How to: Internal Jugular and Needle Insertion for Vascular Access with Ultrasound

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This video discusses some of the scanning techniques and anatomy landmarks seen when performing internal jugular vein vascular access, including patient position, transducer position, identification of structures near the vein, vein depth, and insertion technique.



Aleksandr Tkachuk says:

I started to use US-guidance about a half-year ago and I think it's very useful. Now I choose subclavicular vein for hi-emergency situations only, and when I have alittle more time – I take our US-machine. My experience is not so extensive, but I think that all urgent-physicians can use US (for needle navigation, or for IVC/FAST/FOCUS-assessment) to increase patients' benefit.

William Brown says:

I question the "ultrasound is much safer for central line placement" statement.  I sense a huge push for ultrasound use and it's being made a "standard" coming from the manufacturers and the physicians who are employed by them.  In experienced hands central line placement is fast and extremely safe, without an ultrasound machine.
      I see a role for U/S perhaps in cases of distorted anatomy or to diagnose thrombosis.

Iván Velázquez Fiesco says:


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