Journal of Anaesthesiology Clinical Pharmacology

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

Imaging for central venous cannulation: A necessity rather than luxury


Manish Jain, Bhavana Rastogi, YP Singh, VP Singh 
 Department of anesthesia, Subharti Medical College, Meerut, India

Correspondence Address:
Manish Jain
Department of anesthesia, Subharti Medical College, Meerut
India




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;27:143-144


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 2020 Jul 3 ];27:143-144
Available from: http://www.joacp.org/text.asp?2011/27/1/143/76686


Full Text

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

1Alexander J.C. Mittnacht : Ultrasound-Guided Central Venous Cannulation- False Sense of Security, international anesthesia research society, vol. 109 no.6, December 2009,pg-2029.
2M 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