Todd Painton, MD
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
•Include no more than 300 words of text, three authors, and five references
•Type with double-spacing
•Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.
Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.
Annals welcomes electronically submitted letters.
Painton T.; Update in Hospital Medicine. Ann Intern Med. 2003;139:602-603. doi: 10.7326/0003-4819-139-7-200310070-00023
Download citation file:
Published: Ann Intern Med. 2003;139(7):602-603.
TO THE EDITOR:
Regarding the section on avoiding femoral line placement in Flansbaum and Huddleston's Update in hospital medicine (1), am I the only one who sees the folly of leaving a femoral line in place for more than 4 days? In the study reviewed (2), femoral lines were used for an average of 9.3 days!
I argue that in the short run a femoral line is far safer than a subclavian line. The complications associated with femoral lines all occur after 72 hours. Line infections are rare in this time window. If short-term access is needed, it makes more sense to use the femoral vein. If access may be needed for more than 72 hours, a subclavian line should be used. I use femoral lines for all of my patients with diabetic ketoacidosis. They don't need the line longer than 72 hours, and they don't get pneumothorax.
to gain full access to the content and tools.
Learn more about subscription options.
Register Now for a free account.
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only