Intracavitary electrocardiography-guided positioning of central vascular access device can spare unnecessary ionizing radiation exposure in pediatric patients

医学 心电图 射线照相术 导管 辐射暴露 胸片 透视 放射科 核医学 内科学
作者
Alessandro Raffaele,Aviad Segal,Piero Romano,Fabrizio Vatta,Stella Boghen,Federico Bonetti,Gian Battista Parigi,Luigi Avolio
出处
期刊:Journal of Vascular Access [SAGE]
卷期号:22 (1): 64-68 被引量:4
标识
DOI:10.1177/1129729820923936
摘要

Background: Most hospital protocols—including those of our own institute—require the use of radiography to validate tip position in every central vascular access device placement. This study evaluated whether unnecessary ionizing radiation exposure could be spared in the pediatric population when intracavitary electrocardiography is used to guide catheter placement. Material and methods: Retrospective study of intracavitary electrocardiography-guided central vascular access device placements in our pediatric surgery department between 2013 and 2018. We evaluated the operating time, success in positioning the catheter, and accuracy of final tip position. We also assayed the effects of catheter type and of catheter access point on operating time, success, accuracy, and complications. We applied the chi-square test for statistical analysis. Results: In total, 622 interventions of central vascular access device placements were evaluated; 340 intracavitary electrocardiography-guided central vascular access device placements were included in the study. The electrocardiography method successfully positioned the tip of the catheter in 316/340 (92.94%) of placements. Where intracavitary electrocardiography placement was successful, radiography confirmed accuracy of tip position in 314/316 (99.41%) of placements. Conclusion: When electrocardiography-guided positioning is uneventful and a valid P-Wave pattern is seen, postprocedure radiograph imaging for verification is unnecessary. Any effort should be made to upgrade hospital policies according to evidences and newest guidelines to spare pediatric patients harmful exposure to radiation by limiting the use of radiography only to selected cases.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI

祝大家在新的一年里科研腾飞
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
zz完成签到 ,获得积分10
1秒前
hahaha完成签到 ,获得积分10
3秒前
3秒前
芝士大王完成签到 ,获得积分10
5秒前
rous完成签到,获得积分10
10秒前
guojin发布了新的文献求助10
10秒前
12秒前
Luo完成签到,获得积分10
13秒前
雪球发布了新的文献求助10
14秒前
17秒前
烟花应助高分子狗采纳,获得10
18秒前
20秒前
yxx发布了新的文献求助20
20秒前
书羽发布了新的文献求助10
24秒前
碧蓝飞雪完成签到,获得积分10
24秒前
Will3978发布了新的文献求助10
25秒前
Luo发布了新的文献求助10
25秒前
29秒前
30秒前
snail完成签到 ,获得积分10
31秒前
高分子狗发布了新的文献求助10
33秒前
平常安雁完成签到 ,获得积分10
34秒前
傲娇石头应助通义千问采纳,获得10
35秒前
杳鸢应助研友Bn采纳,获得200
36秒前
37秒前
38秒前
Candice应助nainai采纳,获得10
39秒前
小张发布了新的文献求助10
40秒前
41秒前
41秒前
高分子狗完成签到,获得积分20
42秒前
汉堡包应助yxx采纳,获得10
44秒前
小杨完成签到 ,获得积分10
46秒前
大鲟完成签到 ,获得积分10
47秒前
记忆完成签到,获得积分10
47秒前
CodeCraft应助通义千问采纳,获得80
51秒前
reck发布了新的文献求助10
52秒前
健忘的听南完成签到,获得积分10
52秒前
张霸道完成签到,获得积分10
55秒前
58秒前
高分求助中
Востребованный временем 2500
Les Mantodea de Guyane 1000
Very-high-order BVD Schemes Using β-variable THINC Method 950
Field Guide to Insects of South Africa 660
The Three Stars Each: The Astrolabes and Related Texts 500
The Collected Works of Jeremy Bentham: Rights, Representation, and Reform: Nonsense upon Stilts and Other Writings on the French Revolution 320
Product Class 33: N-Arylhydroxylamines 300
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 物理化学 催化作用 细胞生物学 免疫学 冶金
热门帖子
关注 科研通微信公众号,转发送积分 3387101
求助须知:如何正确求助?哪些是违规求助? 3000059
关于积分的说明 8788785
捐赠科研通 2685819
什么是DOI,文献DOI怎么找? 1471253
科研通“疑难数据库(出版商)”最低求助积分说明 680200
邀请新用户注册赠送积分活动 672900