Published in Scientific Works. Series C. Veterinary Medicine, Vol. LXX, Issue 1
Written by Andrei RĂDULESCU, Cristian Ionuț FLOREA, Crina Alexandra BOANCĂ, Alina ȘTEFĂNESCU, Alexandru Bogdan VIȚĂLARU
A 5 years old, Shar Pei intact female, presented with lethargy, progressive weight loss, pale mucous membrane and severe dehydration (7-10%). The patient was diagnosed with acute on chronic renal disease (ACKD), polycystic kidney disease (PKD) and non-regenerative anemia and was referred for hemodialysis. A central venous catheter was placed under light sedation. During central venous catheterization, the cardiac rhythm was monitored by ECG. A key factor for a favorable outcome of the procedure is to understand the correlation between central venous catheterization and cardiac electrical activity. ECG monitoring goal was to observe alterations in P-wave morphology, which reflects atrial depolarization, during central venous catheterization. By monitoring the P-wave variations with extensive care is possible to observe the valuable cardiovascular dynamics in the context of central venous catheterization, aiding clinicians in optimizing patient care and safety of the procedure.
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