Hickman catheter-induced cardiac tamponade-related cardiac perforation management by mediastinotomy in children and a review of the literature

Cevik, Muazez; Erek, Ersin

doi:10.1016/j.tcr.2021.100436

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…Furthermore, in 2000, the Infusion Nurses Society indicated in a Standards of Practice document that "central catheters should have the distal tip dwelling in the vena cava" [27]. Although there are various different viewpoints, it is generally recommended to avoid intracardiac catheter placement (as suggested by the USFDA) in order to reduce the possibility of fatal complications such as arrhythmia, or cardiac tamponade related to cardiac perforation [28][29][30]. Overall, based on these guidelines, it was concluded that the optimal location of the catheter tip for central venous access is around the CAJ, and more broadly, from the SVC to the mid-RA (not too deep).…”

Section: Plos Onementioning

confidence: 99%

Validation of the PICC length prediction formula based on anteroposterior chest radiographs for bedside ultrasound-guided placement

Cho

Lee²,

Park

et al. 2022

PLoS ONE

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This study aimed to validate the accuracy of the peripherally inserted central catheter (PICC) length prediction formula using only anteroposterior chest radiographs (AP-CXR) and the technical feasibility of bedside ultrasound-guided PICC placement. This study included 156 Asian adult patients who underwent bedside PICC placement at three hospitals from September 2021 to March 2022. The shortest straight-line distance from the cubital crease to the puncture point (CP) was measured first. Using the formula of a previous study, the CP + estimated PICC length (eCL) was calculated with the parameters measured on AP-CXR. The formula was as follows: 19.409 + 0.424 × (MHTD, maximal horizontal thoracic diameter) + 0.287 × (CL, clavicle length) + 0.203 × (DTV, distance of thoracic vertebrae) + (2VBUs, two vertebral body units below the carina inferior border) (if from the left, 3.063cm was added; if female, 0.997cm was subtracted). Catheters were pretrimmed according to calculated eCL prior to the procedure. Technical success was evaluated, and the validation success of catheter length prediction was classified according to the catheter tip position as follows: optimal position or suboptimal position. Technical success was achieved in 153 cases (98.1%). Evaluation of validation success revealed that the position was “optimal” in 108 cases (70.6%) and “suboptimal” in 45 cases (29.4%). There was no validation failure. There was no case where the catheter was inserted too deep as to wedge into the right atrial wall. In conclusion, the PICC could be positioned accurately using the formula based on only AP-CXR. Furthermore, this bedside procedure was technically feasible.

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Section: Plos Onementioning

confidence: 99%

Validation of the PICC length prediction formula based on anteroposterior chest radiographs for bedside ultrasound-guided placement

Cho

Lee²,

Park

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

show abstract

Development and validation of an updated PICC length prediction formula based on anteroposterior chest radiographs for the ultrasound-guided bedside placement

Lee,

Park

et al. 2023

PLoS ONE

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Bedside peripherally inserted central catheter (PICC) placement is sometimes required when the patient’s intrahospital transport is restricted, and the ideal catheter length prediction is needed. This study aimed to develop an updated formula that predicts the optimal length of a PICC based on anteroposterior chest radiographs (AP-CXRs). This retrospective study collected PICC procedure data as the training and validation sets in three hospitals, including cubital crease-puncture point distance (CP), the actual PICC length (aCL), and the approach side. Horizontal and vertical measurement variables were set on the AP-CXRs. Two dependent variables were ipsilateral upper arm length (AL) and ideal truncal catheter length (iTCL). Simple and multiple regression analyses were used for formula development, and it was applied to the test set to evaluate the length prediction performance. The study included 309 patients in the training and validation sets and 91 intensive care patients in the test set. The final derived formula was: (AL + iTCL = CP + estimated PICC length, cm) = 19.831 − 0.062 × (contralateral clavicle length, cm) + 0.255 × (2nd ribs horizontal distance, cm) + 0.720 × (humero-vertebral distance, cm) + 0.761 × (thoraco-carinal distance, cm) + 1.024 × (the vertical distance of two vertebral body units, cm). (If approaching from the left, add 2.843cm, and if female, subtract 0.821cm.) In the test set, there was no case of length prediction failure. Moreover, the catheter tip position was evaluated as optimal in 82 cases (90.1%). This study’s results suggest an updated formula to predict the ideal PICC length using only AP-CXRs for bedside placement.

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Hickman catheter-induced cardiac tamponade-related cardiac perforation management by mediastinotomy in children and a review of the literature

Cited by 2 publications

References 20 publications

Validation of the PICC length prediction formula based on anteroposterior chest radiographs for bedside ultrasound-guided placement

Validation of the PICC length prediction formula based on anteroposterior chest radiographs for bedside ultrasound-guided placement

Development and validation of an updated PICC length prediction formula based on anteroposterior chest radiographs for the ultrasound-guided bedside placement

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