[经外周静脉穿刺中心静脉置管术中术中心电图与胸部X线片尖端位置可靠性的评估]
[Evaluation of tip location reliability of intraprocedural ECG vs. chest Xrays in PICC placement].
作者信息
Elli Stefano, Cannizzo Luigi, Marini Alessia, Porcarelli Silvia, Azzarone Filippo, Fumagalli Roberto, Foti Giuseppe, Lucchini Alberto
出版信息
Assist Inferm Ric. 2016 Oct-Dec;35(4):174-179. doi: 10.1702/2621.26950.
UNLABELLED
. Evaluation of tip location reliability of intraprocedural ECG vs. chest Xrays in PICC placement.
INTRODUCTION
Among the methods to assess the correct positioning of the tip of central venous catheters, the ECG method is safe and reliable.
AIM
To compare the reliability of tip location by intraprocedural ECG and post-procedural radiological examination as implemented in routine care in a tertiary hospital PICC Team.
METHODS
119 PICCs positioned by the Monza hospital PICC Team were examined positioned by either ECG technique or post procedural x-rays technique. The tip location was assessed in retrospect, through occasional chest ray reports. We assessed the reliability of the ECG and X rays techniques.
RESULTS
In the ECG group (75 catheters), 71 (95.7%) were correctly located vs 33/44 (75%) in the x-rays group.
CONCLUSIONS
Tip location by ECG technique implemented by the PICC team is feasible and safe. The cost/benefit ratio suggests its adoption as main tip location technique.
未标注
评估经皮中心静脉导管置入术中心电图与胸部X线检查尖端位置的可靠性。
引言
在评估中心静脉导管尖端正确位置的方法中，心电图方法安全可靠。
目的
比较三级医院经皮中心静脉导管置入术（PICC）团队常规护理中，术中心电图与术后放射学检查确定尖端位置的可靠性。
方法
对蒙扎医院PICC团队置入的119根PICC进行检查，这些PICC采用心电图技术或术后X线技术定位。通过偶尔的胸部X线报告回顾性评估尖端位置。我们评估了心电图和X线技术的可靠性。
结果
在心电图组（75根导管）中，71根（95.7%）位置正确，而X线组为33/44（75%）。
结论
PICC团队采用心电图技术确定尖端位置是可行且安全的。成本效益比表明应将其作为主要的尖端位置确定技术。
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