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Horizontal beam technique to document position of percutaneously inserted central venous catheters
  1. Thomas M Berger,
  2. Matteo Fontana
  1. Neonatal and Paediatric Intensive Care Unit, Children's Hospital of Lucerne, Luzern, Switzerland
  1. Correspondence to Professor Thomas M Berger, Neonatal and Paediatric Intensive Care Unit, Children's Hospital of Lucerne, Luzern CH-6000, Switzerland; thomas.berger{at}luks.ch

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Recently, Job et al1 reported on the ‘Incidence and identification of inadvertent lumbar vein catheterisation in the NICU’. Because potentially serious, even fatal, complications can occur when percutaneously inserted central venous catheters (PCVCs) are inadvertently placed into the ascending lumbar veins (ALVs), the authors retrospectively analysed the incidence of ALV malposition of PCVCs in their institution. Using a radiopaque contrast medium and anterior–posterior abdominal X-rays, they found that 6.5% of the catheters inserted from …

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