March 1, 1990Journal of Parenteral and Enteral Nutrition

Incidence of arrhythmia with central venous catheter insertion and exchange

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Population

Patients undergoing central venous catheter insertion or exchange (n=51 procedures)

Design

Cohort

Follow-up

intraprocedural

Authors

RSR K StuartHarvard University SSSA ShikoraHarvard University Press PAPaul AkermanUniversity Gastroenterology

Discussion

Member takes

Implication

May warrant procedural caution in shorter patients or right subclavian access; leaves open whether technique modifications reduce arrhythmia risk.

Structured PICO

Population

Patients undergoing central venous catheter insertion or exchange (n=51 procedures)

Intervention

Central venous catheter insertion or exchange with guidewire insertion

Outcome

Incidence of cardiac arrhythmias during guidewire insertionsafety

Guidewire insertion during central venous catheter placement frequently causes atrial and ventricular arrhythmias, particularly in shorter patients and with right subclavian access, suggesting a need to avoid over-insertion.

Cite This Study

Stuart et al. (1990) studied this question.

synapsesocial.com/papers/6a7d275d00c5c9efbcaa0ebf https://doi.org/10.1177/0148607190014002152

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Implication

May warrant procedural caution in shorter patients or right subclavian access; leaves open whether technique modifications reduce arrhythmia risk.

Incidence of arrhythmia with central venous catheter insertion and exchange

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Incidence of arrhythmia with central venous catheter insertion and exchange

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider