Utility of the routine chest X-ray after "over-wire" venous catheter changes.
Publication/Presentation Date
12-1-1996
Abstract
The Seldinger technique is commonly used to change central venous access catheters in the Intensive Care Unit. These catheters are routinely being changed to prevent septic complications. Some of these changes are performed by an "over-wire" technique. To assess the utility of postprocedural chest X-rays on critically ill patients after an over-wire catheter change, we followed 68 patients after they had 80 catheter changes. This study assesses catheter position by use of a postprocedural X-ray. During the study, we found no misplaced catheters and minimum symptomatology in 80 patients. The trauma/critical care fellows performing the procedures rated them as easy in 97.5 percent of the changes. The conclusion of the study is that, if the catheter change is technically easy and the patient has no symptoms, a postprocedural X-ray is not necessary.
Volume
62
Issue
12
First Page
1064
Last Page
1065
ISSN
0003-1348
Published In/Presented At
Riblet, J. L., Shillinglaw, W., Goldberg, A. J., Mitchell, K., Sedani, K. H., Davis, F. E., & Reynolds, H. N. (1996). Utility of the routine chest X-ray after "over-wire" venous catheter changes. The American surgeon, 62(12), 1064–1065.
Disciplines
Medicine and Health Sciences
PubMedID
8955250
Department(s)
Department of Medicine
Document Type
Article