Central Venous Catheterization
To the Editor: I have three concerns about the description of central venous catheterization in the video by Graham et al. (May 24 issue). 1 First, it is misleading to describe the risk of hemothorax as “not applicable” when the internal jugular approach is used, since hemothorax is a known complica...
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| Veröffentlicht in: | The New England journal of medicine 2007-08, Vol.357 (9), p.943-945 |
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| container_title | The New England journal of medicine |
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| creator | Reade, Michael C |
| description | To the Editor:
I have three concerns about the description of central venous catheterization in the video by Graham et al. (May 24 issue).
1
First, it is misleading to describe the risk of hemothorax as “not applicable” when the internal jugular approach is used, since hemothorax is a known complication.
2
Second, head rotation of 45 degrees increases the overlap of the carotid artery by the internal jugular vein,
3
increasing the risk of arterial puncture.
4
For this reason, most authors recommend a near-midline position of the head. Third, the manometer technique that is shown is inadequate. Blood rising more than 30 . . . |
| doi_str_mv | 10.1056/NEJMc071785 |
| format | Article |
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I have three concerns about the description of central venous catheterization in the video by Graham et al. (May 24 issue).
1
First, it is misleading to describe the risk of hemothorax as “not applicable” when the internal jugular approach is used, since hemothorax is a known complication.
2
Second, head rotation of 45 degrees increases the overlap of the carotid artery by the internal jugular vein,
3
increasing the risk of arterial puncture.
4
For this reason, most authors recommend a near-midline position of the head. Third, the manometer technique that is shown is inadequate. Blood rising more than 30 . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMc071785</identifier><identifier>PMID: 17761603</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Carotid Artery Injuries - prevention & control ; Catheterization, Central Venous - methods ; Clinical Competence ; Head ; Hemothorax - etiology ; Humans ; Medical Errors - prevention & control ; Posture</subject><ispartof>The New England journal of medicine, 2007-08, Vol.357 (9), p.943-945</ispartof><rights>Copyright © 2007 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c581t-34a5295df6c89b72589d81b34394d151837c5e1ac87080b065a64b485106a65a3</citedby><cites>FETCH-LOGICAL-c581t-34a5295df6c89b72589d81b34394d151837c5e1ac87080b065a64b485106a65a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMc071785$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJMc071785$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17761603$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reade, Michael C</creatorcontrib><title>Central Venous Catheterization</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>To the Editor:
I have three concerns about the description of central venous catheterization in the video by Graham et al. (May 24 issue).
1
First, it is misleading to describe the risk of hemothorax as “not applicable” when the internal jugular approach is used, since hemothorax is a known complication.
2
Second, head rotation of 45 degrees increases the overlap of the carotid artery by the internal jugular vein,
3
increasing the risk of arterial puncture.
4
For this reason, most authors recommend a near-midline position of the head. Third, the manometer technique that is shown is inadequate. Blood rising more than 30 . . .</description><subject>Carotid Artery Injuries - prevention & control</subject><subject>Catheterization, Central Venous - methods</subject><subject>Clinical Competence</subject><subject>Head</subject><subject>Hemothorax - etiology</subject><subject>Humans</subject><subject>Medical Errors - prevention & control</subject><subject>Posture</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqN0UtLAzEQB_Agiq3Vk_dSFLzIaibvHGWpL6pe1GvI7qa4ZR812T3opzeyBUU8NJcQ-PGfmQxCx4AvAHNx-Ti_f8ixBKn4DhoDpzRhDItdNMaYqIRJTUfoIIQVjgeY3kcjkFKAwHSMpqlrOm-r2atr2j7MUtu9uc758tN2Zdscor2lrYI72twT9HI9f05vk8XTzV16tUhyrqBLKLOcaF4sRa50JglXulCQUUY1K4CDojLnDmyuJFY4w4JbwTKmOGBh44NO0NmQu_bte-9CZ-oy5K6qbONiW0YoQglQvRUETfg2kAgtcYQnf-Cq7X0TpzWExIpAMUR0PqDctyF4tzRrX9bWfxjA5nsL5tcWop5uIvusdsWP3Xx7BKcDqOtgGreq_435Ai_miEU</recordid><startdate>20070830</startdate><enddate>20070830</enddate><creator>Reade, Michael C</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20070830</creationdate><title>Central Venous Catheterization</title><author>Reade, Michael C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c581t-34a5295df6c89b72589d81b34394d151837c5e1ac87080b065a64b485106a65a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Carotid Artery Injuries - prevention & control</topic><topic>Catheterization, Central Venous - methods</topic><topic>Clinical Competence</topic><topic>Head</topic><topic>Hemothorax - etiology</topic><topic>Humans</topic><topic>Medical Errors - prevention & control</topic><topic>Posture</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reade, Michael C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>New England Journal of Medicine</collection><collection>Biological Sciences</collection><collection>Family Health Database (Proquest)</collection><collection>ProQuest Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database (ProQuest)</collection><collection>ProQuest research library</collection><collection>Science Database (ProQuest)</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reade, Michael C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Central Venous Catheterization</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2007-08-30</date><risdate>2007</risdate><volume>357</volume><issue>9</issue><spage>943</spage><epage>945</epage><pages>943-945</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>To the Editor:
I have three concerns about the description of central venous catheterization in the video by Graham et al. (May 24 issue).
1
First, it is misleading to describe the risk of hemothorax as “not applicable” when the internal jugular approach is used, since hemothorax is a known complication.
2
Second, head rotation of 45 degrees increases the overlap of the carotid artery by the internal jugular vein,
3
increasing the risk of arterial puncture.
4
For this reason, most authors recommend a near-midline position of the head. Third, the manometer technique that is shown is inadequate. Blood rising more than 30 . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>17761603</pmid><doi>10.1056/NEJMc071785</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 2007-08, Vol.357 (9), p.943-945 |
| issn | 0028-4793 1533-4406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68232139 |
| source | MEDLINE; EZB Electronic Journals Library; New England Journal of Medicine |
| subjects | Carotid Artery Injuries - prevention & control Catheterization, Central Venous - methods Clinical Competence Head Hemothorax - etiology Humans Medical Errors - prevention & control Posture |
| title | Central Venous Catheterization |
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