The placement of a central venous line is an essential technique in the treatment of many hospitalized patients. This video will demonstrate the placement of a central venous catheter in the internal jugular vein with the use of one of several variations of the Seldinger technique. An additional video on subclavian line placement will be forthcoming. We will demonstrate and review the regional anatomy of the neck, indications for the insertion of a central line, the recommended site and technique for placement of a line in the internal jugular vein, selected complications associated with the procedure, and suggestions for . . . View Video .
Chapters:
Introduction
Overview
Equipment
Preparation
Placing the Line
Troubleshooting
References
McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med 2003;348:1123-1133. [Free Full Text]
Hind D, Calvert N, McWilliams R, et al. Ultrasonic locating devices for central venous cannulation: meta-analysis. BMJ 2003;327:361-361. [Free Full Text]
Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355:2725-2732. [Free Full Text]
Merrer J, De Jonghe B, Golliot F, et al. Complications of femoral and subclavian venous catheterization in critically ill patients: a randomized controlled trial. JAMA 2001;286:700-707. [Free Full Text]
Related Letters:
Central Venous Catheterization
Reade M. C., Newton J. D., Sprigings D. C., Newsome L. T., Antonio B. L., Royster R. L., Adhya S., Laha S. K., Graham A. S., Tegtmeyer K., Braner D.
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N Engl J Med 2007;
357:943-945, Aug 30, 2007.
Correspondence
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