Central venous access

Have you ever experienced the following: you instruct a peer in how to do a particular procedure while he is doing it, but then realize that you cannot really presuppose knowledge about the theoretical facts, such as indications, anatomy and so on?

We use the case of central venous catheter access to review the most important indications, anatomy, differential access site indications and so forth, then go through the basic steps and try to list details that you could never explain if doing a live instruction.

References: any modern ICU book. I use Irwin & Rippe’s, which is rather conservative. For some cool facts, I can recommend the book Evidence-based critical care.

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