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Reducing arrhythmias associated with central venous catheter insertion or exchange.
Stuart, R K; Baxter, J K; Shikora, S A; Akerman, P; Apovian, C; Champagne, C; Jennings, A; Bistrian, B R.
Afiliação
  • Stuart RK; New England Deaconess Hospital, Harvard Medical School, Boston, Massachusetts.
Nutrition ; 8(1): 19-21, 1992.
Article em En | MEDLINE | ID: mdl-1562783
ABSTRACT
A recent study demonstrated that the incidence of new arrhythmias occurring during central venous catheter insertion or exchange was 41% atrial and 25% ventricular arrhythmias (12% couplets or greater). Over-insertion of the guidewire, causing direct stimulation to the right side of the heart, has been postulated to be the causative factor. A new technique that allows the operator to control the length of guidewire inserted was developed. With this technique on a population of hospitalized patients, similar to those in the previous study, the incidence of atrial arrhythmias decreased to 32% and the incidence of ventricular arrhythmias to 6% (single premature ventricular contractions only). Although this new technique has limitations, there was a dramatic improvement in the incidence of cardiac arrhythmias. These results indicate a need for modifications in the available equipment to avoid the infrequent but life-threatening complication of malignant arrhythmia.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Arritmias Cardíacas / Cateterismo Venoso Central / Nutrição Parenteral Total Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Nutrition Assunto da revista: CIENCIAS DA NUTRICAO Ano de publicação: 1992 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Arritmias Cardíacas / Cateterismo Venoso Central / Nutrição Parenteral Total Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Nutrition Assunto da revista: CIENCIAS DA NUTRICAO Ano de publicação: 1992 Tipo de documento: Article