{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T09:10:39Z","timestamp":1768468239284,"version":"3.49.0"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T00:00:00Z","timestamp":1651104000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the clinical significance of intracavitary electrocardiogram positioning technology in preventing catheter ectopic position during peripherally inserted central catheter (PICC) catheterization in children with tumors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of the clinical data of 62 children who required PICC catheterization was performed. The intracavitary electrocardiogram (ECG) positioning technology was used during the tube placement of the child patients. After the tube was successfully placed, the chest radiograph was taken. The ECG positioning result was compared with the chest radiograph positioning result after the tube was inserted, and the sensitivity and specificity of the ECG positioning were calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The intracavitary electrocardiogram results of 62 children with PICC catheters showed that 56 cases (90.32%) had characteristic P waves, and six cases (9.68%) had no characteristic P waves. The chest radiographs of 56 children with characteristic P wave showed that 33 cases (58.93%) of the catheter tip position was appropriate, 22 cases (39.29%) of the catheter tip was too deep, and 1 case was in a non\u2010superior vena cava; six cases of chest radiographs of children with no characteristic P wave showed: one case was too deep at T8\u00a0level, one case was too shallow at T4\u00a0level, four cases were at non\u2010superior vena cava, one case was contralateral internal jugular vein, two cases in the contralateral brachiocephalic vein, and one case was the contralateral subclavian vein.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Intracavitary ECG positioning assisted catheter placement in infants can effectively improve the accuracy of catheter tip position.<\/jats:p><\/jats:sec>","DOI":"10.1111\/anec.12934","type":"journal-article","created":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T12:13:24Z","timestamp":1651148004000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Clinical significance of intracavitary electrocardiographic localization in the prevention of PICC heterotopia in children with tumor"],"prefix":"10.1111","volume":"27","author":[{"given":"Cong\u2010Cong","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Central Venous Catheter Clinic Shijiazhuang People\u2019s Hospital  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5155-3006","authenticated-orcid":false,"given":"Yu\u2010Xin","family":"Zhu","sequence":"additional","affiliation":[{"name":"Shijiazhuang People\u2019s Hospital  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin\u2010Xin","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Central Venous Catheter Clinic Shijiazhuang People\u2019s Hospital  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing\u2010Fang","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Central Venous Catheter Clinic Shijiazhuang People\u2019s Hospital  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.issn.1674\u2010635X.2017.01.008"},{"issue":"24","key":"e_1_2_12_3_1","first-page":"13","article-title":"Relationship on height and inserted length of peripherally inserted central catheter in adult patients","volume":"29","author":"Gao D. 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L.","year":"2019","journal-title":"Tianjin Journal of Nursing"},{"issue":"20","key":"e_1_2_12_11_1","first-page":"3443","article-title":"The effect of intracavitary electrocardiography in the positioning of the tip of the newborn PICC catheter","volume":"32","author":"Wu W. L.","year":"2016","journal-title":"The Journal of Practical Medicine"},{"issue":"4","key":"e_1_2_12_12_1","first-page":"88","article-title":"The effect of ECG\u2010guided PICC advanced positioning technology in children with hematological tumors","volume":"37","author":"Xiang M. L.","year":"2016","journal-title":"Journal of Medical Forum"},{"issue":"24","key":"e_1_2_12_13_1","first-page":"3020","article-title":"Improvement of the improved Saidinger PICC tube placement method under the guidance of B\u2010ultrasound in 104 children","volume":"17","author":"Xu W. J.","year":"2019","journal-title":"Chinese General Practice Nursing"},{"issue":"7","key":"e_1_2_12_14_1","first-page":"651","article-title":"Observation of peripherally inserted central venous catheters tip positioning by newborn chamber electrocardiogram","volume":"31","author":"Zhang S.","year":"2016","journal-title":"Journal of Nurses Training"}],"container-title":["Annals of Noninvasive Electrocardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.12934","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/anec.12934","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.12934","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T12:57:18Z","timestamp":1692881838000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/anec.12934"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,28]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1111\/anec.12934"],"URL":"https:\/\/doi.org\/10.1111\/anec.12934","archive":["Portico"],"relation":{},"ISSN":["1082-720X","1542-474X"],"issn-type":[{"value":"1082-720X","type":"print"},{"value":"1542-474X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,28]]},"assertion":[{"value":"2021-11-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12934"}}