Power Injectable Peripherally Inserted Central Venous Catheter Lines Frequently Flip After Power Injection of Contrast
| Autor: | Luis Antonio Sosa Lozano, Lawrence R. Goodman, C S Marn |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
Catheterization Central Venous medicine.medical_specialty media_common.quotation_subject Contrast Media Peripherally-inserted central venous catheter Computed tomographic Catheterization Peripheral medicine Humans Contrast (vision) Radiology Nuclear Medicine and imaging Prospective Studies Prospective cohort study media_common Chi-Square Distribution Equipment Safety business.industry Scout view Power injection Middle Aged Surgery Catheter Injections Intravenous Equipment Failure Female Tomography Tomography X-Ray Computed business Nuclear medicine |
| Zdroj: | Journal of Computer Assisted Tomography. 36:427-430 |
| ISSN: | 0363-8715 |
| DOI: | 10.1097/rct.0b013e3182575b88 |
| Popis: | OBJECTIVE To determine the frequency of power injectable peripherally inserted central venous catheter (PIPICC) displacement after contrast injection for computed tomography. MATERIALS AND METHODS We included all patients who had a computed tomographic examination with contrast administration via PIPICC over a 4-month period. Several variables including catheter location before and after the injection were documented. Descriptive statistics were used for continuous variables. The χ² test was used to compare groups. Continuous variables were analyzed using the Student t test. RESULTS Among 78 injections in 67 patients (34 men and 33 women; median age, 49 years), there were 12 catheter displacements (15.4%): 5 (62.5%) of 8 catheters initially located proximal to the tracheobronquial angle (TBA) and 7 (10.14%) of 69 catheters initially located distal to the TBA. The initial catheter position before the injection correlated with the frequency of displacement significantly (P < 0.006). Contrast injection rate and amount of contrast were no risk factors for position change. There were no complications. CONCLUSION Catheter displacement occurred in 62.5%, with PIPICCS cephalad to the TBA. A preliminary scout view should be checked before the contrast injection. In addition, a postinjection scan scout view is recommended to verify catheter position. |
| Databáze: | OpenAIRE |
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