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Indian Journal of Critical Care Medicine
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
ISSN: 0972-5229 EISSN: 1998-359x
Vol. 15, Num. 1, 2011, pp. 62-62

Indian Journal of Critical Care Medicine, Vol. 15, No. 1, January-March, 2011, pp. 62

Letter to the Editor

Author's reply

Department of Anaesthesiology, Kasturba Medical College, Manipal, India

Correspondence Address: Nataraj Madagondapalli Srinivasan Department of Anesthesiology, Kasturba Medical College, Manipal - 576 104, India, natarajms23@yahoo.com

Code Number: cm11017

Dear Editor,

Appreciating the author′s interest [1] in the case report, [2] we feel that their recommendation of observing the pulsatile column of fluid in the infusion set is quite subjective when the blood pressure is low and fluid is not freely flowing, compared to a chest radiograph. Also, the tip of the catheter might be abutting the wall when the column does not pulsate.

Comparison of arterial blood gases obtained from the catheter to that from the periphery artery might be feasible when access to the site is easy. In a hemodynamically unstable patient, it might not be possible always.

References

1.Jain A. Right subclavian artery cannulation. Is chest roentgenogram sufficient to diagnose the complication? Indian J Crit Care Med 2011;15:61-2.  Back to cited text no. 1    
2.Srinivasan NM, Kumar A. Finding on a chest radiograph: A dangerous complication of subclavian vein cannulation. Indian J Crit Care Med 2010;14:95-6.  Back to cited text no. 2  [PUBMED]  

Copyright 2011 - Indian Journal of Critical Care Medicine

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