Articles in "Central Line"

Ultrasound-guided Central Venous Access: Are Landmarks a Thing of the Past?

by Rick Rutherford, M.D., FAAFP

Ultrasound has improved the safety and efficiency of a wide range of procedures including ultrasound-guided central line insertion

In plane ultrasound-guided central line placement is preferred over out-of-plane technique

by Joseph Esherick, M.D., FAAFP, FHM

A study from an urban EM residency program determined that in-plane ultrasound-guided central venous catheterization is superior to out-of-plane ultrasound-guided central line placement.

Early Goal Directed Therapy for Sepsis: No Longer?

by Rick Rutherford, M.D., FAAFP

The recently studied ProCESS study, has generated significant discussion about sepsis care and the ongoing need for early goal directed therapy for septic shock has been called into question.

Which cirrhotic patients are at high risk for bleeding during hospital procedures?

by Joseph Esherick, M.D., FAAFP, FHM

The standard tests to assess bleed risk do not accurately predict bleed risk in cirrhotic patients during bedside procedures.

Simulation Based Training for Central Venous Catheters

by Rick Rutherford, M.D., FAAFP

Balancing patient safety with trainee experience presents an ongoing challenge in medicine. Simulation based training has been proposed as a tool to improve the safety of bedside procedures, but has not been rigorously studied. This metaanalysis reviews the evidence available and evaluates whether simulation based training improves success rates for central venous catheter placement.