What is the depth of insertion of right internal jugular central venous catheter?

0

Central venous catheters (CVCs) are inserted in many critically ill patients, but there is no gold standard in estimating their approximate depth of insertion. Many techniques have been described in literature. In this study, we compare the topographic method with the standard formula technique” Vinay and Tejesh (2016).

Abstract:

BACKGROUND: Central venous catheters (CVCs) are inserted in many critically ill patients, but there is no gold standard in estimating their approximate depth of insertion. Many techniques have been described in literature. In this study, we compare the topographic method with the standard formula technique.

MATERIALS AND METHODS: 260 patients, in whom central venous catheterization was warranted, were randomly assigned to either topographic method or formula method (130 in each group). The position of the CVC tip in relation to carina was measured on a postprocedure chest X-ray. The primary endpoint was the need for catheter repositioning.

RESULTS: The majority of the CVCs tips positioned by the formula method were situated below the carina, and 68% of these catheters required repositioning after obtaining postprocedure chest X-ray (P < 0.001).

CONCLUSION: The topographic method is superior to formula approach in estimating the depth of insertion of right internal jugular CVCs.

Reference:

Vinay, M. and Tejesh, C.A. (2016) Depth of insertion of right internal jugular central venous catheter: Comparison of topographic and formula methods. Saudi Journal of Anaesthesia. 10(3), p.255-8.

doi: 10.4103/1658-354X.174904.

Thank you to our partners for supporting IVTEAM

Share.

Comments are closed.

Free Email Updates
Join 5.5K IVTEAM members. Subscribe now and be the first to receive all the latest free updates from IVTEAM!
100% Privacy. We don't spam.