BACKGROUND: To evaluate the usefulness of routine radiologic control after the insertion of a central venous catheter as a tool that might modify treatment of patients. METHODS: A prospective study was made of 149 patients submitted to central venous catheter insertion. RESULTS: In 55% of the patients the roentgenogram showed an adequate placement of the catheter tip and in 3.6% it showed some abnormal finding. Ten modifications were carried out based on the radiologic results. The prolonged partial thromboplastin time value and the subjective degree of difficulty showed a statistical relation to the appearance of complications. The number of punctures above one related to abnormal radiologic findings. CONCLUSIONS: The results suggest that routine chest radiology after the insertion of a central venous catheter is not always necessary and that it should be ordered selectively, according to the findings made during the procedure and the subjective degree of difficulty.
BACKGROUND: To evaluate the usefulness of routine radiologic control after the insertion of a central venous catheter as a tool that might modify treatment of patients. METHODS: A prospective study was made of 149 patients submitted to central venous catheter insertion. RESULTS: In 55% of the patients the roentgenogram showed an adequate placement of the catheter tip and in 3.6% it showed some abnormal finding. Ten modifications were carried out based on the radiologic results. The prolonged partial thromboplastin time value and the subjective degree of difficulty showed a statistical relation to the appearance of complications. The number of punctures above one related to abnormal radiologic findings. CONCLUSIONS: The results suggest that routine chest radiology after the insertion of a central venous catheter is not always necessary and that it should be ordered selectively, according to the findings made during the procedure and the subjective degree of difficulty.
Authors: Scott J Keckler; Troy L Spilde; Brian Ho; KuoJen Tsao; Daniel J Ostlie; George W Holcomb; Shawn D St Peter Journal: J Pediatr Surg Date: 2008-05 Impact factor: 2.545
Authors: Martijn Tolsma; Mohamed Bentala; Peter M J Rosseel; Bastiaan M Gerritse; Homme A J Dijkstra; Paul G H Mulder; Nardo J M van der Meer Journal: J Cardiothorac Surg Date: 2014-11-11 Impact factor: 1.637
Authors: Martijn Tolsma; Tom A Rijpstra; Marcus J Schultz; Paul Gh Mulder; Nardo Jm van der Meer Journal: Ann Intensive Care Date: 2014-04-04 Impact factor: 6.925