Benjamin Hobson, Patrick Thorburn, Theophilus Samuels, Luke Hodgson
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Ipsilateral placement of central venous catheters and dialysis catheters does not affect the distance between line tips, blood pressure or noradrenaline requirements.
Debate exists about the safety of inserting central venous catheters (CVC) and central venous dialysis catheters (CVDC) ipsilaterally, lest the catheter tips lie in close proximity risking direct aspiration of vasopressors from the CVC into the CVDC. This study showed that ipsilateral or contralateral placement did not affect the distance between CVC and CVDC line tips. There were no significant adverse changes in cardiovascular parameters or noradrenaline dose when CRRT was commenced regardless of whether the lines were inserted ipsilaterally or contralaterally.
期刊介绍:
The Journal of the Intensive Care Society (JICS) is an international, peer-reviewed journal that strives to disseminate clinically and scientifically relevant peer-reviewed research, evaluation, experience and opinion to all staff working in the field of intensive care medicine. Our aim is to inform clinicians on the provision of best practice and provide direction for innovative scientific research in what is one of the broadest and most multi-disciplinary healthcare specialties. While original articles and systematic reviews lie at the heart of the Journal, we also value and recognise the need for opinion articles, case reports and correspondence to guide clinically and scientifically important areas in which conclusive evidence is lacking. The style of the Journal is based on its founding mission statement to ‘instruct, inform and entertain by encompassing the best aspects of both tabloid and broadsheet''.