ABSTRACT
Throughout this text thus far we have emphasized the importance of the availability and utility of fluoroscopy when placing central venous catheters (CVCs). Although a detailed discussion of radiation physics and radiographic techniques is beyond the scope of this text, this chapter is intended to provide a broad overview of some of the important issues regarding the use of imaging in the operating room for catheter placement. The discussion is limited to fluoroscopy and contrast-based methods and is not meant to serve as a substitute for a more comprehensive curriculum or appropriate experience gained in a proctored setting. The use of ultrasound to aid in establishing vascular access appears in Chapter 14 and is not reviewed in the present chapter.
