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2016•Revista Médica Del Hospital General De MéxicoOpen access

Proper electrocardiography-guided placement of a central venous catheter

Y.L. Argoti-Velasco, Orlando Carrillo-Torres, R.A. Sandoval-Mendoza, W.G. Paez-Amaya, X.Y. CAhuantzi-Caballero

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Abstract

The placement of central venous catheters (CVC) has become a common procedure. The position of the CVC tip may vary according to the intended use. Ideally it should be placed in the extra-pericardial vena cava due to the potential risk of vascular disruption, cardiac perforation, and/or thrombosis. A simple, economical, little-used method with a high rate of accuracy for positioning the CVC tip is based on electrocardiographic changes in the P wave that occur as it advances towards the vena cava. This article explains the procedure for correctly placing the catheter using the technique described.

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What this paper is about

The placement of central venous catheters (CVC) has become a common procedure. The position of the CVC tip may vary according to the intended use. Ideally it should be placed in the extra-pericardial vena cava due to the potential risk of vascular disruption, cardiac perforation, and/or thrombosis. A simple, economical, little-used method with a high rate of accuracy for positioning the CVC tip is based on electrocardiographic changes in the P wave that occur as it advances towards the vena cava. This article explains the procedure for correctly placing the catheter using the technique described.

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OpenAlex reports 7 citations for this work. Citation counts describe recorded attention and do not establish research quality.

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Available abstract

The placement of central venous catheters (CVC) has become a common procedure. The position of the CVC tip may vary according to the intended use. Ideally it should be placed in the extra-pericardial vena cava due to the potential risk of vascular disruption, cardiac perforation, and/or thrombosis. A simple, economical, little-used method with a high rate of accuracy for positioning the CVC tip is based on electrocardiographic changes in the P wave that occur as it advances towards the vena cava. This article explains the procedure for correctly placing the catheter using the technique described.

Key concepts: Medicine, Central venous catheter, Vena cava, Catheter, Inferior vena cava, Perforation, Venous thrombosis, Thrombosis

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