surgery were enrolled in this observational study. after catheter insertion, ceus was performed. portable radiography was obtained postoperatively in the intensive care unit. sensitivity, specificity, and predictive values were determined by comparing the ultrasonography results with radiographic findings as a reference standard.
منابع مشابه
Ultrasound for Localization of Central Venous Catheter: A Good Alternative to Chest X-Ray?
BACKGROUND Chest radiography after central venous catheter (CVC) insertion is the main method of verifying the catheter location. Despite the widespread use of radiography for detecting catheter position, x-ray may not always be readily available, especially in the operating room. OBJECTIVES We aimed to compare contrast-enhanced ultrasonography (CEUS) and chest radiography for detecting the c...
متن کاملWhat abnormality is evident on the chest X-ray after placement of the central venous catheter?
متن کامل
Ultrasound Guidance for Central Venous Catheter Placement
tive technique for the percutaneous insertion of large-bore catheters into blood vessels that allowed for the application of angiocatheters for angiography. The Seldinger technique for central venous catheter (CVC) placement is ubiquitous in medical practice and the procedure is well known. Briefly, the procedure involves introducing a percutaneous needle into the vessel, passing a guidewire th...
متن کاملThe 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 ...
متن کاملCentral Venous Catheter Tips Showing Pigtail Features on Chest X-Ray to Both Sides of the Sternum-Highlighting the Causes
Despite the level of skill of the operator and the use of ultrasound guidance, central venous catheter (CVC) placement can result in CVC malpositioning, i.e., an unintended placement of the catheter tip in an inadequate vessel. CVC malpositioning is not a complication of central line insertion; however, undiagnosed CVC malpositioning can be associated with significant morbidity and mortality.
متن کاملSaline Flush versus Chest x ray in Confirmation of Central Venous Catheter Placement; a Diagnostic Accuracy Study
Introduction Central venous catheterization (CVC) is a commonly performed procedure in critically ill patients of emergency department. This study was designed to compare the diagnostic accuracy of saline flush with CXR in confirmation of above-the-diaphragm CVC placement. Methods This prospective cross sectional study was conducted on adult patients in need of CVC placement in emergency depa...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
anesthesiology and pain medicineجلد ۶، شماره ۵، صفحات ۰-۰
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023