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)
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