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Effectiveness of a novel training program for emergency medicine residents in ultrasound-guided insertion of central venous catheters.(Student Teaching and Evaluation)(Movie review)(Report)

Canadian Journal of Emergency Medicine

| July 01, 2009 | Woo, Michael Y.; Frank, Jason; Lee, A. Curtis; Thompson, Calvin; Cardinal, Pierre; Yeung, Marianne; Beecker, Jennifer | COPYRIGHT 2009 Canadian Medical Association. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

INTRODUCTION

Over 5 million central venous catheters (CVCs) are inserted yearly in the United States. (1) Establishing central venous access is an essential skill for emergency physicians and is a core competency for emergency medicine residency training. (2)

The indications for CVC insertion include hemodynamic monitoring, temporary cardiac pacemaker, hemodialysis and lack of peripheral venous access. With the recent landmark sepsis trial, hemodynamic monitoring with central lines is likely to increase. (3) Insertion of CVCs continues to be associated with complication rates as high as 18%. (4,5) Potential immediate complications are listed in Box 1.

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