Proper electrocardiography-guided placement of a central venous catheter | Zendy

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

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Proper electrocardiography-guided placement of a central venous catheter

Author(s) -

Y.L. Argoti-Velasco,

Orlando Carrillo-Torres,

R.A. Sandoval-Mendoza,

W.G. Paez-Amaya,

X.Y. CAhuantzi-Caballero

Publication year - 2016

Publication title -

revista médica del hospital general de méxico

Language(s) - English

Resource type - Journals

eISSN - 2524-177X

pISSN - 0185-1063

DOI - 10.1016/j.hgmx.2016.09.007

Subject(s) - medicine , central venous catheter , vena cava , catheter , inferior vena cava , perforation , venous thrombosis , thrombosis , surgery , engineering , mechanical engineering , punching

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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