5 Minute Bit #6 - Avoiding Central Line Complications
Episode description
A 5 minute bit that discusses the feared complication of inadvertent arterial placement of central lines. We discuss some strategies to avoid this and other complications. We use ultrasound for needle insertion (even for subclavian lines), tube manometry, guidewire localization with ultrasound, and the agitated saline test using POC echo at the bedside. Please see below evidence based articles, blogs and pictures associated with the show.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4296410/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4613416/
https://pubmed.ncbi.nlm.nih.gov/26256713/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3040432/
https://www.ejves.com/article/S1078-5884(09)00441-9/pdf
https://www.google.com/url?sa=i&url=https%3A%2F%2Fwww.aliem.com%2Ftrick-of-trade-use-angiocatheter-for%2F&psig=AOvVaw2_x647g9uR__qk7eZWPvFj&ust=1599256051066000&source=images&cd=vfe&ved=0CAIQjRxqFwoTCMDTt6H7zesCFQAAAAAdAAAAABAD
https://emcrit.org/wp-content/uploads/2015/08/bubble-confirm-of-central-lines.pdf