1,322 sono guided IJ central lines. Guess how many pneumothoraces.
One. Exactly one.
Overall success rate – 96.9%.
One percent of the time the catheter required repositioning. So, basically a failed rate of 2%.
Zero arterial placements.
Sure, 1,322 over a one year period is insanity (Henry Ford in Detroit, if you’re curious), and you can easily argue that a hospital that places that many central lines probably has it down cold.
Bottom line, if you are competent enough to place an ultrasound guided right sided IJ central line, you can skip the xray, especially if it is going to delay care. You do not image your femoral lines before usage, do you?