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" ... Multiple failures to draw blood or start an IV increase the chance of phlebitis, venous thrombosis, and secondary bacterial infections. When clinicians are still unable to place IVs using ultrasound probes, they must resort to placing central venous catheters (CVCs) into large veins (internal jugular, subclavian or femoral veins), which involve not only greater cost but increased risk. This not only leads to increased procedural time, but more staff, boosting costs to over $4 billion annually in the U.S. ... "