ECG method for positioning the tip of peripherally inserted central catheters in patients with atrial fibrillation
Abstract Objective To observe the changes of F waves on electrocardiograms (ECGs) in patients with persistent atrial fibrillation during the insertion of a peripherally inserted central catheter (PICC), and to analyze the application effect of the ECG method (through F wave changes) for guiding PICC...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-05-01
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| Series: | Annals of Noninvasive Electrocardiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/anec.12931 |
| _version_ | 1818084911090761728 |
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| author | Conghui Zhao Yuxin Zhu Xinxin Yin Congcong Zhang Yingxia He Jingfang Gao |
| author_facet | Conghui Zhao Yuxin Zhu Xinxin Yin Congcong Zhang Yingxia He Jingfang Gao |
| author_sort | Conghui Zhao |
| collection | DOAJ |
| description | Abstract Objective To observe the changes of F waves on electrocardiograms (ECGs) in patients with persistent atrial fibrillation during the insertion of a peripherally inserted central catheter (PICC), and to analyze the application effect of the ECG method (through F wave changes) for guiding PICC tip positioning. Methods Seventy‐two patients who met the inclusion criteria and needed a PICC catheter were selected as the research subjects. We observed waveforms in the ECGs when the tip of the catheter reached a predetermined position. The chest X‐ray results were used as the gold standard to calculate the sensitivity and specificity, and judge the safety and accuracy of ECG‐guided PICC tip positioning in patients with atrial fibrillation. Results Of the 72 patients, there was no significant difference between the ECG method and chest X‐ray results (χ2 = 0.2, p > 0.05). Sixty‐one patients had F wave changes on ECG and 10 had no obvious changes (X‐ray results confirmed that five patients had a tip position that was too shallow, two had ectopic tip positions, and three were located in the correct place). The sensitivity of the method was 95.7% and the specificity was 80%. Conclusion As the ECG baselines of patients with persistent atrial fibrillation were difficult to judge and the F wave was irregular, we found that the F wave was significantly higher than before catheter insertion and fell back while withdrawing the catheter, so the catheter should be fed until the F wave significantly increased as the correct position of the catheter tip. |
| first_indexed | 2024-12-10T20:01:24Z |
| format | Article |
| id | doaj.art-ad8856abdb6647bd99d7ae02dc55f323 |
| institution | Directory Open Access Journal |
| issn | 1082-720X 1542-474X |
| language | English |
| last_indexed | 2024-12-10T20:01:24Z |
| publishDate | 2022-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Annals of Noninvasive Electrocardiology |
| spelling | doaj.art-ad8856abdb6647bd99d7ae02dc55f3232022-12-22T01:35:30ZengWileyAnnals of Noninvasive Electrocardiology1082-720X1542-474X2022-05-01273n/an/a10.1111/anec.12931ECG method for positioning the tip of peripherally inserted central catheters in patients with atrial fibrillationConghui Zhao0Yuxin Zhu1Xinxin Yin2Congcong Zhang3Yingxia He4Jingfang Gao5Department of Oncology Shijiazhuang People’s Hospital Shijiazhuang ChinaDepartment of Central Venous Catheter Clinic Shijiazhuang People’s Hospital Shijiazhuang ChinaDepartment of Central Venous Catheter Clinic Shijiazhuang People’s Hospital Shijiazhuang ChinaDepartment of Central Venous Catheter Clinic Shijiazhuang People’s Hospital Shijiazhuang ChinaDepartment of Oncology Shijiazhuang People’s Hospital Shijiazhuang ChinaDepartment of Central Venous Catheter Clinic Shijiazhuang People’s Hospital Shijiazhuang ChinaAbstract Objective To observe the changes of F waves on electrocardiograms (ECGs) in patients with persistent atrial fibrillation during the insertion of a peripherally inserted central catheter (PICC), and to analyze the application effect of the ECG method (through F wave changes) for guiding PICC tip positioning. Methods Seventy‐two patients who met the inclusion criteria and needed a PICC catheter were selected as the research subjects. We observed waveforms in the ECGs when the tip of the catheter reached a predetermined position. The chest X‐ray results were used as the gold standard to calculate the sensitivity and specificity, and judge the safety and accuracy of ECG‐guided PICC tip positioning in patients with atrial fibrillation. Results Of the 72 patients, there was no significant difference between the ECG method and chest X‐ray results (χ2 = 0.2, p > 0.05). Sixty‐one patients had F wave changes on ECG and 10 had no obvious changes (X‐ray results confirmed that five patients had a tip position that was too shallow, two had ectopic tip positions, and three were located in the correct place). The sensitivity of the method was 95.7% and the specificity was 80%. Conclusion As the ECG baselines of patients with persistent atrial fibrillation were difficult to judge and the F wave was irregular, we found that the F wave was significantly higher than before catheter insertion and fell back while withdrawing the catheter, so the catheter should be fed until the F wave significantly increased as the correct position of the catheter tip.https://doi.org/10.1111/anec.12931atrial fibrillationelectrocardiogrampatientsPICCtip positioning |
| spellingShingle | Conghui Zhao Yuxin Zhu Xinxin Yin Congcong Zhang Yingxia He Jingfang Gao ECG method for positioning the tip of peripherally inserted central catheters in patients with atrial fibrillation Annals of Noninvasive Electrocardiology atrial fibrillation electrocardiogram patients PICC tip positioning |
| title | ECG method for positioning the tip of peripherally inserted central catheters in patients with atrial fibrillation |
| title_full | ECG method for positioning the tip of peripherally inserted central catheters in patients with atrial fibrillation |
| title_fullStr | ECG method for positioning the tip of peripherally inserted central catheters in patients with atrial fibrillation |
| title_full_unstemmed | ECG method for positioning the tip of peripherally inserted central catheters in patients with atrial fibrillation |
| title_short | ECG method for positioning the tip of peripherally inserted central catheters in patients with atrial fibrillation |
| title_sort | ecg method for positioning the tip of peripherally inserted central catheters in patients with atrial fibrillation |
| topic | atrial fibrillation electrocardiogram patients PICC tip positioning |
| url | https://doi.org/10.1111/anec.12931 |
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