Full Text:   <1894>

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CLC number: R472

On-line Access: 2016-01-06

Received: 2015-07-09

Revision Accepted: 2015-11-07

Crosschecked: 2015-12-16

Cited: 2

Clicked: 3250

Citations:  Bibtex RefMan EndNote GB/T7714


Wen-qiao Yu


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Journal of Zhejiang University SCIENCE B 2016 Vol.17 No.1 P.60-66


Impact of misplaced subclavian vein catheter into jugular vein on transpulmonary thermodilution measurement variables

Author(s):  Wen-qiao Yu, Yun Zhang, Shao-yang Zhang, Zhong-yan Liang, Shui-qiao Fu, Jia Xu, Ting-bo Liang

Affiliation(s):  1Department of Hepatobiliary and Pancreatic Surgery and Intensive Care Unit, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310021, China; more

Corresponding email(s):   yuwenqiao_60@hotmail.com, liangtingbo@zju.edu.cn

Key Words:  Transpulmonary thermodilution, Jugular vein catheter, Misplaced subclavian vein catheter, Severe acute pancreatitis

Wen-qiao Yu, Yun Zhang, Shao-yang Zhang, Zhong-yan Liang, Shui-qiao Fu, Jia Xu, Ting-bo Liang. Impact of misplaced subclavian vein catheter into jugular vein on transpulmonary thermodilution measurement variables[J]. Journal of Zhejiang University Science B, 2016, 17(1): 60-66.

@article{title="Impact of misplaced subclavian vein catheter into jugular vein on transpulmonary thermodilution measurement variables",
author="Wen-qiao Yu, Yun Zhang, Shao-yang Zhang, Zhong-yan Liang, Shui-qiao Fu, Jia Xu, Ting-bo Liang",
journal="Journal of Zhejiang University Science B",
publisher="Zhejiang University Press & Springer",

%0 Journal Article
%T Impact of misplaced subclavian vein catheter into jugular vein on transpulmonary thermodilution measurement variables
%A Wen-qiao Yu
%A Yun Zhang
%A Shao-yang Zhang
%A Zhong-yan Liang
%A Shui-qiao Fu
%A Jia Xu
%A Ting-bo Liang
%J Journal of Zhejiang University SCIENCE B
%V 17
%N 1
%P 60-66
%@ 1673-1581
%D 2016
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1500167

T1 - Impact of misplaced subclavian vein catheter into jugular vein on transpulmonary thermodilution measurement variables
A1 - Wen-qiao Yu
A1 - Yun Zhang
A1 - Shao-yang Zhang
A1 - Zhong-yan Liang
A1 - Shui-qiao Fu
A1 - Jia Xu
A1 - Ting-bo Liang
J0 - Journal of Zhejiang University Science B
VL - 17
IS - 1
SP - 60
EP - 66
%@ 1673-1581
Y1 - 2016
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1500167

Objective: The subclavian vein (SCV) is usually used to inject the indicator of cold saline for a transpulmonary thermodilution (TPTD) measurement. The SCV catheter being misplaced into the internal jugular (IJV) vein is a common occurrence. The present study explores the influence of a misplaced SCV catheter on TPTD variables. Methods: Thirteen severe acute pancreatitis (SAP) patients with malposition of the SCV catheter were enrolled in this study. TPTD variables including cardiac index (CI), global end-diastolic volume index (GEDVI), intrathoracic blood volume index (ITBVI), and extravascular lung water index (EVLWI) were obtained after injection of cold saline via the misplaced SCV catheter. Then, the misplaced SCV catheter was removed and IJV access was constructed for a further set of TPTD variables. Comparisons were made between the TPTD results measured through the IJV and misplaced SCV accesses. Results: A total of 104 measurements were made from TPTD curves after injection of cold saline via the IJV and misplaced SCV accesses. Bland-Altman analysis demonstrated an overestimation of +111.40 ml/m2 (limits of agreement: 6.13 and 216.70 ml/m2) for GEDVI and ITBVI after a misplaced SCV injection. There were no significant influences on CI and EVLWI. The biases of +0.17 L/(min·m2) for CI and +0.17 ml/kg for EVLWI were revealed by Bland-Altman analysis. Conclusions: The malposition of an SCV catheter does influence the accuracy of TPTD variables, especially GEDVI and ITBVI. The position of the SCV catheter should be confirmed by chest X-ray in order to make good use of the TPTD measurements.




Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article


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