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Ultrasound Guided CVP Line Placement:Going for the Jugular
Goals/Objectives
Indications/contraindications for central line placementChoosing a siteImportant points regarding insertion techniqueWhy use ultrasoundTechnique of using ultrasound
•Static vs. dynamic•Vein localization•Ensuring proper orientation (longitudinal and transverse)•Performing a “mock poke” to assess exact puncture site/angle
Assessment of possible complications
CVP Catheter Indications
Pressure monitoringMixed venous oxygen saturationFluid administration during volume resuscitation(may not be as good as large-bore peripheral lines!!)Administration of corrosive or hypertonic fluidsAdministration of vasoactive agentsLack of other sites
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Ultrasound Guided CVP Placement 1
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| Upload Date: | 04/15/2009 |
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