Central Line Safety

CENTRAL LINE SAFETY

Dr. Bowdle has a long-standing interest in central venous catheter safety and wrote a seminal review on the prevention and treatment of central venous catheter vascular complications. After a successful evaluation of the portable pressure transducer, we have added this transducer to central venous catheter kits at our institution. In addition to requiring pressure monitoring, we also evaluated the feasibility of imaging guidewire in the innominate vein using ultrasound which is now part of the guidewire verification process at our institution.
Our current method of central venous catheter insertion, which includes the use of ultrasound to identify internal jugular vein, Compass transducer to measure pressure and imaging of guidewire in the innominate vein.

PUBLICATIONS

A multicenter evaluation of a compact, sterile, single-use pressure transducer for central venous catheter placement

Togashi K, Nandate K, Hoaglan C, Sherman B, Bowdle A. Anesth Analg. 2013 May;116(5):1018-23.

Pressure waveform monitoring during central venous catheterization

Bowdle A, Kharasch E, Schwid H. Anesth Analg. 2009 Dec;109(6):2030-1.