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CORRESPONDENCE
Year : 2011  |  Volume : 27  |  Issue : 1  |  Page : 143-144

Imaging for central venous cannulation: A necessity rather than luxury


Department of anesthesia, Subharti Medical College, Meerut, India

Date of Web Publication11-Feb-2011

Correspondence Address:
Manish Jain
Department of anesthesia, Subharti Medical College, Meerut
India
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Source of Support: None, Conflict of Interest: None


PMID: 21804742

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How to cite this article:
Jain M, Rastogi B, Singh Y P, Singh V P. Imaging for central venous cannulation: A necessity rather than luxury. J Anaesthesiol Clin Pharmacol 2011;27:143-4

How to cite this URL:
Jain M, Rastogi B, Singh Y P, Singh V P. Imaging for central venous cannulation: A necessity rather than luxury. J Anaesthesiol Clin Pharmacol [serial online] 2011 [cited 2017 Nov 17];27:143-4. Available from: http://www.joacp.org/text.asp?2011/27/1/143/76686

Sir,

Article entitled " imaging for central venous Cannulation: a necessity rather than luxury" published in JOACP 2010 ;26(4) : 563-564 , is an informative case report but we would like to add some points regarding position of tip of central venous catheter during its placement. Firstly C-Arm (fluoroscopy) is not readily available in Intensive care units, so it will not be that useful. Secondly ultrasound can give localization of entry points of needle only. [1] Course of catheter or guide wire can be appreciated only up to very short distance. But undoubtedly ultrasound guided CVC placements is gold standard and complication are also dramatically reduced. [2] Position of catheter tip can be actually confirmed by chest X-ray, Trans esophageal echocardiography, fluoroscopy, and by certodyne.

 
   References Top

1.Alexander J.C. Mittnacht : Ultrasound-Guided Central Venous Cannulation- False Sense of Security, international anesthesia research society, vol. 109 no.6, December 2009,pg-2029.  Back to cited text no. 1
    
2.M Soliman and K Ismail : a comparison between ultrasound-guided central venous line placement and an anatomical landmark technique, Critical Care 2007, 11(Suppl 2):P160  Back to cited text no. 2
    




 

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