{"title":"在心电图引导下放置中心静脉导管","authors":"Y.L. Argoti-Velasco , O. Carrillo-Torres , R.A. Sandoval-Mendoza , W.G. Paez-Amaya , X.Y. CAhuantzi-Caballero","doi":"10.1016/j.hgmx.2016.09.007","DOIUrl":null,"url":null,"abstract":"<div><p>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.</p><p>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.</p><p>This article explains the procedure for correctly placing the catheter using the technique described.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"81 4","pages":"Pages 262-267"},"PeriodicalIF":0.0000,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.09.007","citationCount":"5","resultStr":"{\"title\":\"Proper electrocardiography-guided placement of a central venous catheter\",\"authors\":\"Y.L. Argoti-Velasco , O. Carrillo-Torres , R.A. Sandoval-Mendoza , W.G. Paez-Amaya , X.Y. CAhuantzi-Caballero\",\"doi\":\"10.1016/j.hgmx.2016.09.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>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.</p><p>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.</p><p>This article explains the procedure for correctly placing the catheter using the technique described.</p></div>\",\"PeriodicalId\":31559,\"journal\":{\"name\":\"Revista Medica del Hospital General de Mexico\",\"volume\":\"81 4\",\"pages\":\"Pages 262-267\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.09.007\",\"citationCount\":\"5\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Medica del Hospital General de Mexico\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0185106316301081\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Medica del Hospital General de Mexico","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0185106316301081","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Proper electrocardiography-guided placement of a central venous catheter
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.
期刊介绍:
The Medical Journal of the Hospital General de Mexico is the official organ of the Medical Society of the Hospital General de Mexico. The journal accepts articles in Spanish or in English on the field of hospital medicine. The journal publishes original articles, clinical cases, reviews articles, history notes, issues on medical education, short communications and editorials at the invitation of the Society. All articles are double blind peer reviewed by at least 2 reviewers and finally classified as accepted or rejected by the Editorial Board.