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Currently, there is no method to assess the performance while inserting a central venous catheter. We suggest a new scoring system for evaluation of both the technique as well as the operator, and then we applied it for the comparison between the landmark and ultrasound techniques to assess its validity . Four hundred patients were divided into two equal groups group (A) internal jugular vein (IJV) and group ( subclavian vein (SV). The landmark technique and the ultrasound guidance were used equally (100 patients for each) in both grou
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