| dc.creator |
Ozmen, Sadik |
|
| dc.creator |
Peker, Tulay Tuncer |
|
| dc.creator |
Altinisik, Ugur |
|
| dc.creator |
Karaaslan, Dilek |
|
| dc.creator |
Nayir, Esra |
|
| dc.date |
2009-04-30T00:00:00Z |
|
| dc.date.accessioned |
2021-12-03T11:14:38Z |
|
| dc.date.available |
2021-12-03T11:14:38Z |
|
| dc.identifier |
065b05a6-0d33-49b6-8786-67ed83adb3bd |
|
| dc.identifier |
10.3349/ymj.2009.50.2.222 |
|
| dc.identifier |
https://avesis.sdu.edu.tr/publication/details/065b05a6-0d33-49b6-8786-67ed83adb3bd/oai |
|
| dc.identifier.uri |
http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/89760 |
|
| dc.description |
Purpose: To investigate the reliability of intra-atrial electrocardiogram (ECG) use for external jugular vein (EJV) catheterization. Materials and Methods: Patients undergoing open heart surgery in Suleyman Demirel University Hospital between February and June 2006 were included in the study. Using a sterile Seldinger technique, a triple lumen polyurethane central venous catheter was introduced (Certofix (R) Trio V 720, length 20 cm, 7 French) under intra-atrial ECG guidance. The presence of an increase in P-wave size was recorded. Just after the surgery, a portable chest X-ray was taken. The method was considered to be successful when a change in P-wave could be seen and the catheter was in the superior vena cava, as well as when there was no change in P-wave and the catheter was not in the superior vena cava. Results: In six patients (12%), we were not able to advance the guidewire. In the remaining 44 patients, the catheter was inserted without problem. Eight of these 44 catheters were positioned in the innominate vein, with a malposition ratio of 18%. The success rate of external jugular vein cannulation with intra-atrial ECG was 95%. No complications occured related to the EJV cannulation. Conclusion: Considering that it is easily accessed without complication, and the malposition is successfully detected by intra-atrial ECG, EJV is a suitable access for central venous cannulation when internal jugular vein (IJV) is not usable. |
|
| dc.language |
eng |
|
| dc.rights |
info:eu-repo/semantics/closedAccess |
|
| dc.title |
External Jugular Vein Catheterization Using 'Intra-Atrial Electrocardiogram' |
|
| dc.type |
info:eu-repo/semantics/article |
|