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The I. scapularis adults which attached to the flag, were removed with fine-pointed, stainless steel tweezers and placed in round-bottom, 8.5 mL polypropylene tubes (15.7 X 75 mm) with labels consisting of background information. A 7-mm hole was drilled in the polyethylene push caps (15.7 mm diameter) for ventilation and, to prevent ticks from escaping, tulle netting was placed over the mouth of the vial before the push cap was inserted. The capped vials were then placed in self-sealing, double-zipper, plastic bags with a slightly moistened paper towel. Ticks were sent directly by express mail to the tick identification laboratory (JDS) for examination and recording. Ticks were identified morphologically using taxonomic keys [36, 37].. Six hundred ninety-one patients were analyzed. Initial equianalgesic dosages varied by a factor of 27 (from 1 mg morphine to 4 mg hydromorphone). Opioid dose titration occurred in only 21% of patients.. The SC approach allows for a better view of the SCV on ultrasound than the IC approach. Future research should determine if this translates to a greater success rate when placing central lines in the SCV.

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