Use of echocardiography to identify appropriate placement of a

Acad Emerg Med · Aug 2014

Use of echocardiography to identify appropriate placement of a central venous catheter wire in the vena cava prior to cannulation.

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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- Jacob O Avila, Benjamin C Smith, and David C Seaberg.
- Department of Emergency Medicine, University of Tennessee College of Medicine Chattanooga, Emergency Heart-Stroke Center, Erlanger Medical Center, Chattanooga, TN. J.owen.avila@gmail.com.
- Acad Emerg Med. 2014 Aug 1; 21 (8): E1-2.
AbstractUltrasound 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. © 2014 by the Society for Academic Emergency Medicine.

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Use of echocardiography to identify appropriate placement of a central venous catheter wire in the vena cava prior to cannulation.

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