Central Vein Catheterization with an Electrocardiogram
Journal of the Korean Surgical Society
;
: 231-234, 2004.
Article
in Korean
| WPRIM
| ID: wpr-177361
ABSTRACT
PURPOSE:
This study analyzed the value of an electrocardiogram (ECG) using an arterial pulsator in central vein catheterization (CVC).METHODS:
In 442 patients who underwent CVC with an ECG and an arterial pulsator, this study evaluated the rates of change in the P wave and the QRS wave at the limb lead II before and after insertion. After insertion, a plain chest X-ray was checked in order to locate the catheter tip.RESULTS:
After catheterization, the P wave and the QRS wave increased together at 97% but the P wave (change rate 0.5~21.0) was more sensitive than the QRS wave (change rate 0.5~5.8). For an abnormal location (3%), the rate of change in the P wave was 2.0 were 95% and 100%, and those of the QRS wave >1.4 were 90% and 100%.CONCLUSION:
In central vein catheterization, an electrocardiogram with an arterial pulsator can be a useful method, and the normal position of the catheter tip can be estimated by using a rate of change in the P wave >2.0 or a rate of change in QRS wave >1.4.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thorax
/
Veins
/
Catheterization
/
Sensitivity and Specificity
/
Electrocardiography
/
Extremities
/
Catheters
Type of study:
Diagnostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Surgical Society
Year:
2004
Type:
Article
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