Difference between revisions of "Template:Central venous catheter tip position in X-ray and fluoroscopy"
Jump to navigation
Jump to search
(→Catheter tip position: +CDC) |
m (Disambig) |
||
| Line 4: | Line 4: | ||
'''Central dialysis catheters:''' | '''Central dialysis catheters:''' | ||
| − | *The tip of nontunneled jugular hemodialysis catheters should be in the superior vena cava, and not in the right atrium.<ref name=uptodate>{{cite web|url=https://www.uptodate.com/contents/central-catheters-for-acute-and-chronic-hemodialysis-access#H79682089|title=Central catheters for acute and chronic hemodialysis access|author=Steven J Bander, Karen Woo|website=UpToDate}} This topic last updated: Mar 27, 2018.</ref> | + | *The tip of nontunneled jugular hemodialysis catheters should be in the superior vena cava, and not in the right atrium.<ref name=uptodate-dialysis>{{cite web|url=https://www.uptodate.com/contents/central-catheters-for-acute-and-chronic-hemodialysis-access#H79682089|title=Central catheters for acute and chronic hemodialysis access|author=Steven J Bander, Karen Woo|website=UpToDate}} This topic last updated: Mar 27, 2018.</ref> |
| − | *The tip of high-flow tunneled hemodialysis catheters should be within the right upper atrium.<ref name=uptodate/> | + | *The tip of high-flow tunneled hemodialysis catheters should be within the right upper atrium.<ref name=uptodate-dialysis/> |
For catheters positioned to low or high, estimate the difference between the current and optimal placement. | For catheters positioned to low or high, estimate the difference between the current and optimal placement. | ||
Revision as of 21:51, 12 April 2019
Catheter tip position
Regular catheters:
The distal tip of jugular catheters should lie in the lower part of the superior vena cava.[1] For left-sides catheters, a tip in the upper right atrium has also been suggested.[1] However, the cardiac silhouettes are regarded as not reliable for this purpose, compared to using the carina as a landmark.[1] Hence, a catheter tip between 55 and 30 mm below the level of the carina is regarded as acceptable placement on anteroposterior X-rays.[2]
Central dialysis catheters:
- The tip of nontunneled jugular hemodialysis catheters should be in the superior vena cava, and not in the right atrium.[3]
- The tip of high-flow tunneled hemodialysis catheters should be within the right upper atrium.[3]
For catheters positioned to low or high, estimate the difference between the current and optimal placement.
- ↑ 1.0 1.1 1.2 Mark P Androes, Alan C Heffner. Placement of jugular venous catheters. UpToDate. This topic last updated: Apr 24, 2018.
- ↑ Venugopal, AchuthanNair; Koshy, RachelCherian; Koshy, SumodM (2013). "Role of chest X-ray in citing central venous catheter tip: A few case reports with a brief review of the literature ". Journal of Anaesthesiology Clinical Pharmacology 29 (3): 397–400. doi:. ISSN 0970-9185. PMID 24106371.
- ↑ 3.0 3.1 Steven J Bander, Karen Woo. Central catheters for acute and chronic hemodialysis access. UpToDate. This topic last updated: Mar 27, 2018.
