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Really? At most places you can just send the patient down to radiology and we can advance it under fluoro. Done deal.
As for consulting surgeons for a central line? That is rare too. Radiology can usually get it done faster as well.
A lions share of procedures which are classically done by specialists are done by radiologists (non-interventional) these days. Image guided biopses, LP's, dobhoffs, G-tubes, central lines. And why not? Radiologists can get it done quickly, efficiently, and safely with image guidance. Best of all, our standard answer to your consult is "yes".
I agree that fluoro is overkill for dobhoffs. Our nurses routinely place them at the bedside, including transpyloric, and then the docs just get and x-ray for confirmation.
Also, at least where I am at, PICCs are now being done more at the bedside and less by IR.
And also, the standard answer of yes part is highly institution dependent (as it is for responses to any consult request). I have worked places where radiology would do the procedure, but not at night or on a weekend, and as long as they were not busy with other stuff.