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Intensive Care Medicine

Tutorial 138

Central Venous Cannulation Anaesthesia

Dr. Will Key, Specialist Registrar – Exeter Hospital, UK

Dr. Mike Duffy, Consultant – Derriford Hospital, UK

Correspondence to willkey75@hotmail.com

15TH JUNE 2009

Abstract

Central venous access is a commonly performed procedure that can be lifesaving but is associated with significant complication rates. Operator experience, familiarity with the range of sites available along with sound knowledge of anatomy and use of ultrasound can help to minimise some of the mechanical complications. Strict asepsis at the time of insertion, use of impregnated catheters, proper maintenance and timely removal can minimise infective complications.