In reply: Ultrasound-guided internal jugular vein cannulation: a novel technique for confirming that the guidewire is directed towards the right atrium

To the Editor, We appreciate the additional comments by Drs Maheshwari regarding our report addressing confirmation of guidewire placement during central venous cannulation. They suggest a useful method for further confirmation of the position of the guidewire. With their approach, the ultrasound probe is placed at the supraclavicular fossa and tilted posteroinferiorly towards the thoracic cavity, which allows confirmation of the location of the guidewire within the lumen of the brachiocephalic vein. We agree that their technique helps to detect the guidewire within the brachiocephalic vein and provides some useful information. Nevertheless, further study would be needed to confirm whether this maneuver would be able to prevent catheter misplacement—e.g., in the vertebral vein or the azygos vein. Conflicts of interest None declared.