• Am. J. Surg. · Jul 2003

    Routine chest roentgenogram after central venous catheter insertion is not always necessary.

    • Alvaro Sanabria, Carlos Henao, Romulo Bonilla, Carlos Castrillón, Herman Cruz, William Ramírez, Pablo Navarro, Mercedes González, and Abel Díaz.
    • Department of Surgery, School of Medicine, University of Antioquia, University Hospital San Vicente de Paúl, Apartado aéreo 1226, Postal 229 Ciudad Universitaria, Medellín, Colombia. asanabriq@hotmail.com
    • Am. J. Surg. 2003 Jul 1; 186 (1): 35-9.

    BackgroundTo evaluate the usefulness of routine radiologic control after the insertion of a central venous catheter as a tool that might modify treatment of patients.MethodsA prospective study was made of 149 patients submitted to central venous catheter insertion.ResultsIn 55% of the patients the roentgenogram showed an adequate placement of the catheter tip and in 3.6% it showed some abnormal finding. Ten modifications were carried out based on the radiologic results. The prolonged partial thromboplastin time value and the subjective degree of difficulty showed a statistical relation to the appearance of complications. The number of punctures above one related to abnormal radiologic findings.ConclusionsThe results suggest that routine chest radiology after the insertion of a central venous catheter is not always necessary and that it should be ordered selectively, according to the findings made during the procedure and the subjective degree of difficulty.

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