지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.1
- 수록면
- 222 - 226 (5page)
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초록· 키워드
오류제보하기
Purpose: To investigate the reliability of intra-atrial electrocardiogram (ECG) use for external jugular vein (EJV)
catheterization. Materials and Methods: Patients undergoing open heart surgery in Suleyman Demirel University Hospital
between February and June 2006 were included in the study. Using a sterile Seldinger technique, a triple lumen polyurethane
central venous catheter was introduced (Certofix® Trio V 720, length 20 cm, 7 French) under intra-atrial ECG guidance. The
presence of an increase in P-wave size was recorded. Just after the surgery, a portable chest X-ray was taken. The method
was considered to be successful when a change in P-wave could be seen and the catheter was in the superior vena cava, as
well as when there was no change in P-wave and the catheter was not in the superior vena cava. Results: In six patients
(12%), we were not able to advance the guidewire. In the remaining 44 patients, the catheter was inserted without problem.
Eight of these 44 catheters were positioned in the innominate vein, with a malposition ratio of 18%. The success rate of
external jugular vein cannulation with intra-atrial ECG was 95%. No complications occured related to the EJV cannulation.
Conclusion: Considering that it is easily accessed without complication, and the malposition is successfully detected by
intra-atrial ECG, EJV is a suitable access for central venous cannulation when internal jugular vein (IJV) is not usable.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
/ / Illustrated encyclopedia of human anatomic variation
Aslamy Z / 1998 / MRI of central venous anatomy: implications for central venous catheter insertio / Chest 114 : 820 ~ 826
Belani KG / 1980 / Percutaneous cervical central venous line placement: a comparison of the internal and external jugular vein routes / Anesth Analg 59 : 40 ~ 44
Cho SK / 2006 / Use of the right external jugular vein as the preferred access site when the right internal jugular vein is not usable / J Vasc Interv Radiol 17 : 823 ~ 829
Chu KS / 2004 / Accurate central venous port-A catheter placement: intravenous electrocardiography and surface landmark techniques compared by using transesophageal echocardi
Aslamy Z / 1998 / MRI of central venous anatomy: implications for central venous catheter insertio / Chest 114 : 820 ~ 826
Belani KG / 1980 / Percutaneous cervical central venous line placement: a comparison of the internal and external jugular vein routes / Anesth Analg 59 : 40 ~ 44
Cho SK / 2006 / Use of the right external jugular vein as the preferred access site when the right internal jugular vein is not usable / J Vasc Interv Radiol 17 : 823 ~ 829
Chu KS / 2004 / Accurate central venous port-A catheter placement: intravenous electrocardiography and surface landmark techniques compared by using transesophageal echocardi
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