Routine X-ray not needed after US-guided central line insertion

August 7, 2018

(HealthDay)—Pneumothorax and catheter misplacement after ultrasound-guided central venous catheter (CVC) insertion are rare and thus do not justify post-procedural chest X-ray (CXR), according to a study published in the July issue of CHEST.

Jason Chui, M.B.Ch.B., from the University of Western Ontario in London, Canada, and colleagues reviewed the records of 18,274 adult patients who had a CVC inserted in the operating room in a tertiary institution between July 1, 2008, and Dec. 31, 2015. The authors sought to determine the incidence of pneumothorax and catheter misplacement after ultrasound-guided CVC insertion.

Based on the 6,875 patients included in analysis, the researchers found that the overall incidence of pneumothorax and catheter misplacement was 0.33 and 1.91 percent, respectively. The major determinant of pneumothorax and catheter misplacement was the site of catheterization, with left subclavian vein catheterization having higher risk for (odds ratio, 6.69). Catheterization sites other than the right internal jugular vein were at a higher risk for misplacement. Routine post-procedural CXR expenditures were $105,000 to $183,000 per year.

"A routine post-procedural CXR is unnecessary and not choosing-wisely in our setting," the authors write.

Explore further: Subclavian vein catheterization beats jugular, femoral placement

More information: Abstract/Full Text (subscription or payment may be required)

Related Stories

Subclavian vein catheterization beats jugular, femoral placement

September 25, 2015
(HealthDay)—For patients in intensive care units who need a catheter, placement in the subclavian vein appears to lower the risk of bloodstream infection and deep-vein thrombosis, compared to jugular or femoral placement, ...

Thin-walled needle best for subclavian catheterization

July 18, 2016
(HealthDay)—A thin-walled introducer needle is recommended for right-sided infraclavicular subclavian venous catheterization, with lower catheterization-related complication rates and higher initial and overall success ...

Needle guide improves catheterization of subclavian vein

September 1, 2015
(HealthDay)—A multi-angle needle guide can improve ultrasound-guided catheterization of the subclavian vein, according to a study published online Aug. 28 in Anaesthesia.

Pneumothorax treatment gets less painful

October 2, 2015
Scientists working in Tianjin Chest Hospital, China, have developed a less painful treatment strategy for Pneumothorax treatment. By analyzing the partial pressure of oxygen and carbon dioxide in thoracic cavity gas during ...

Image-guided peritoneal dialysis catheter placement significantly reduces complications

May 7, 2014
Patients undergoing peritoneal dialysis catheter placement via fluoroscopy and ultrasound-guidance experienced significantly fewer complications at 1 year post-insertion than did patients whose catheters were placed laparoscopically.

Low incidence of adverse events for A-fib catheter ablation

September 4, 2017
(HealthDay)—The incidence of adverse events (AEs) is low for patients undergoing catheter ablation (CA) for atrial fibrillation (AF), according to a study published online Aug. 30 in JACC: Clinical Electrophysiology.

Recommended for you

Anticancer drug offers potential alternative to transplant for patients with liver failure

August 15, 2018
Patients suffering sudden liver failure could in the future benefit from a new treatment that could reduce the need for transplants, research published today shows.

Study shows how MERS coronavirus evolves to infect different species

August 14, 2018
In the past 15 years, two outbreaks of severe respiratory disease were caused by coronaviruses transmitted from animals to humans. In 2003, SARS-CoV (severe acute respiratory syndrome coronavirus) spread from civets to infect ...

Inching closer to a soft spot in isoniazid-resistant tuberculosis

August 14, 2018
Antibiotic-resistant tuberculosis is a public health threat. TB and other bacteria become resistant to antibiotics by evolving genetic changes over time, which they can do quite quickly because bacterial lifecycles are short. ...

Why do women get more migraines?

August 14, 2018
Research published today reveals a potential mechanism for migraine causation which could explain why women get more migraines than men. The study, in Frontiers in Molecular Biosciences, suggests that sex hormones affect ...

How long is an Ebola survivor contagious? One case is causing scientists to rethink the answer.

August 14, 2018
Surviving Ebola isn't like getting over the flu.

Link between common 'harmless' virus and cardiovascular damage

August 13, 2018
Researchers from Brighton and Sussex Medical School (BSMS) have found an unexpectedly close link between a herpes virus and the occurrence of immune cells damaging cardiovascular tissue.

1 comment

Adjust slider to filter visible comments by rank

Display comments: newest first

Anonym326885
not rated yet Aug 08, 2018
The love of my life for the last 17 years was diagnosed with Parkinson's disease nearly 4 years ago, at age 52. He had a stooped posture, tremors, muscle stiffness, horrible driving skills, and slow movement. He was placed on Sinemet 50/200 at night for 7 months and then Sifrol and rotigotine were introduced which replaced the Sinemet but he had to stop due to side effects. He started having hallucinations, lost touch with reality. Suspecting it was the medications I took him off the Siferol (with the doctor's knowledge) In March this year his primary physician suggested we started him on Natural Herbal Gardens Parkinson's Herbal formula which eased his anxiety a bit, i'm happy to report this PD herbal treatment worked very effectively. His Parkinson's is totally under control, he had a total decline in symptoms, the tremors, shaking, stiffness, slow movement and speech problems stopped. Visit Natural Herbal Gardens official web page ww w. naturalherbalgardens. c om.

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.