Primary and Secondary Displacement of Central Venous Catheters
Version of Record online: 30 DEC 2008
© 1980 The Scandinavian Society of Anaesthesiologists
Acta Anaesthesiologica Scandinavica
Volume 24, Issue 3, pages 216–218, June 1980
How to Cite
Lang-Jensen, T., Nielsen, R., Sørensen, M. B. and Jacobsen, E. (1980), Primary and Secondary Displacement of Central Venous Catheters. Acta Anaesthesiologica Scandinavica, 24: 216–218. doi: 10.1111/j.1399-6576.1980.tb01537.x
- Issue online: 30 DEC 2008
- Version of Record online: 30 DEC 2008
- Received 17 September, accepted for publication 21 November 1979
The purpose of this study was to investigate the frequency of primary and secondary displacement of central venous catheters. One hundred and two central venous catheters, inserted through a peripheral or a central vein before surgery or in the intensive care unit, were controlled by chest X-ray 5–720 min after insertion. The number of primarily displaced catheters was 27. Of these, the position was corrected in 8. Thereafter, the 83 correctly placed catheters were observed for 4–560 h. The number of X-ray controls was 2–24. The number of secondary displacements was 2, whereas 12 catheters showed minimal secondary displacement. The rate of complications was very low.
We conclude that chest X-ray immediately after insertion of central venous catheters is absolutely necessary, but since the number of secondary displacements is very low, daily chest X-ray control is not necessary. We also conclude that the internal jugular vein is the best route for introducing a central venous catheter, since complications are very few and the number of displacements is very low.