INTRODUCTION Meigs syndrome is a rare condition, occurring in less than 1% of ovarian tumors and has the characteristic features of a benign ovarian tumor, ascites and a pleural effusion. We present a case of Meigs syndrome in a young patient presenting initially with an axillary vein thrombosis and local lymphadenopathy. CASE PRESENTATION A 28-year-old Caucasian woman presented with a short ...

The current literature on venous access in infants and children for acute intravascular access in the routine situation and in emergency or intensive care settings is reviewed. The various techniques for facilitating venous cannulation, such as application of local warmth, transillumination techniques and epidermal nitroglycerine, are described. Preferred sites for central venous access in infa...

T he article by Fragou et al (1), in this month’s Critical Care Medicine, provides compelling evidence that the routine use of ultrasound guidance increases the safety of central venous access by the subclavian route. In this cohort of critical care patients, cannulation was achieved in 100% of patients in the ultrasound group as compared with 87.5% in the landmark arm. Access time and the numb...