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Volume 357:943-945 August 30, 2007 Number 9
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Central Venous Catheterization

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by Graham, A. S.
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To the Editor: I have three concerns about the description of central venous catheterization in the video by Graham et al. (May 24 issue).1 First, it is misleading to describe the risk of hemothorax as "not applicable" when the internal jugular approach is used, since hemothorax is a known complication.2 Second, head rotation of 45 degrees increases the overlap of the carotid artery by the internal jugular vein,3 increasing the risk of arterial puncture.4 For this reason, most authors recommend a near-midline position of the head. Third, the manometer technique that is shown is inadequate. Blood rising more than 30 . . . [Full Text of this Article]



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