Suppr超能文献

The optimal depth of central venous catheter for infants less than 5 kg.

作者信息

Kim Jin-Hee, Kim Chong-Sung, Bahk Jae-Hyun, Cha Kyung Joon, Park Young-Sun, Jeon Young-Tae, Han Sung-Hee

机构信息

*Department of Anesthesiology, Seoul National University Bundang Hospital; †Department of Anesthesiology, Seoul National University Hospital; ‡Laboratory of Statistical Information Analysis, Hanyang University, College of Natural Sciences, Seoul, Korea.

出版信息

Anesth Analg. 2005 Nov;101(5):1301-1303. doi: 10.1213/01.ANE.0000180997.72988.FE.

Abstract

To avoid fatal complications of central venous catheterization such as cardiac tamponade, the tip of the central venous catheter (CVC) should be placed outside of the cardiac chamber. To suggest a guideline for a proper depth of CVC in infants, we measured the distance from the skin puncture site to the junction between superior vena cava and right atrium (SVC-RA junction) by using transesophageal echocardiography (TEE). Fifty infants less than 5 kg undergoing surgery for congenital heart disease were enrolled in this prospective study. After the induction of general anesthesia, CVC was inserted via the right subclavian vein. After the tip of the CVC was placed at the SVC-RA junction using TEE guidance, the length of the CVC inserted beneath the skin was measured. The measured distance had a high correlation with the patient's height, weight, and age (r = 0.88, 0.76, and 0.64, respectively). In infants smaller than 5 kg, the following guideline can avoid intraatrial placement of the CVC: a depth between 40 and 45 mm for infants 2.0-3.0 kg in weight, 45-50 mm for those 3.0-3.9 kg, and 50-55 mm for those more than 4.0 kg.

摘要

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验