Ali, Adil MahmudBharadwaj, RagyaFaruqi, Nafis Ahmad2020-01-022020-01-022018-07Ali Adil Mahmud, Bharadwaj Ragya, Faruqi Nafis Ahmad. Landmark Based Femoral Central Venous Catheterization, A Reliable And Safe Method In Acute Burns Resuscitation: An Institutional Based Study. Annals of International medical and Dental Research. 2018 Jul; 4(4): 1-42395-28222395-2814http://imsear.searo.who.int/handle/123456789/192692Background: Central Venous Catheterizations (CVC) is a standard method of intravenous access in resuscitation of acute severe burn patients, with the subclavian and internal jugular veins being preferred over the femoral vein. However the ease of placement and the decreased chance of life threatening complications make it an attractive and safe option for the burns physician. Aims: To study the efficacy femoral CVC in acute burns resuscitation. Methods: This is a prospective observational study conducted over a period of 2 years. Patients with acute severe burns were admitted, and landmark based femoral central venous catheter was placed for resuscitation. Results: A total of 300 femoral central lines were placed in 300 patients. In 84.66% patients the right femoral vein was used and 15.3% patients, left femoral vein was catheterized. In 65% patients catheterisation was done in one attempt while 34.33% patients required 2- 3 attempts. No use of ultrasound was required in any of our patients. The risk of catheter related blood stream infections due to femoral CVC was not higher when compared with CVC placement in other sites (subclavian/internal jugular). Conclusion: Landmark based femoral central venous catheterisation is a quick, reliable and safe method to attain venous access in acute severe burn patients with lesser chances of immediate life threatening complications when compared to other sites of placement.Journal ArticleIndiaSenior Resident, Department of Plastic Surgery, JN Medical College, Aligarh Muslim University, Aligarh 202002, India.Senior Resident, Department of Anatomy, JN Medical College, Aligarh Muslim University, Aligarh 202002, India.Professor, Department of Anatomy, JN Medical College, Aligarh Muslim University, Aligarh 202002, India.