CVC complication

Q: Ventricular dysrhythmias and bundle branch block can be avoided during central line (CVC) placement by keeping guide wire not going deeper than? 


 Answer: 16 cm

Studies have shown that Ventricular dysrhythmias and bundle branch block during CVC placement can be avoided by not going deeper than 16 cm of guide wire particularly from R side.

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References:

1. Boyd R, Saxe A, Phillips E. Effect of patient position upon success in placing central venous catheters. Am J Surg 1996; 172:380. 

2. Lefrant JY, Muller L, De La Coussaye JE, et al. Risk factors of failure and immediate complication of subclavian vein catheterization in critically ill patients. Intensive Care Med 2002; 28:1036.