Central venous catheterization is routinely required in critically ill patients and carries an associated morbidity. In pediatric patients, the procedures can be difficult and challenging, predominantly because of their anatomical characteristics. In this article and video abstract, we determine whether ultrasound-guided techniques are associated with reduced incidence of failures and complications when compared to the anatomical landmark technique: http://bit.ly/2z5ai9s | AAP Journals

130K views · 216 reactions | Blood pressure is the measurement of the...

12 reactions | The central venous pressure (CVP) is an important...

For a while, CVP (central venous pressure) has been used to assess fluid status in critically ill patients—but here’s why it shouldn’t be your go-to: ➡ Poor Predictor of Fluid Responsiveness – Studies show that CVP does not reliably indicate whether a patient will respond to fluids. A normal or low CVP doesn’t mean they need fluids, and a high CVP doesn’t always mean they’re volume overloaded. ➡ Static, Not Dynamic – CVP is a pressure measurement, not a direct indicator of volume or preload. Flu