Procedure: Internal Jugular Central Line Insertion

One of the procedures where ultrasound is useful is for central line insertion into the jugular vein. In fact, ultrasound guidance for internal jugular line placement is considered standard of care.

The ultrasound portion of the technique begins at 3:43. You can use the transverse (at 5:00) or longitudinal view (at 5:05) to visualize the tip of the needle as it is inserted into the jugular vein.

When inserting the needle, you should assure the following:
- The internal jugular is centered on the ultrasound image
- The ultrasound probe is perpendicular to the needle's insertion angle is using the transverse view
- The needle's insertion point is at the middle of the ultrasound probe

As mentioned in the video, you should also confirm that the wire is correctly positioned in the jugular vein before proceeding with dilating.