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IJ Access

  • Slide 1 of 2
  • Slide 2 of 2

Internal jugular (IJ) - technique

internal jugular- technique

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Narration

So once you've mastered doing peripheral vascular access using ultrasound, the other procedures are going to be easier. This is one of the more common ways to approach central venous access using ultrasound which is the IJ approach. The nice thing about this is there are no bones in the way and using ultrasound guidance on the neck can certainly help you get to the right place. So you are going to position yourself at the head of the bed and the key with this is that the ultrasound probe should be to your left so you're looking down the patient and this is one case where the indicator is actually also to the patient’s left. So landmark technique: you find the two heads of the sternocleidomastoid and direct the needle towards the ipsilateral nipple. Note that in this case we are the using ultrasound to find the IJ vessel, it should be lateral to the carotid, and watch for overlap and adjust your angle of approach accordingly so if you do happen to back wall the vein you don't end up in the artery.

Internal jugular (IJ) - access


         Continue           


Narration

So here we see the needle going into the IJ we're kind of scanning along and we're also collapsing that vessel. We can tell it is a vein because it collapses easily and then we're following this needle down and getting it into the vessel to find the vanishing target sign. 


Procedural Ultrasound

--- Table of Contents ---

Lesson NameMinutes id
Introduction5
111
Basics3
112
In and Out of Plane4
113
Peripheral Vascular Access4
114
IJ Access2 checkmark
115
Femoral Access2
116
Subclavian Access & Confirmation3
117
Other Procedures3
118
Thoracentesis & Paracentesis3
119
Cardiac Procedures4
120
US Guided Nerve Block1
121
Look Before You Stick!4
122
Quiz Question #11
123
Quiz Question #21
124
Quiz Question #31
125

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