Central Line Placement Gems

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With or without mastisol?

Usually without. I feel like my CVOR staff are always caught off guard and have no idea where to find it when I ask for it. But honestly whatever gets the job done.
 
“3-inch silk tape.”

The positioning Swiss Army knife.

But certainly a good point on the fatness potentially making the femoral line a challenge. I think the key here though is knowing your "safe landing" before you start. Which I think is a key point for us to learn as trainees, regardless of how big or small the procedure is. Before you start out you should know what Plan B through E are.
 
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