Bedside echocardiography to assist central line tip placement

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“Here, we discuss a simple technique to assist in the adequate placement of the CVC in the vena cava using bedside echocardiography.” Avila et al (2014).

Reference:

Avila, J.O., Smith, B.C. and Seaberg, D.C. (2014) Use of Echocardiography to Identify Appropriate Placement of a Central Venous Catheter Wire in the Vena Cava Prior to Cannulation. Academic Emergency Medicine. August 25th. [epub ahead of print].

Abstract:

Ultrasound guidance is now the standard of care when placing a central venous catheter (CVC), resulting in decreased complications and increased first-pass success rates. However, even with ultrasound guidance being used for the initial venipuncture, misplacement of a CVC in either an unwanted vein or in an artery still occurs. Here, we discuss a simple technique to assist in the adequate placement of the CVC in the vena cava using bedside echocardiography.

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