Template:Central venous catheter tip position in X-ray and fluoroscopy
Revision as of 21:50, 12 April 2019 by Mikael Häggström (talk | contribs) (→Catheter tip position: +CDC)
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.[1]
- The tip of high-flow tunneled hemodialysis catheters should be within the right upper atrium.[1]
For catheters positioned to low or high, estimate the difference between the current and optimal placement.
- ↑ 1.0 1.1 1.2 1.3 1.4 Mark P Androes, Alan C Heffner. Placement of jugular venous catheters. UpToDate. This topic last updated: Apr 24, 2018. Cite error: Invalid
<ref>tag; name "uptodate" defined multiple times with different content - ↑ 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.
