Central catheter tip migration in critically ill patients.
<h4>Objectives</h4>Chest X-ray (CXR) is routinely required for assessing Central Venous Catheter (CVC) tip position after insertion, but there is limited data as to the movement of the tip location during hospitalization. We aimed to assess the migration of Central Venous Catheter (CVC)...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0277618 |
| _version_ | 1797956137144811520 |
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| author | Roei Merin Amir Gal-Oz Nimrod Adi Jacob Vine Reut Schvartz Reut Aconina Dekel Stavi |
| author_facet | Roei Merin Amir Gal-Oz Nimrod Adi Jacob Vine Reut Schvartz Reut Aconina Dekel Stavi |
| author_sort | Roei Merin |
| collection | DOAJ |
| description | <h4>Objectives</h4>Chest X-ray (CXR) is routinely required for assessing Central Venous Catheter (CVC) tip position after insertion, but there is limited data as to the movement of the tip location during hospitalization. We aimed to assess the migration of Central Venous Catheter (CVC) position, as a significant movement of catheter tip location may challenge some of the daily practice after insertion.<h4>Design and settings</h4>Retrospective, single-center study, conducted in the Intensive Care and Cardiovascular Intensive Care Units in Tel Aviv Sourasky Medical Center 'Ichilov', Israel, between January and June 2019.<h4>Patients</h4>We identified 101 patients with a CVC in the Right Internal Jugular (RIJ) with at least two CXRs during hospitalization.<h4>Measurements and results</h4>For each patient, we measured the CVC tip position below the carina level in the first and all consecutive CXRs. The average initial tip position was 1.52 (±1.9) cm (mean±SD) below the carina. The maximal migration distance from the initial insertion position was 1.9 (±1) cm (mean±SD). During follow-up of 2 to 5 days, 92% of all subject's CVCs remained within the range of the Superior Vena Cava to the top of the right atrium, regardless of the initial positioning.<h4>Conclusions</h4>CVC tip position can migrate significantly during a patient's early hospitalization period regardless of primary location, although for most patients it will remain within a wide range of the top of the right atrium and the middle of the Superior Vena Cava (SVC), if accepted as well-positioned. |
| first_indexed | 2024-04-10T23:44:10Z |
| format | Article |
| id | doaj.art-e30cd3f9404b4d58a3098e4a330c3cad |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-10T23:44:10Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-e30cd3f9404b4d58a3098e4a330c3cad2023-01-11T05:32:27ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011712e027761810.1371/journal.pone.0277618Central catheter tip migration in critically ill patients.Roei MerinAmir Gal-OzNimrod AdiJacob VineReut SchvartzReut AconinaDekel Stavi<h4>Objectives</h4>Chest X-ray (CXR) is routinely required for assessing Central Venous Catheter (CVC) tip position after insertion, but there is limited data as to the movement of the tip location during hospitalization. We aimed to assess the migration of Central Venous Catheter (CVC) position, as a significant movement of catheter tip location may challenge some of the daily practice after insertion.<h4>Design and settings</h4>Retrospective, single-center study, conducted in the Intensive Care and Cardiovascular Intensive Care Units in Tel Aviv Sourasky Medical Center 'Ichilov', Israel, between January and June 2019.<h4>Patients</h4>We identified 101 patients with a CVC in the Right Internal Jugular (RIJ) with at least two CXRs during hospitalization.<h4>Measurements and results</h4>For each patient, we measured the CVC tip position below the carina level in the first and all consecutive CXRs. The average initial tip position was 1.52 (±1.9) cm (mean±SD) below the carina. The maximal migration distance from the initial insertion position was 1.9 (±1) cm (mean±SD). During follow-up of 2 to 5 days, 92% of all subject's CVCs remained within the range of the Superior Vena Cava to the top of the right atrium, regardless of the initial positioning.<h4>Conclusions</h4>CVC tip position can migrate significantly during a patient's early hospitalization period regardless of primary location, although for most patients it will remain within a wide range of the top of the right atrium and the middle of the Superior Vena Cava (SVC), if accepted as well-positioned.https://doi.org/10.1371/journal.pone.0277618 |
| spellingShingle | Roei Merin Amir Gal-Oz Nimrod Adi Jacob Vine Reut Schvartz Reut Aconina Dekel Stavi Central catheter tip migration in critically ill patients. PLoS ONE |
| title | Central catheter tip migration in critically ill patients. |
| title_full | Central catheter tip migration in critically ill patients. |
| title_fullStr | Central catheter tip migration in critically ill patients. |
| title_full_unstemmed | Central catheter tip migration in critically ill patients. |
| title_short | Central catheter tip migration in critically ill patients. |
| title_sort | central catheter tip migration in critically ill patients |
| url | https://doi.org/10.1371/journal.pone.0277618 |
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