Safety and Feasibility of Electrocardiogram-Guided Tip Positioning Combined with Ultrasound-Guided Placement of Peripherally Inserted Central Catheter Performed in Severe Brain Injury Patients

Autor: Xiaoli Jiang, Xiangzhi Li, Bin Ouyang, Lingyan Yan, Qiaofang Gu, Meihua Mei, Lingyan Wang
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Intensive Care Research, Vol 4, Iss 3, Pp 155-161 (2024)
Druh dokumentu: article
ISSN: 2666-9862
DOI: 10.1007/s44231-024-00067-6
Popis: Abstract Objective To explore the safety and feasibility of using electrocardiogram (ECG)-guided tip positioning combined with ultrasound-guided placement of peripherally inserted central catheters (PICC) in patients with severe brain injury in a neurosurgery intensive care unit. Methods We retrospectively analyzed 400 patients who underwent PICC catheterization in a neurosurgery intensive care unit from January 2017 to January 2021. Of those, a group of 157 patients received only ultrasound-guided PICC placement. The second group (243 patients) received ECG-guided tip positioning combined with ultrasound-guided PICC placement. A logistic regression analysis was conducted on gender, arm circumference, and ECG usage based on whether the results were in place. The positioning accuracy, success rate of primary catheterization, incidence of ectopic catheters, average catheterization depth, and incidence of catheterization complications were observed. Results Logistic regression analysis showed that only ECG guidance helps to achieve accurate PICC (OD, 4.541; 95CI, 2.224–9.271; p
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