These guidelines from the American Society of Anesthesiology report evidence based recommendations to reduce the risk of complications from central venous lines. Some of the recommendations include (1) Use upper body site to reduce risk of infections and VTE (2) Use USG to determine location and potency of desired vessel (3) When using guide wire, confirm the needle and guide wire are in the vein by USG (before dilation) (4) With accidental placement in an artery, the catheter should be left in place and vascular surgery should be consulted immediately (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.