How I Do It: Ultrasound-Guided Internal Jugular and Femoral Central Venous Catheter Insertion

Scott J. Millington, Mai Otsuka Colvin, Ariel L. Shiloh, Seth Koenig

Research output: Contribution to journalReview articlepeer-review

Abstract

Central venous catheterization is routinely performed in the ICU to obtain venous access for hemodynamic monitoring, parenteral nutritional support, hemodialysis, and delivery of fluids and vasoactive medications. Although central venous catheters can be lifesaving, their insertion is not without risk. Historically, central veins were accessed using landmark-based techniques, but the medical literature strongly supports the use of ultrasound guidance. The purpose of this article is to review the basic principles of real-time ultrasound-guided internal jugular and femoral catheter placement. An approach for incorporating these tools into clinical practice is presented, along with illustrative figures and video.

Original languageEnglish (US)
Pages (from-to)2425-2430
Number of pages6
JournalChest
Volume158
Issue number6
DOIs
StatePublished - Dec 2020

Keywords

  • central venous catheter
  • intensive care
  • ultrasound

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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