central line

[Bjs04f]

So I know Ive said this to a nurse before when asked why avoid the groin, it just what is taught. Intersting thought on femoral line infection rate. Makes you think. 
hqmeded.com/femoral-central-lines/

[kemple]

I showed the study to many in ICU about no statistical difference, no one had read it before. I personally go for IJ more just because it's preference of most all attendings but truly femoral is ok. I agree those with larger pannus are more likely to get infection and avoid if possible. I think femoral will be just as good as IJ in a few years.

[tyson]

i just am not a huge fan of putting femorals in because there is always lots of hair, area tends to be sweaty, and everyone in toledo seems to have a large pannus (which requires taping before procedure). plus, if you mess up, you aren't going to drop a lung. no chest tube. and while the evidence may not show it right now either way, I just don't buy that in an area of genitals, sweat, heat, and layers of fat you aren't going to see higher infection or complication rates.

besides being clean and away from genitals, some of the TTH attendings are fairly thoughtful in that they prep their IJ's wide enough to include subclavian so if they have a difficult time cannulating IJ, they can keep same kit, same prep and move down to SC.

[Bjs04f]

I like the study for the ability to quickly drop a fem art and central line at the same time in a crashing patient if need be

[Bjs04f]

watched banoub stick in two needles and guidewires at damn near same time, then this lady has 2 guidewires sticking out of her leg he threads art line and c-line back to back. Bam both in under 3 min

[jmfkmd]

WHAAT?? So what you're saying is, he 2-prong Wolverined the lady's groin? That's badass