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Editorials |

Routine Chest Radiographs Following Central Line Insertion: Not Always Necessary!

Edwin J.R. van Beek, MD, PhD
Author and Funding Information

Affiliations: Iowa City, IA
 ,  Dr. van Beek is Professor of Radiology, Carver College of Medicine, University of Iowa.

Correspondence to: Edwin J.R. van Beek, MD, PhD, Professor of Radiology, Department of Radiology, Carver College of Medicine, University of Iowa, 200 Hawkins Dr, Iowa City, IA 52242-1077; e-mail: edwin-vanbeek@uiowa.edu



Chest. 2005;127(1):10-12. doi:10.1378/chest.127.1.10
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Extract

The insertion of central lines is now commonplace due to the increased use of IV feeding, the delivery of blood products and drugs, hemodialysis, and monitoring in intensive care situations in modern medicine. However, the exact method of insertion, the periprocedural care, and the assessment of adequate positioning is still a contentious issue. In this issue of CHEST (see page 220), an elegant study by Lessnau describes the situation of routine triple-catheter insertion in a large teaching hospital. The study demonstrates that one can virtually predict the adequate position of these lines, even if residents perform line insertion following training for this procedure.

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