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November 1, 1990Anaesthesia and Intensive CareOpen Access

Positioning Central Venous Catheters – A Prospective Survey

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Why the study?

Does a height-based formula for central venous catheter insertion optimize catheter tip position and avoid right atrial placement?

Population

266 attempted central venous catheterisations by various routes

Design

Cohort

Authors

PPPeter W. Peres

Discussion

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Overview

Height-based CVC lengths may reduce right atrial placement risk; leaves open prospective validation before practice change.

Structured PICO

Does a height-based formula for central venous catheter insertion optimize catheter tip position and avoid right atrial placement?

P
Population
266 attempted central venous catheterisations by various routes
I
Intervention
Central venous catheterisation evaluating the relationship between patient height (H) and ideal catheter length
O
Outcome
Success rate of intrathoracic placement and incidence of immediate complications (including right atrial placement)safety

Patient height can be used to calculate ideal central venous catheter insertion length to minimize the risk of right atrial placement and subsequent cardiac tamponade.

Cite This Study

Peter W. Peres (1990) studied this question.

synapsesocial.com/papers/6a7d275d00c5c9efbcaa0ebehttps://doi.org/10.1177/0310057x9001800422
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Positioning the Right Atrial Catheter1981 · 95 citations
  2. 2Cardiac Tamponade from Central Venous Catheters Report of a Case and Review of the English Literature1984 · 89 citations
  3. 3Cardiac tamponade associated with a multilumen central venous catheter1984 · 51 citations
  4. 4The Infraclavicular Venipuncture1967 · 69 citations
  5. 5A prospective study of subclavian vein catheters used exclusively for the purpose of intravenous feeding1978 · 65 citations