Articles in "central line placement"

The subclavian vein may be the preferred location over IJ and Femoral Locations for Central Line Placement

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

This prospective randomized study of complications related to central line location favors subclavian lines over internal jugular lines and femoral lines.

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.

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