Does radio-opaque contrast improve radiographic localisation of percutaneous central venous lines?

Show simple item record Odd, DE en Page, B en Battin, Malcolm en Harding, Jane en 2011-02-03T02:31:39Z en 2004-01 en
dc.identifier.citation ARCH DIS CHILD 89(1):F41-F43 Jan 2004 en
dc.identifier.issn 0003-9888 en
dc.identifier.uri en
dc.description.abstract Background: Percutaneous central venous lines (long lines) are commonly used in neonatal practice. The position of these lines is important, because incorrect placement may be associated with complications.Aims: To determine whether the addition of radio-opaque contrast material improves the localisation of long line tips over plain radiography.Methods: Radiographs taken to identify long line position were identified in two periods; 106 radiographs without contrast taken between October 1999 and August 2000, and 96 radiographs with contrast between September 2001 and July 2002. Two observers independently reviewed each radiograph to identify the position of the line tip. The formal radiology report was recorded as a third observer.Results: The use of contrast increased the proportion of radiographs in which all observers reported they could see the long line tip (53 (55%) v 41 (39%)). It also increased the proportion where they agreed on anatomical position (57 (59%) v 39 (37%)) and there was a higher kappa coefficient for agreement (0.56 v 0.33).Conclusions: The use of contrast while taking radiographs for the localisation of long line position improves the likelihood that an observer can see a long line tip and reduces inter-observer variability. Even using contrast, precise localisation of a long line tip can be difficult. en
dc.language EN en
dc.publisher B M J PUBLISHING GROUP en
dc.relation.ispartofseries ARCH DIS CHILD en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from en
dc.rights.uri en
dc.rights.uri en
dc.subject VARIABILITY en
dc.subject NEONATE en
dc.subject MEDIA en
dc.title Does radio-opaque contrast improve radiographic localisation of percutaneous central venous lines? en
dc.type Journal Article en
dc.identifier.doi 10.1136/fn.89.1.F41 en
pubs.issue 1 en
pubs.begin-page F41 en
pubs.volume 89 en
dc.rights.holder Copyright: BMJ Publishing Group Ltd en
dc.identifier.pmid 14711854 en
pubs.end-page F43 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 108603 en Liggins Institute en LiFePATH en
pubs.record-created-at-source-date 2011-01-26 en
pubs.dimensions-id 14711854 en

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