The accuracy of electrocardiogram-controlled central line placement.

The accuracy of electrocardiogram-controlled central line placement. Research Abstract Details 

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The accuracy of electrocardiogram-controlled central line placement. Abstract Text:

L Saager,E Wiesner,A Rothhammer,G Pestel,

BACKGROUND: Electrocardiogram (ECG) guidance to confirm accurate positioning of central venous catheters (CVC), placed before surgery in the operating room, is rarely used in the United States. We designed this randomized, controlled trial to investigate whether the use of this technique impacts the accuracy of CVC placement. METHODS: Patients in group ECG (n = 147) had a CVC placed using right-atrial ECG to guide catheter tip positioning. CVCs in group NO-ECG (n = 143) were positioned without this technique. RESULTS: Overall, guidewire-ECG control resulted in more correctly positioned CVCs (96% vs 76%, P < or = 0.001) without increasing placement time. Significantly more CVCs were placed in the middle of the superior vena cava in group ECG (P < or = 0.001), although placement into the right atrium or right ventricle and into other vessels occurred significantly more often in group NO-ECG (P < or = 0.001). Twenty patients in group NO-ECG required repositioning of their CVC after surgery, whereas this maneuver was necessary only in three patients in group ECG (P < or = 0.001). CONCLUSIONS: ECG guidance allows for more accurate CVC placement, and should be considered to increase patient safety and reduce costs associated with repositioning procedures.

The accuracy of electrocardiogram-controlled central line placement. Publishing Authors By Initials

L Saager,E Wiesner,A Rothhammer,G Pestel,

For similar surgical procedures, operative: surgical procedures, elective research abstracts see: surgical procedures, operative: surgical procedures, elective research

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The accuracy of electrocardiogram-controlled central line placement. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Anesthesia and analgesia

VOLUME: 104

Page Numbers: 65-70

Journal Abbreviation: Anesth. Analg.

ISSN: 1526-7598

DAY: 3

MONTH: Jan

YEAR: 2007

The accuracy of electrocardiogram-controlled central line placement. Information

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LANGUAGE: eng

NlmUniqueID: 1310650

The accuracy of electrocardiogram-controlled central line placement. Keywords Mesh Terms:

KEYWORDS: Surgical Procedures, Elective

MESH TERMS: methods

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Grant and Affiliation Information for The accuracy of electrocardiogram-controlled central line placement.

AFFILIATION: Department of Anesthesiology, Ryder Trauma Center T-239, University of Miami-Miller School of Medicine, Miami, Florida 33136-1018, USA. rgebhard@med.miami.edu

Country: United States

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MEDLINETA: Anesth Analg

REFSOURCE: Anesth Analg. 2007 Nov;105(5):1511; auth

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