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Identification and correction of guide wire malposition during internal jugular cannulation with ultrasound

Published online by Cambridge University Press:  21 May 2015

Michael B. Stone
Michael B. Stone*
Affiliation:
Division of Emergency Medicine, University of Medicine and Dentistry of New Jersey, Newark, NJ
*
Division of Emergency Medicine, University of Medicine and Dentistry of New Jersey, 150 Bergen Street, Newark NJ 07103; drmikestone@gmail.com

Abstract

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Real-time ultrasound guidance for central venous catheterization increases success and reduces procedural complications. I describe a case in which guide wire resistance was encountered and real-time ultrasound visualization of the guide wire facilitated correction of guide wire malposition. No additional passes of the introducer needle were necessary and the chances of inadvertent carotid artery puncture or pneumothorax were therefore reduced. The technique described here may prove valuable when guide wire resistance is encountered while placing a central venous catheter.

Keywords

ultrasoundultrasonographyguidewirecentral venous catheterization
Type
Case Reports • Observations de cas
Information
Canadian Journal of Emergency Medicine , Volume 9 , Issue 2 , March 2007 , pp. 131 - 132
Copyright
Copyright © Canadian Association of Emergency Physicians 2007

References

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