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Insertion of soft tissue dilator for central venous catheter placement

Insertion of soft tissue dilator for central venous catheter placement
The soft tissue dilator is advanced over the guidewire using a corkscrew motion. Mild resistance is normal. The dilator does NOT need to be advanced its entire length, but only to the anticipated depth of the vessel.
UpToDate acknowledges the invaluable assistance of the University of Massacusetts Medical School, Department of Anatomy and Department of Emergency Medicine, including Thomas Ellis, MD and Jean Marcelin, MD, for the photographs of central venous catheter placement.
Graphic 77656 Version 2.0

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