Comparative Study of Three Methods for Depth of Central Venous Catheter Placement in Children: An Observational Pilot Study

Chaskar, Vaishali; Karnik, Priyanka Pradeep; Dave, Nandini; Garasia, Madhu

doi:10.5152/tjar.2018.32748

Cited by 9 publications

(7 citation statements)

References 21 publications

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“…However, people of the same height can have different body habitus that affect the corresponding fixed catheter depth. Many studies suggested that the optimal central line depth was significantly related to the central line curvature within the human body. In this study, a height and a body surface measurement (D) are included in the prediction equation, which is further individualized and useful for wide promotion.…”

Section: Discussionmentioning

confidence: 99%

Determination and prediction of the appropriate depth of right internal jugular vein catheterization via the middle approach in adults using transesophageal echocardiography

Sun

Feng

2019

Echocardiography

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Purpose The appropriate depth of right internal jugular venous (RIJV) catheterization is still under debated. In this study, transesophageal echocardiography (TEE) is used to develop a prediction formula for fixed RIJV catheter depth. Methods Eighty patients with indications for intraoperative TEE and central line placement were enrolled. After intubation, a RIJV catheter was inserted via the middle approach using the Seldinger technique. When the J‐tip of the guide wire appeared at the junction of the superior vena cava and the right atrium under TEE guidance, the guide wire was pulled back by approximately 2‐3 cm, until its tip was out of the pericardial fold. This depth was regarded as the insertion depth of the central venous catheter. Body landmark distance was measured, and the prediction formula was generated. Results The mean central line depth after TEE‐guided placement was 15.1 ± 1.7 cm. The prediction formula developed is as follows: Insertion depth = (Height ÷ 20) + (D ÷ 2), where D equals the distance from the insertion point to the sternal angle via the right sternoclavicular joint (r = 0.595, r2 = 0.354, P < 0.01). Conclusions TEE is an effective method for determining the appropriate insertion depth for an RIJV catheter. The prediction formula can be used as a reference for future RIJV catheterizations via the middle approach.

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Section: Discussionmentioning

confidence: 99%

Determination and prediction of the appropriate depth of right internal jugular vein catheterization via the middle approach in adults using transesophageal echocardiography

Sun

Feng

2019

Echocardiography

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“…The selection of the appropriate length and diameter of the catheter is very important and is determined by several factors, such as the height of the patient and the selected vessel for catheterization 26 . There are several methods available in order to determine the appropriate length of the catheter, such as: Peres formula, TEE formula (trans-oesophangeal) and calculation based on external landmarks 15 • this option was selected for our study. Another critical issue is the determination of the position of the catheter tip.…”

Section: Prevention Of Suboptimal Placementmentioning

confidence: 99%

Malpositioning of Long-Staying Central Venous Catheters in the Pediatric Population: Incidence and Potential Complications. A Single-Center Retrospective Study and a Narrative Review of the Literature.

Kouna

Noutsos

Koufopoulou

et al. 2023

MRAJ

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Central Venous Catheters insertion is a very common procedure performed at the operation room and the Intensive Care Unit. In the paediatric population they are frequently used to administer fluids, blood products, resuscitation drugs, parenteral nutrition and chemotherapy. One of the reported complications, though a less commonly described one, is the inappropriate position of the tip of the CVC in a vessel other than the superior vena cava. In this study, we initially present the anatomy of the superior vena cava system and that of the internal jugular vein, the optimal catheter tip position as well as the possible suboptimal catheter tip locations. Subsequently, paediatric chest X-rays of our hospital with catheter tip malpositioning are illustrated, after internal jugular vein catheterization. Following, we discuss possible mechanisms of central venous catheters malpositioning, signs and symptoms which could help us identify a wrong placement and also how to prevent as well as how to fix one. Finally, an interrelation between malpositioning, malfunction and the existence of infection or thrombosis is investigated. Our study concluded that the right internal jugular vein should be the first choice in all cases of vessel implantation, mainly based on our statistical analysis results, which suggested that this vessel was associated with the least possibility of erroneous catheter placement. Another important clue of our study is based on the fact that the inappropriate positioning of a central venous catheter over the long term could be a significant predisposing factor of malfunction, along with infection and thrombosis.

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“…V., Shtilman M. Yu., Chumburidze I. P. tomical landmark widely used in clinical practice [2][3][4][5]. Anatomical variations of the sternal angle have considerable clinical significance.…”

Section: ключевые слова: угол грудины дети ультразвуковое исследованиеmentioning

confidence: 99%

Topographic and anatomic peculiarities of relative location of the manubrium and the body of sternum in children of primary school age

Kivva¹,

Chepurnoy²,

Byashimov³

et al. 2022

Medical news of the North Caucasus

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Comparative Study of Three Methods for Depth of Central Venous Catheter Placement in Children: An Observational Pilot Study

Abstract: Catheter tip placement by external distance or landmark technique is a more accurate method for catheter placement than the Peres and TEE-based formulae. It does not require measurement of patients' height and reduces the chances of repositioning of catheter.

Cited by 9 publications

References 21 publications

Determination and prediction of the appropriate depth of right internal jugular vein catheterization via the middle approach in adults using transesophageal echocardiography

Determination and prediction of the appropriate depth of right internal jugular vein catheterization via the middle approach in adults using transesophageal echocardiography

Malpositioning of Long-Staying Central Venous Catheters in the Pediatric Population: Incidence and Potential Complications. A Single-Center Retrospective Study and a Narrative Review of the Literature.

Topographic and anatomic peculiarities of relative location of the manubrium and the body of sternum in children of primary school age

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