Beaumont Hospital, Royal Oak, Michigan.
Emily DiLoreto, MS, PA-C, VA-BC, is an emergency medicine physician assistant and clinical lead for the Bedside Vascular Access Team at Beaumont Hospital, where she has worked for more than 10 years. She represents bedside vascular access on her hospital's CLABSI committee and is involved in vascular access-related continuous quality improvement projects. She also serves as a clinical educator on bedside vascular access procedures within both the emergency center and inpatient settings. Ms DiLoreto's research interests include vascular access device complications, particularly thrombosis.
J Infus Nurs. 2022;45(1):37-40. doi: 10.1097/NAN.0000000000000452.
Electrocardiographic (ECG) tip confirmation is a validated technique to place the distal tip of a peripherally inserted central catheter (PICC) in the distal superior vena cava at or near the cavoatrial junction during point-of-care insertions. This case report discusses an inadvertent arterial PICC placement despite navigation technology demonstrating similar confirmatory ECG changes seen in standard venous insertions. The findings demonstrate that ECG navigation technology should not be used to rule out arterial PICC placement.
心电图（ECG）尖端确认是一种经过验证的技术，可在床边插入时将外周静脉置入中心导管（PICC）的远端尖端放置在上腔静脉的远端和/或靠近腔静脉交界处。本病例报告讨论了尽管导航技术显示出与标准静脉插入相似的确认性 ECG 变化，但仍意外放置动脉 PICC。这些发现表明，不应使用 ECG 导航技术排除动脉 PICC 放置。
