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Review
How I Do It: Ultrasound-guided Internal Jugular and Femoral Central Venous Catheter Insertion.
- Scott J Millington, Mai Otsuka Colvin, Ariel L Shiloh, and Seth Koenig.
- University of Ottawa/The Ottawa Hospital, Ottawa, ON, Canada. Electronic address: smillington@toh.ca.
- Chest. 2020 Dec 1; 158 (6): 2425-2430.
AbstractCentral venous catheterization is routinely performed in the ICU to obtain venous access for hemodynamic monitoring, parenteral nutritional support, hemodialysis, and delivery of fluids and vasoactive medications. Although central venous catheters can be lifesaving, their insertion is not without risk. Historically, central veins were accessed using landmark-based techniques, but the medical literature strongly supports the use of ultrasound guidance. The purpose of this article is to review the basic principles of real-time ultrasound-guided internal jugular and femoral catheter placement. An approach for incorporating these tools into clinical practice is presented, along with illustrative figures and video.Copyright © 2020 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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