The "rapid atrial swirl sign" for assessing central venous catheters: Performance by medical residents after limited training.

ABSTRACT:

Rationale

Central venous catheter (CVC) placement is a standard procedure in critical care. Ultrasound guidance during placement is recommended by current guidelines, but there is no consensus on the best method for evaluating the correct CVC tip position. Recently, the "rapid atrial swirl sign" (RASS) has been investigated in a limited number of studies.

Objectives

We performed a prospective diagnostic accuracy study of focused echocardiography for the evaluation of CVC tip position in our medical ICU and IMC units.

Methods

We performed a prospective diagnostic accuracy study in 100 patients admitted to the Intensive Care Unit and Intermediate Care Unit at our center. The first 10 subjects were assessed by one staff physician investigator (reference cohort), the rema

SUBMITTER: Korsten P 

PROVIDER: S-EPMC6047781 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature