Intravascular Electrocardiography
A. Introduction There are multiples methods for verifying optimal placement of central line catheters
after insertion. Some methods are too costly such as Trans esophageal echocardiogram (TEE).
Fluoroscopy can also be used for placement confirmation but leads to additional costs as well as
delays in total insertion time. Historically, use of chest xray for tip line verification has been the gold
standard for central line placement confirmation. With the introduction of newer technologies,
intravascular Electrocardiography (ECG) has shown it is both accurate and safe for rapid position
verification, with the additional advantage of avoiding delays and decreasing costs associated with the
procedure. Quantifying the amount of time saved using ... Show more content on Helpwriting.net ...
JAVA , 15 (1), 8 14. Pittiruti, M., Bertollo, D., Briglia, E., Buononato, M., Capozzoli, G., De Simone,
L., et al. (2012). The intracavitary ECG method for positioning the tip of central venous catheters:
results of an Italian multicenter study. Journal of Vascular Access , 13 (3), 357 365. Pittiruti, M.,
Scoppettuolo, G., LaGreca, A., Emoli, A., Brutti, A., Migliorini, I., et al. (2008). The EKG method for
Positioning the Tip of PICCs: Results from Two Preliminary Studies. JAVA , 13 (4), 179 186.
Schummer, C., Schummer, W., Schelenz, C., Brandes, H., Stock, U., Muller, T., et al. (2004). Central
venous catheters the inability of intra atrial ECG to prove adequate positioning. British Journal of
Anaesthesia , 193 198. Scott, W. L. (1995). Central venous cathters. An overview of Food and Drug
Administration activities. Surgical Oncology Clinic of North America , 4 (3), 377 393. Smith, B.,
Neuharth, R., Hendrix, M. A., McDonnall, D., Michaels, A. D. (2010). Intravenous
electrocardiographic guidance for placement of peripherally inserted central catheters. Journal of
Electrocardiology , 43 (3),
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